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Hi. I've been looking for some advice from guys who have been down this road and am so glad I have found this forum.
I am a 53 year old healthy guy. I've always had issues with tiredness/fatigue that Doctors cannot figure out, but I manage it pretty well with good sleep habits, diet and exercise. Around 2 years ago I started on testosterone replacement therapy.
Once upon a time I used to sleep through the night with no interruptions to pee. From my early 20's to late 40's I would get up at most once a night to pee, but starting at around age 50 I started noticing changes.
Now I've always had to use the restroom more frequently than normal, but at around age 50 the frequency increased. I also noticed that my stream was become weaker and spread out and I had to actually sit down to pee at night so I wouldn't make a mess around the toilet.
I had a bad bout of prostatitis when I was 50, and it caused my PSA to skyrocket to 9 (had been .6). The PSA has been continually dropping and last year was 3.3.
This past year I've been getting up 2 sometimes even 3 times a night to pee, which is definintely affecting my sleep quality.
I went to the doc and after a consult with a digital exam that showed an enlarged prostate I was prescribed Urotraxal which made me so dizzy that I couldn't take it, although it did help. They switched me to Cialis which has helped keep things down to 2 visits to the bathroom a night spaced out about 3-4 hours.
I just had a flairup of the prostatitis and went back to the doc who is now talking about doing a cystoscopy to start and surgery could possibly be a solution
I hate docs poking around- should I follow through with this or keep managing things the way I have been?
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