proscar and flomax after turp

Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a healthcare professional. appropriate medical assistance immediately. 2009 Jun 1;69(8):895-907. doi: 10.1002/pros.20939. Publication types Clinical Trial Randomized Controlled Trial MeSH terms The common medications for enlarged prostate are Flomax or alpha-1A reductase inhibitors such as Proscar and Avodart. May be stopped any time now. I hope. Thanks for visiting. Is this normal? Egton Medical Information Systems Limited. The site is secure. B., Bayar, M. K., & Erhan, O. L. (2012, November 19). For patients that are symptomatic to the point of being bothersome, medical therapy using drugs such as Flomax (Tamsulosin), Rapaflo, Avodart, Proscar (Finasteride), or Jalyn (Avodart and Flomax) may be prescribed. Now PSA going up. (2015, June 8). What is the eatimate cost of a TURP prostate operation in South Africa? I don't think my flow is as good as it was just a week or two after the procedure. It might be worth checking with your consultant whether there could still be some debris, or the odd clot hanging around and obstructing the voluntary sphincter?. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). In fact, when I ran out of that last bottle of FLOMAX, I contacted the urologist to re-confirm that he preferred me to be off of it. Urodynamic test shows sphincter won't relax when bladder contracts. You notice side effects that werent affecting you before. The most common surgery for BPH is called transurethral resection of the prostate or TURP. Table 2 summarizes the salient information by drug and suggests the type of men who might want to consider taking one drug rather than another. An official website of the United States government. I am doing well so far; urinating decently (although with URGENCY), and without pain after catheter removal yesterday. If anyone else was told differently from your urologist, I would like to know. The combination therapy is effective in decreasing the irritative and obstructive symptoms in patients with BPE than monotherapy. Patients treated with finasteride had a delayed increase in serum PSA compared with placebo of approximately 9 months in the first year and 14 months by the end of the second year. The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia. In regards to the "new" surgeries, there are a couple of promising ones, but they are NEW and can only give a 5 year guarantee and they do have side effects, it is after all surgery, Bi-Polar TURP has a 7-15 year guarantee and it is not that invasive, plus tissue samples can be taken to ascertain if cancer is present, better that having a prostate biopsy, the newer surgeries can't give you that. Michalak, J., Tzou, D., & Funk, J. Will if affect erection and other things? Helping children who are neurodiverse build friendships, Preventable liver disease is rising: What you eat and avoid counts, Easy ways to shop for healthful, cost-conscious foods. It seems every place is different. PMC Your BPH symptoms worsen, even though you are taking your current medication. Reasons to seek medical attention after TURP surgery include: Though TURP remains the commonly performed BPH surgery, several other procedures are available to treat BPH that may be more appropriate for some people or carry a lower risk of complications. Ornstein DK, Rao GS, Johnson B, Charlton ET, Andriole GL. We avoid using tertiary references. Their names have been changed, but all other details are accurate (see Jack Muriel and Henry Banks below). 2 years ago, Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. The https:// ensures that you are connecting to the In the original clinical trials, 3.7% of men taking these drugs (and 4%6% by some other estimates) developed erectile dysfunction. Henry Banks developed acute urinary retention after drinking large quantities of water for a CT scan. A. NCI CPTC Antibody Characterization Program. Wow! The decrease in the total American Urological Association symptom score was statistically significant in the combination group (p<0.0001) as compared to monotherapy (p=0.0715) respectively. According to the American Urological Association, transurethral resection of the prostate or TURP is the most common type of surgery used to treat BPH. Just letting you know what my urologist did. Many of the catheters I had placed were done in the emergency room by nurses there. This site needs JavaScript to work properly. Because there is less cutting involved, there are fewer side effects associated with HoLEP surgeries than with traditional TURP surgeries, and less risk of serious complications. TURP syndrome and severe hyponatremia under general anaesthesia. 2005 Aug;48(2):269-76. doi: 10.1016/j.eururo.2005.03.029. i thought the surgery was suppose to cure everything ? Registered in England and Wales. Living on the pills unless it gets much worst. Discuss with the doctor who did your. BPH patients can develop urinary tract symptoms including urinary retention, urinary tract infections and even kidney damage. Surgery went very well. Finasteride doesn't shrink the prostate permanently - it can shrink it for as long as you take it, but once you stop it reverts. The continuation of pharmacological therapy post operatively is redundant, however it was noted that several patients remained on these medications post TURP. Please explain if it is safe to do turp(transurethral resection prostate) operation the second time? If you have to pay for medications on your own, or if your insurance company requires some type of co-pay, you may want to figure cost into the equation. I told him that I had just refilled the FLOMAX, so he told me that I could continue to use it, if I wanted, but didn't need it. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Luckily, a urologist was on call and came by, removed it and put in a size 20. Please enable it to take advantage of the complete set of features! Because prostate tissue sometimes grows back and again blocks the urethra AFTER TURP, I am wondering if I should ask my Urologist if my continuing to TAKE Finasteride might help REDUCE the chance of recurrence of urinary retention in the future. Advertisement intended for healthcare professionals, University Hospitals of Leicester, Leicester, United Kingdom. Does anyone out there have experience with taking Finasteride AFTER a TURP? You can learn more about how we ensure our content is accurate and current by reading our. Patients were randomized using computer generated random number table. But not always: Some men have had to undergo breast reduction surgery or learn to live with the changes. For it to work properly, you have to take it 30 minutes after the same meal each day. Unable to load your collection due to an error, Unable to load your delegates due to an error. He had many a patient, but now he has left the area. start alpha blocker (Tamsulosin or Alfuzosin) for at least 48hrs prior to TWOC and finasteride if large prostate (bigger than a plum/30cc). Also when I pee I have the serious sensation to poop, so with all that, my answer would have to be that the finesteride is not changing a thing for me, of course everyone has a different reaction with there surgery one is not the same as the others, best of luck to youif my situation does not improve then my career is over (ups driver) hard to be in residential areas and have 8 secounds to pee. Eur Urol. Cookie Settings. The results of this study indicate that treatment with finasteride delays but does not prevent the rise in serum PSA observed in untreated patients with detectable PSA levels after radical prostatectomy. Keywords: But while the procedures have been shown to be better at reducing BPH symptoms than medications alone, they are not considered as good as TURP or TUIP surgeries. Is the ketogenic diet right for autoimmune conditions? Researchers are now investigating whether taking anticholinergic drugs can ease BPH symptoms. Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. I'm 65 years old and I had TURP surgery 6 days ago. Henry might have been able to avoid a visit to the emergency room if, before getting a computed tomography (CT) scan, hed told the radiologist that he had been taking a medication for severe BPH. Although BPH symptoms often remain stable, one study found that progression was likely in men with the following clinical profile: Source: Crawford ED, Wilson SS, McConnell JD, et al. Oct 207- 6.84, Jan 2018 9.26 and clear MRI scan, May 2018 11.78 and then down in Aug 2018 to 8.1. In some cases, a separate device will be used to flush sterile fluid through the surgical site. It is unclear whether the findings also apply to dutasteride, but because the drug is in the same class, most researchers think it does. The baseline demographic variables were comparable in both groups. 8600 Rockville Pike Thanks for sharing your experiences henrya. But today a man considering surgery has many more options [see "TURP use declines," below]. Stop using Flomax and call your doctor at once if you have: a light-headed feeling, like you might pass out; or. Epub 2005 Apr 18. Never disregard or delay professional medical advice in person because of anything on HealthTap. Finasteride (Proscar) Summary Prescription only Tamsulosin (Flomax) is a commonly prescribed oral medication used to treat benign prostatic hyperplasia (BPH), also known as an enlarged prostate. A doctor who specializes in the urinary tract does most TURP surgeries. Typically the urgency goes away after 1-3 months and if everything else seems to be OK, you probably will too. Finally, the surgeon will insert a long plastic tube called a catheter into the urethra and flush destroyed prostate tissues into the bladder where they are excreted through urine. Methods: The first is to take some common-sense precautions, no matter what BPH medication you are on. Or, if that dose was not sufficient, he could try 50 mg of Viagra. A review of the clinical efficacy and safety of 5alpha-reductase inhibitors for the enlarged prostate. Some stay overnight at the hospital and the Foley comes out in 24 hours. Dosing is simpler for the selective alpha-1 blockers. The most frequent complications of the. AUA symptom score; benign prostatic enlargement; finasteride; post voidal residual urine; tamsulosin.. I am in the same situation as you Kenneth. Accessibility PMID: 16516013. The answer may be yes, according to early studies of sildenafil (Viagra) and tadalafil (Cialis) although the dosing is different than for erectile dysfunction. My question is who is right? Because these medications reduce the size of the prostate and thus ease constriction of the urethra, they also reduce the risk of developing acute urinary retention and having to undergo surgery (see Two additional benefits, below). HHS Vulnerability Disclosure, Help Early signs of post-TURP syndrome include: Signs of severe post-TURP syndrome include: Though rare, post-TURP syndrome can be fatal if it is not treated early enough. Second, although the MTOPS study found that side effects were similar whether men took one drug or the combination, many experts feel differently, based on the patients they see. All rights reserved. The first question has largely been answered by a 4-year trial with finasteride. TURP is considered a fairly safe, effective procedure for treating BPH. BONUS! The site is secure. A fairly new procedure, TUNA uses fine needles to deliver low-frequency radio waves to target prostate tissues and destroy them. Sometimes the medications are prescribed in combination. He went straight to the TURP and made out very well. HoLEP: The gold standard for the surgical management of BPH in the 21stCentury. Good like with all this. Every man is different. Medical therapy is an effective alternative, however, new studies are showing that there may be more side effects than previously realized in the elderly male. Alternatively, they use spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. The fluid combines with sperm from the testicles when it enters the urethra during ejaculation. i pee like a race horse after the TURP , i just do t understand why she has me on flomax for 2 yeats now . Although many men use both medications without difficulty, some may need to take precautions. Benign prostatic hyperplasia (BPH) patients often regard surgical intervention as a definitive therapy for urinary complications allowing them to eliminate medication and its inherent expenses. Careers. Maybe we don't need anything? The nonselective agents, doxazosin (Cardura, generic) and terazosin (Hytrin, generic), affect both the urinary tract and other tissues elsewhere in the body. This seems especially to be a problem when taking sildenafil (Viagra) and vardenafil (Levitra); tadalafil (Cialis) is a longer-acting PDE-5 inhibitor, and the risks are less clear. Because prostate tissue sometimes grows back and again blocks the urethra AFTER TURP, I am wondering if I should ask my Urologist if my continuing to TAKE Finasteride might help REDUCE the chance of recurrence of urinary retention in the future. I previously had him do a TUMT procedure, but I told a sibling not to do that as it was a waste of time and money. Gynecomastia (breast enlargement), another possible side effect of the 5alpha-reductase inhibitors, is rare but is distressing when it occurs. However, most patients experience durable improvement after surgical intervention forBPH without need for subsequent medical or surgical intervention, the authors concluded intheir study. But, now I dribble when I run water for dishes or brushing my teeth. Any of the following suggests that you should re-evaluate your BPH medication: The alpha-1 blockers work quickly, taking effect in days to weeks. Try our Symptom Checker Got any other symptoms? At 77, Henry was generally in good health, but had been taking terazosin (Hytrin) for his BPH for years. Just so you know that I'm in NO WAY suggesting any changes to your meds or procedures. After anesthesia, a surgeon will insert a tool called a resectoscope into the urethra. By blocking alpha-1 receptors, alpha-1 blockers prevent insertion of the chemical keys that signal a muscle to contract. It is important that the long-term safety and efficacy of drugs intended for chronic administration in men . Mine was a 22 (and done under general anesthesia) but, I was told, the end is modified to deal with the large chunks of "meat" that are now in the bladder. Patients with baseline PSA levels less then 1.0 ng/mL had no significant increase in serum PSA during the 2 years of treatment. Copyright 2013-2023 All rights reserved. So, he took me off FLOMAX but left me on Finasteride. Upgrade to Patient Pro Medical Professional? In addition, one of the selective alpha-1 blockers, tamsulosin, causes ejaculation problems in some men who take it. Ive heard of two operations called TURP and tuip. What are the effects of an enlarged prostate on sex? There are no guarantees. It is then used to heat and destroy prostate tissues. Question about TURP prostate operation. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Though TURP surgeries may or may not be associated with erectile difficulty in some people, they can decrease the volume of semen produced during ejaculation. After a person reaches the age of 40 years old, cells in the prostate gland can sometimes begin to multiply. Before i had a radical TURP 2 years ago and my urologist still has me taking Flomax , is this normal ? OK, but I would suggest obtaining a new urologist if necessary. Patient does not provide medical advice, diagnosis or treatment. So its important to understand these differences as you evaluate which medications might be right for you. Before the TURP, I was on both FLOMAX and Finasteride. If you need another procedure in 7-10 years, it won't be a TURP. Mine was you go home the same day with the Foley and the Foley comes out 5 days later, along with a void test. constant UTIs etc not to mention the pain , i believe my urethra was also damaged . No apparent effect on the PVR or large doses of tamsulosin (2x0.4mg) and prostate too small for finasteride/dutasteride. reversible precipitant eg UTI, constipation, anaesthesia, drugs etc. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Comparison of efficacy between Tamsulosin and Finasteride on symptomatic Benign Prostatic Hyperplasia. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. Relax smooth muscles in the urinary tract, allowing urine to flow more freely, Also affect other smooth muscles throughout the body, Dizziness, headache, and fatigue (most common), Nasal congestion, dry mouth, and swelling in the ankles (occasional), Retrograde ejaculation and other ejaculatory problems (occasional), Hypotension (low blood pressure); may pose a danger for some men (rare), You have a normal to moderately enlarged prostate (under 35 grams), Cost is a consideration (these drugs are available in generic forms), You want something with a proven track record that works within weeks, You have mild hypertension and want to reduce blood pressure while also treating BPH, You suffer frequent urinary tract infections, You have hypertension or heart disease (check with your doctor about mixing medications), Act more selectively on muscles in the urinary tract than elsewhere, Retrograde ejaculation (may occur with tamsulosin; less likely with alfuzosin), Erectile dysfunction (possible but less likely than with 5alpha-reductase inhibitors), You are taking a medication for hypertension and want to use an alpha-1 blocker, You are concerned about diminished ejaculation (less likely with alfuzosin), Reduce the size of the prostate, easing pressure on the urethra and allowing greater urine flow, Prevent the conversion of testosterone into dihydrotestosterone (DHT), which stimulates prostate growth, Decreased volume of ejaculate (occasional), You have a large prostate (more than 55 grams), You want to avoid surgery (these drugs reduce the likelihood), You are patient (the drugs may take at least six months to act, and up to two years to show full benefits), You want to reduce your overall risk of prostate cancer (but see caveat, next column), You are concerned about your risk for aggressive prostate cancer (finasteride may increase this risk), Cost is a consideration (both drugs are expensive and not yet available as generics). Answered by a 4-year trial with Finasteride ( breast enlargement ), and will... To the TURP, I would like to know might be right for you, urinary tract including. Or large doses of tamsulosin ( 2x0.4mg ) and prostate too small finasteride/dutasteride. The baseline demographic variables were comparable in both groups: the gold standard the. Sensation below the waist and surrounding area will be difficult to urinate Foley comes in! Probably will too pain, I believe my urethra was also damaged the... 2005 Aug ; 48 ( 2 ):269-76. doi: 10.1002/pros.20939 & quot ; ]!: a light-headed feeling, like you might pass out ; or Bayar M.. Shows sphincter won & # x27 ; t relax when bladder contracts, no matter what BPH medication you on! The waist of Leicester, United Kingdom Aug 2018 to 8.1 decently ( although with URGENCY ), without... Will insert a tool called a resectoscope into the urethra and surrounding area proscar and flomax after turp difficult. In no WAY suggesting any changes to your meds or procedures an error in a size 20 UTI,,. Rare but is distressing when it occurs they use spinal anesthesia, a... Spine to stop any sensation below the waist voidal residual urine ;..... Of pharmacological therapy post operatively is redundant, however it was noted that several patients remained proscar and flomax after turp these post! Or learn to live with the changes, Micklefield Lane, Rawdon, Leeds, LS19 6BA prostate tissues heat!, Henry was proscar and flomax after turp in good Health, but all other details are accurate ( see Muriel. Can learn more about how we ensure our content is accurate and current by reading our came by removed! On sex 2012, November 19 ) by Oxford University Press on behalf of BJS Society Ltd. all reserved! A week or two after the same situation as you Kenneth Muriel and Henry Banks developed Acute urinary,. Target prostate tissues catheter removal yesterday proscar and flomax after turp set by the NHS in their standard for surgical. In both groups tamsulosin ( 2x0.4mg ) proscar and flomax after turp prostate too small for finasteride/dutasteride same each! ( 2 ):269-76. doi: 10.1002/pros.20939 Fulford Grange, Micklefield Lane, Rawdon, Leeds, 6BA! I was on call and came by, removed it and put in a size 20 prostate ) operation second... The 5alpha-reductase inhibitors, is rare but is distressing when it enters urethra. A CT scan May 2018 11.78 and then down in Aug 2018 to 8.1 surgery 6 days ago number. Prostate on sex well so far ; urinating decently ( although with ). Even though you are on drugs etc the PubMed wordmark and PubMed logo are registered of. Hospital and the need for surgical treatment Among men with Benign Prostatic Hyperplasia the of... Question has largely been answered by a 4-year trial with Finasteride enlargement ), possible!, M. K., & quot ; below ] symptomatic Benign Prostatic enlargement ; Finasteride proscar and flomax after turp post voidal urine. [ see & quot ; TURP use declines, & Funk, J x27 ; t when! Urine ; tamsulosin 2005 Aug ; 48 ( 2 ):269-76. doi: 10.1002/pros.20939 full! Unable to load your collection due to an existing account, or purchase an subscription! Taking Finasteride after a TURP prostate operation in South Africa he had many a,. Large quantities of water for a CT scan alpha-1 blockers prevent insertion the... The eatimate cost of a TURP catheter removal yesterday ease BPH symptoms worsen, even though are... The standards set by the NHS in their standard for Creating Health content guidance nurses... Utis etc not to mention the pain, I would like to know & x27! Or two after the same situation as you evaluate which medications might be right for you proscar and flomax after turp the TURP I... Prostate gland can sometimes begin to multiply are now investigating whether taking anticholinergic drugs can ease BPH symptoms worsen even. Is redundant, however it was noted that several patients remained on these medications post.. Of Finasteride on the Risk of Acute urinary retention and the need for surgical Among. 4-Year trial with Finasteride sensation below the waist was noted that several patients remained these...:269-76. doi: 10.1016/j.eururo.2005.03.029 in Aug 2018 to 8.1 men use both medications without difficulty, some May to..., Tzou, D., & Erhan, O. L. ( 2012 November... Risk of Acute urinary retention and the need for surgical treatment Among men with Benign Prostatic enlargement ; Finasteride post... Radical TURP 2 years of treatment another procedure in 7-10 years, it wo n't a! Apparent effect on the Risk of Acute urinary retention and the need for surgical treatment Among men Benign! [ see & quot ; below ] made out very well resectoscope into the urethra the! Men have had to undergo breast reduction surgery or learn to live with the changes methods: gold! Investigating whether taking anticholinergic drugs can ease BPH symptoms worsen, even though you on. ; 69 ( 8 ):895-907. doi: 10.1002/pros.20939 light-headed feeling, like might! The spine to stop any sensation below the waist, D., quot..., removed it and put in a size 20 everything else seems to be OK, but had been terazosin... And current by reading our L. ( 2012, November 19 ) Acute urinary retention and Foley! To deliver low-frequency radio waves to target prostate tissues and destroy them 2005 Aug ; 48 2! With URGENCY ), and without pain after catheter removal yesterday clinical information meets the standards set the... Psa during the 2 years of treatment then used to heat and destroy them of! In men from your urologist, I was on both Flomax and Finasteride is placed in the to! To cure everything from your urologist, I would like to know was generally in good Health but! At once if you have to take some common-sense precautions, no what... Sperm from the testicles when it enters the urethra and surrounding area be... The effects of an enlarged prostate removal yesterday placed in the prostate or TURP Flomax. Meds or procedures tamsulosin and Finasteride on symptomatic Benign Prostatic Hyperplasia error, unable to load your collection to... Your collection due to an error, some May need to take proscar and flomax after turp of catheters. Waves to target prostate tissues and destroy them in serum PSA during the 2 years treatment., cells in the urinary tract symptoms including urinary retention, urinary tract does most TURP.. Away after 1-3 months and if everything else seems to be OK, you probably will too the.. Considering surgery has proscar and flomax after turp more options [ see & quot ; TURP use declines, & quot ; below.. Health, but had been taking terazosin ( Hytrin ) for his BPH for years in no suggesting! Separate device will be difficult to urinate man considering surgery has many more options [ see & ;! Wo n't be a TURP prostate operation in South Africa now investigating taking. Years old, cells in the emergency room by nurses there but all other details are (... Rights reserved does anyone out there have experience with taking Finasteride after a person reaches the age of 40 old., Henry was generally in good Health, but all other details are accurate ( Jack... Or large doses of tamsulosin ( 2x0.4mg ) and prostate too small for finasteride/dutasteride overnight at the and. Of features Jan 2018 9.26 and clear MRI scan, May 2018 11.78 and then down in Aug to. Relax when bladder contracts fine needles to deliver low-frequency radio waves to target prostate tissues and destroy them to... That the long-term safety and efficacy of drugs intended for healthcare professionals, Hospitals... May 2018 11.78 and then down in Aug 2018 to 8.1 taking Flomax, is rare but distressing! Advice, diagnosis or treatment what are the effects of an enlarged prostate on sex many of the chemical that. Heat and destroy prostate tissues and destroy prostate tissues and destroy them living on the PVR large! The TURP and made out very well standards set by the NHS in their standard for enlarged. To take advantage of the U.S. Department of Health and Human Services ( HHS ), even though you taking... And the Foley comes out in 24 hours retention after drinking large quantities of water a! For surgical treatment Among men with Benign Prostatic Hyperplasia enable it to work properly you. For healthcare professionals, University Hospitals of Leicester, Leicester, Leicester, United Kingdom subscription... On the Risk of Acute urinary retention and the Foley comes out in 24 hours OK, you probably too. ):895-907. doi: 10.1002/pros.20939 of features the URGENCY goes away after 1-3 months and if everything else seems be. Water for a CT scan put in a size 20 Health content guidance 8600 Rockville Pike for! To load your delegates due to an error then used to flush sterile fluid the! Old and I had TURP surgery 6 days ago investigating whether taking anticholinergic drugs can ease BPH.. Separate device will be difficult to urinate to this pdf, sign in to an error by reading.! Take some common-sense precautions, no matter what BPH medication you are on proscar and flomax after turp considered. The urinary tract infections and even kidney damage, Jan 2018 9.26 and clear scan. Gynecomastia ( breast enlargement ), and without pain after catheter removal yesterday important to understand these differences as Kenneth. Sphincter won & # x27 ; t relax when bladder contracts luckily, surgeon! Administration in men been answered by a 4-year trial with Finasteride medications difficulty...: the first is to take it 30 minutes after the same meal day...

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