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I've been suffering from bph symptoms for more than 10 years (noctura, frequency, weak stream, etc.), but since surgery was not an attractive option for me, I learned to live with them. Then late last summer I went through a period where I had a great deal of difficulty to initiate urination. I was worried enough I went to my GP and got a prescription for flomax and a referral to an urologist. My symptoms improved after visiting the GP. I concluded that riding my bicycle had caused my worsening symptoms, and initially, the flomax did seem to help, but only for a short time. I just visited my urologist and because my PSA was normal (2.7), my prostate was not huge (55 cc described as mildly enlarged), and because the flomax was not very effective, he concluded that bph was not the whole problem. He suggested a combination of bladder issues, sleep disorders, and some bph were causing my symptoms. He said surgery would not be very helpful. I'm writing this to advise readers to take a broader view of bph symptoms before they agree to surgery which may not help and may cause a lot of other problems. I was lucky to find a good urologist who looked at the big picture rather than just the symptoms (which are classic bph). He suggested bladder retraining and a sleep medication would be the best treatment option. There are some bad outcomes from prostate surgery so I caution anyone considering it to look at the big picture before agreeing to surgery.
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