Seeking min side effects medication for BPH other than Tamsulosin, Alfuzosin ...

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I am looking for a medication that works For BPH symptoms. However I don't want Side effects or minimal side effects. There must be new medications coming out for BPH. Cialis Is too expensive.

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  • Posted

    Can I take it you're American? If in the UK ask about PAE. It isn't medicine but could dramatically help your situation with no or little side effects compared to drugs. I am unaware of any drug that really works even in the medium term.

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  • Posted

    Meds don't work for most people. The one with the least chance of side effects is Alfusozin. Its an alpha blocker and there's no harm in trying it. If side effects are a concern, I'd stay away from the others.

    If BPH is becoming a big problem for you (and Alfusozin doesn't provide enough relief) you'll probably have to consider some sort of procedure. I'd stay away from TURP, Holep and Greenlight - all have a high chance of permanent side effects and a low (but not non existent ) chance of permanent incontinence and/or impotence.

    Depending on your physiology, location, insurance coverage and your ability to pay, Rezum, Urolift, PAE or FLA are non invasive procedures that don't require anesthesia and don't preclude more invasive surgery if they don't work. Urolift and PAE are not good options if you have an enlarged median lobe. There are expensive threads on all of those I've mentioned. Having a full workup (scope and urodynamics test) is critical to diagnosing and treating BPH. Don't let anyone do anything to you without that.

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    • Posted

      I vote for a Simple Robotic Prostatectomy (SRP). Had it done 11 weeks ago and could not be happier. In my opinion, nothing better cures a large prostate (i.e. fixes the problem for life) than removal. All other steps are interim and will haunt you later.

      Dave

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    • Posted

      Hi Stephen:

      That is the problem. We view "invasive" as the last desperate attempt to solve our problem when it should be the first choice to solve our problem, not treat our symptoms. I just lived it and was fortunate not to have endured meds over multiple years (and their terrible side effects), or use "non-invasive" procedures to hopefully shrink or bind my prostate so it would not grow anymore. I skipped all the steps and I cut to the chase. Why would I want to torture myself with that other stuff and be disappointed when it doesn't solve my problem. SRP and no regrets.

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    • Posted

      Not many responsible Uro's would take such drastic action for BPH. You were fortunate to get away with it. GL and HoLep are both well documented and successful options. If as in my case the prostate grew again just have another.

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    • Posted

      Hi Derek:

      I am one-and-done. I will not have to do this again, and my responsible urologist never touched my nerve bundles, my urethra, my sphincters, or my bladder neck. I can still have erections and I pee like a race horse, and I take no medications for anything.

      My doctor is an urologist of oncology and works for a facility that is in the top 2% of cancer facilities in the nation (I did not have cancer). That facility is the Stephenson Cancer Center located on the campus of Oklahoma University Health and Sciences Center. I did not get away with anything. I got with the right facility to perform the right procedure. I plotted my course.

      Dave

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    • Posted

      Well done.

      I usually tell people that American racehorses pee like that because they are on Lasix that is banned in other countries 😃

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    • Posted

      Hello John:

      My symptom was not frequency or urgency. My symptom was retention because my prostate was measured by MRI at 265g. Ultrasound measured at 343g. As for last night, I slept for about 8-hours and got up once. I am almost 11-weeks post SRP surgery.

      Retention symptoms only started happening about a year ago, and then ultimately leaving me with an indwelling catheter/foley for most of the past summer until I had the SRP in August. Up until then, my normal was I was peeing on my own and there were no other obvious symptoms. It was the ultimate locking up that sealed my fate. I was lucky. My only option was removal if I wanted to pee on my own. I was forced to go where no one else wants to go. That is why I am now an advocate for what we fear the most by saying there is nothing to be scared of.

      We fear the word "invasive" and shy away for all the other less invasive steps only to hurt ourselves through the use of medication, beads, metal bands, and any other "mouse trap" because "invasive" scares us. Guys, I am reporting back from the other side. I went there because I had no other choice and can sincerely say, do not be afraid. My procedure took about 4-hours, I was released from the hospital 24-hours later, the first 4-days I was the most sore, I never took anything more than Tylenol and Motrin to manage pain, I was on catheter for 10-days (healing process), catheter was removed, and I immediately peed on my own with the force and volume of a young man, and to this very day, I am amazed at watching myself pee the way I do.

      If interested in seeing a picture of what was taken out of my body, private message me and I'll share. It is amazing the accuracy and skill of my doctor to remove my prostate in one piece through the use of robotics.

      Dave

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