Prostate enlargement.

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I am new to the group and have never written about  this online. I will be 64 years old. I have had two biopsies (2010 and 2016), both completely negative and one PC3 test in 2011, which was .3 at the time. I believe the cut-off is 35. A few nears ago I never got up during the night. Now, I am getting up at least twice. Urgency is a common thing now, at least two to three times a day. Since I am still teaching and have a flexible schedule, I can excuse myself, but visit the restroom several times a day. My PSA last time checked was 6. This has been over a period of 8 years. My first check in 2007 at the age of 55 was 3.9. It has slowly increased over the years. I did not have any urgency up to three years ago. Does this sound normal for enlarged prostate? Does this sound typical?

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  • Posted

    Good Morning Gary.   Yes it sound like your prostate is getting bigger.  Do you drink alot during the day or before bed time.  Also try to stay away from coffee and tea  They are bad for the prostate.  Being you are only getting up a few time a night you may need some kind of pill to help relax your bladder.  Here are 2 you can ask about  Cialis or Myrbetriq.  They have very little side effects and they will help relax your bladder.  Most of the others have many side effect and they cause reto ejaculation. You should go get it checked before it get worse  Take care  Ken 
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  • Posted

    Hi Gary,

         This does sound typical for BPH. There are many options for you going forward, and several excellent discussions on this forum about the various options. I've been delaing with this for several years (I'm 70). First couple of years just ignored it and hoped for the best. Then started having times when it was hard to pee at all. This was very disturbing (my dad had emergency surgery decades ago when he had complete retention). I started taking Tamsulosin (Flomax) which has eleviated the symptoms. Unfortunately, for me it has difficult side effects, so I've switched to taking it every other day, which is not ideal re: the BPH symptoms. Also, I've been told that eventually the tamsulosin will stop being effective. I've researched other options and have decided on PAE which is scheduled for late March.

    Rich

     

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  • Posted

    One of the things I wish I was aware earlier was the 'post void retention' (PVR) measurement process. The more retention you have, combined with how long it goes on, translates to bladder problems which, if pronounced enough, can influence BPH treatment options. Don't wait.

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  • Posted

    Hi Gary,

    I'll leave the PSA results to others, but given your age, etc, your symtons sound "typical" for what is often termed BPH (enlarged prostate). That said, typical is not "normal". You should therefore be seeing a urologist at this point if you aren't already, as BPH has a tendency to get progress. They will do some testing which should including checking your PVR (post void residual) and possibly do imaging studies of both bladder and kidneys. Depending on the results and symptons, they may recommend some sort of treatment plan that usually starts with medications. Let us know how it all works out.

    Jim

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  • Posted

    Hi. Have you had a TRUS or similar to check the size and shape of your prostate. A biopsy may help detect cancer but BPE needs a scan rather than a biopsy to see whether an enlarged prostate is throttling the bladder/urethra.
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  • Posted

    Hi, i have an enlarged prostrate and have to urinate quite frequently day and night, i was prescribed tabs to relax the muscle around my bladder and this seems to relieve the need to urinate as often, i still go more then is normal but as i say not quite so frequently. The tabs are called  Oxybutynin. Hope this is of some help.
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