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I am a 55 year old living in Australia. I do not smoke and do not drink alcohol or coffee. In April 2015, I started to get pain in the lower abdomen which I thought was due to certain exercises. However in May this was followed by a lot blood in the urine and a lot of blood in the semen which I have had ever since. I have had numerous urine and blood tests which have shown no sign of infection or cancer and low PSA. Ultrasound and CT scan in June showed prostate enlargement (36.5 cc) with some calcification and no chronic bladder obstruction. Cystoscopy in August found no lesions or anything of significance. In September placed on 4 week course of antibiotics by urologist, this reduced the amount of blood in the urine to only a small amount at the beginning of the stream occuring ocassionally but no effect on large amount of blood in semen. However, by now urine flow had weakened and some dribbling present. Ultrasound in September indicated prostate had grown to 42 cc. The urologist believed that I have a vascularised prostate and prescribed duodart (tamsulosin & dutasteride). Only over the past month have I had to get up during the night, previously I could go 6-7 hours overnight but now only 4 hours. I constantly feel the urge to urinate even though my bladder has been emptied the hour before. Whilst taking the duodart the amount of blood increased and I had very bad lower abdominal pain which my GP advised me from taking the medication anymore after just two weeks. The urolgist has now advised that I undergo a TURP, however I am very concerned with the side effects and also because the urologist said it would improve my BPH symptoms but may not fix the bleeding issue. I would appreciate any advice and opinions as I am quite depressed about the problem.
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