Not sure which treatment is best for BPH, can u help?
Posted , 10 users are following.
I am 75 with slightly enlarged prostate (30gms), Post Void Residual Urine 70 ml with normal PSA. Urine culture and Urine Analysis ae also normal. I have Urge Incontinence due to Overactive Bladder. There is always a leakage of few drops before reaching the toilet. I am also suffering from Erectile Dysfunction. I was suggested 2 methods of treatment. (1) Take one tablet of Cialis 5mg daily for BPH and ED. (2) Take Avodart 0.5 mg and Spasmolyt 20 mg daily in the morning and Xatral XL 10 mg daily at night.
I shall be grateful for advice on the best method of treatment.
0 likes, 12 replies
kenneth1955 shareefmm
Posted
oldbuzzard shareefmm
Posted
I don't like this regimen at all. For overactive bladder, I would try Myrbetriq first - it brings the least side effects by far. The others give you dry mouth and constipation. Cialis is the best solution for ED because you take it every day allowing sex to be spontaneous. I disgree strongly with Avordart - it often CAUSES impotence, so for someone with ED, its counter indicated - but also not needed. Your prostate is normal, not slightly enlarged and you don't mention any serious issues with BPH, so I don't see the need for Avodart - I had pretty bad BPH and refused to go near it even then. Alfusosin (Urixatral) won't hurt you and doesn't usually bring any side effects, but seems unecessary.
I would start with Myrbetriq, see if that deals successfully with your urge inconinence and Cialis. If Cialis doesn't work, the other ED drugs might. And if Myrbetriq doesn't give you the help you're looking for, older drugs to treat the condition might.
There is a high probablility that Myrbetriq will solve your urge issues, ED is less predicitable. But unless you have BPH symptoms you didn't mention, I wouldn't take any drugs to address it - especially Avodart, which can be a major crap show.
lester90053 shareefmm
Posted
oldbuzzard lester90053
Posted
I respectfully disagree. He doesn't describe having any BPH symptoms and there are no surgeries for ED or overactive bladder. Meds probably will help and surgery surely won't
nealpros oldbuzzard
Posted
There is a very effective surgery for ED, that is a penile implant. I have one, they are great!
Neal
harveybronx nealpros
Posted
That is great, Neal! I always wanted to communicate with someone with a PI. Do you pump yours up when needed? What kind is it? How long have you had it? I've forgotten all the research I've done on these products, so I've forgotten the appropriate questions.
Harvey
nealpros harveybronx
Posted
The moderator killed my reply to you, so I sent it by private message. Please let me know when you get it.
Neal
harveybronx nealpros
Posted
Harvey
nealpros harveybronx
Posted
Hi Harvey,
I didn't get your reply yet. I'll let you know when I get it.
Neal
alan1951 shareefmm
Posted
"I was suggested 2 methods of treatment. (1) Take one tablet of Cialis 5mg daily for BPH and ED. (2) Take Avodart 0.5 mg."
That is exactly what I take, shareefmm. My prostate is at 40 g. These drugs at least make my condition tolerable. Good, bad, or indifferent, I'm using these drugs as a strategy to buy time. Yes, there are procedures I could undergo right now. However, if my symptoms don't worsen over time, I'll procrastinate those procedures for as long as possible. Things seem to be constantly improving regarding the research of prostate disorders. One final note. Check with your health care practitioner about a potential interaction between Cialis and any blood pressure medication you might be taking. Also check about a potential interaction between Cialis and any form of nitroglycerin you might be taking. Best of luck to you.
Riverkilt shareefmm
Posted
I'm most pleased with my UroLift surgery. You can google it up. Had it a year and a half ago. Now getting up to 7 hours of sleep at night. 4 and 6 hours at least nearly every night. Check with your insurance first. I wound up with a bill for $18K USD. Appealed and they paid for all but $1,200. Happy to pay that for the relief. Still have a sex life. 72yo
kenneth1955 Riverkilt
Posted