Finasteride after TURP?

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I'm 65 years old and I had TURP surgery 6 days ago.  I am doing well so far; urinating decently (although with URGENCY), and without pain after catheter removal yesterday.  I had a Foley Catheter for 27 days because of urinary retention.  From what I have read in this Forum I PROBABLY WILL STILL have more challenges to come while recovering from the surgery.

The ONLY THING I KNOW FOR SURE is that I don't want to have another one UNLESS i really have to!  But I don't want urinary retention and more bladder damage in my future either!

I have been taking Flomax for years.  But I've only been taking Finasteride for about 1 1/2 months to try to reduce the size of my prostate (77 grams).  I should have started Finasteride long ago; maybe I wouldn't have needed the TURP.  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.

Does anyone out there have experience with taking Finasteride AFTER a TURP?  Does it help?

Gary

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8 Replies

  • Posted

    I had the same surgery and from what I understood 9 out of 10 have regrowth of the prostate within 7 to 10 yrs. I have been taking finesteride for some time now 3 or 4 yrs prior to surgery and have been taking it since the surgery, which has been 2 months out now I have been struggling with having to pee in an instant and have about 5 to 8 secounds to get to the John or I'm done for. 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 you...if my situation does not improve then my career is over (ups driver) hard to be in residential areas and have 8 secounds to pee.

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    • Posted

      How long since the surgery? Myrbetriq could be a  godsend for you - ask your doc for a prescription. It helps with urgency a lot and most have no side effects at all. Could take a couple of months to be fully effective, but could also allow you to keep your job.
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    • Posted

      Thanks for sharing your experiences henrya.  I REALLY HOPE your situation improves quickly!  I'm fortunate that my TURP came after I retired, or I might be having job problems also.

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    • Posted

      Thanks o.b it's been 2 months now. Still have that gotta go and have 5-8 secounds to make it. Also a burning deep inside by the scrotum and the feeling to poop, which sometimes I do. I will mention it to my doctor, your big time help O.B thanks.

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  • Posted

    Finasteride doesn't shrink the prostate permanently - it can shrink it for as long as you take it, but once you stop it reverts. I would see how you do before considering it. Chances are, you'll do fine. Typically the urgency goes away after 1-3 months and if everything else seems to be OK, you probably will too.

    If you need another procedure in 7-10 years, it won't be a TURP. My guess is that by then there will be many far less invasive ways to do the same thing - I think there are now and the options will only get better. Those drugs can have awful side effects that can be permanent. Stay away unless you have to take em is my suggestion and see how you do after fully recovered. Most are fine with no help.

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