Confused .. Need help

I would recommend you go back to the same URO and ask for a cyctoscopy to see how large your median lobe is. Honestly if you got that much testing out of him on that first visit, he sounds like a pretty good DOC. Most of them wont even think about doing all of the testing you got done.

You might also see if he will do a prostate fluid check, just to rule out prostatitis.

Did he also do your other regular blood work, thyroid,wbc, etc? Tjat sounds odd for you to have all of these problems, and lose all of your hair in 3 years time. You could have a vitamin or mineral deficiency going on also.

Good luck buddy

My suggestion would be to try medication for a bit longer. I was on Tamsulosin for a few months after I had retention and found that any dizziness rduced with time. (This has happened twice, but after reducing my tea and coffee intake I don't require the drugs). Granted, I wasn't in a job where I worked with machinery or anything, but some of these drugs for relaxing the urinary system also reduce blood pressure, which usually isn't a bad thing, but is disconcerting when it causes dizziness. I also found it was only noticeable in my case if I stood up suddenly. Remembering to hold on to something as I stood up meant the dizziness was OK and only lasted about 30 seconds. I never actually fainted. As I said, this seemed to happen less as time passed. If this isn't working in your case with the medication you were given, go back and get something else.

Good morning.  At your age your prostate is not that large and your PSA is good. And if a pill to relax your muscles is needed get one that will not cause more problem.  There are many meds that help. But  will cause retro ejaculation and some other side effects. Don't rush into any procedure if your bladder is the problem.  I had the urolift and it opened up the urethra which is what could help you.  At 36 you don't need them cutting away at your prostate.  If the urologist will not help you find one that will.  Good luck  Ken 

it can make you dizzy, so maybe try a smaller dose and see if that works. 

Everyone,

thanks for your replies. I have spent few hours doing lot of research on this subject and also watching various videos of various procedures. And what i have understood so far is that, as much as the size of the prostate matters, what matters more is how much is prostate tissue is constricting your bladder entry point, or irritating the bladder. Quite often the size of the prostate has a direct relationship with its effect on the bladder, because bigger the prostate, bigger the constriction. But i have read about lot of cases where a small increase in prostate size can constrict the bladder, and conversly many cases where a big prostate might not constrict the bladder. 

@joe is a good example, where he has only 24cc bladder and yet having symptoms.

this makes me think, that instead of relating everything to prostate size, what i really need to know is the amount of obstruction the prostate is placing on the bladder, at the point where bladder pipe exits out into the penis. And i think joe mentioned a good point -- the doctor need to look at cyctoscopy and tell me whether look prosate is obstructing, or not.

I looked at various videos, and i can clearly see how urolift as well as green laser/holep, increased the size of the hole, from a earlier smaller to wide open post surgery.

I would like to think i have a good urologist. In the sense he did put lot of effort to find out the cause, and settled on "stressed/tense prostate" as the diagnosis. 

Although from the symptoms that i feel - weak urine stream, frequent urination, incompletel voiding---  and the fact that terazosin did help, i think my prostate even though small in size, is causing an obstruction. Plus i am losing hair. When you add all these up you get textbook BPH. But then you add a 23 cc prostate size, and it doesnt add up.

Are there any other possible reasons that can cause this ? Inflamed bladder. Inflamed prostate ? 

One think i do notice is, on some days its far more worse than others. I mean on some days i am just leaking. On others its mild. 

At this point i am thinking about going to another URO and see what he comes up with ?

Thougths ?

And once again, thanks a lot for this discussion.