The selective alpha-1 blockers, alfuzosin, silodosin, and tamsulosin, have less of an impact on blood pressure, so they may be good alternatives in these situations. The results of this study indicate that treatment with finasteride delays but does not prevent the rise in serum PSA observed in untreated patients with detectable PSA levels after radical prostatectomy. The Medical Therapy of Prostatic Symptoms (MTOPS) study indicated that the answer may be yes at least for some men. The baseline demographic variables were comparable in both groups. Does anyone out there have experience with taking Finasteride AFTER a TURP? 26!?! His advice is likely to be better than that of strangers on the internet! In 7-10 years these newer procedures may prove to be effective, we shall see. Sudden episodes of low blood pressure can be dangerous if you already have some type of vascular disease, because it increases your risk of suffering a heart attack or stroke. I just had TURP surgery done 3 days ago. Keywords: Federal government websites often end in .gov or .mil. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Transurethral Resection of the Prostate (TURP) The most commonly employed surgical procedure for BPH, TURP reduces symptoms in 88 percent of patients. Introduction: For potential or actual medical emergencies, immediately call 911 or your local emergency service. S Bahri, B Malcomson, K Ball, D Bhrambhatt, J Beatty, 714An Evaluation of The Discontinuation of Tamsulosin and Finasteride Post Transurethral Resection of The Prostate (TURP) At UHL, British Journal of Surgery, Volume 108, Issue Supplement_6, September 2021, znab259.1091, https://doi.org/10.1093/bjs/znab259.1091. This is a medical emergency, because if someone is unable to urinate and excrete urine, over time pressure that builds up in the bladder can adversely affect the kidneys, possibly leading to kidney failure which is life-threatening. The answer may be yes, according to early studies of sildenafil (Viagra) and tadalafil (Cialis) although the dosing is different than for erectile dysfunction. Researchers at Washington University addressed this issue in a cohort study entitled Use of Medical Therapy and Success of Laser Surgery and TURP for BPH and published in the journal Urology. The site is secure. ; After the first dose, take your regularly scheduled dose 30 minutes after the same meal each day. Niwakawa M, Tobisu K, Fujimoto H, Matsuoka N, Kakizoe T. Int J Urol. and transmitted securely. Then the chunks get flushed out through the Foley and are sent to the lab. The .gov means its official. I don't think my flow is as good as it was just a week or two after the procedure. Efficacy and safety of the coadministration of tadalafil once daily with finasteride for 6 months in men with lower urinary tract symptoms and prostatic enlargement secondary to benign prostatic hyperplasia. Absolutely ask your doctor. One evening, while driving home to meet his wife for dinner, Jack suddenly became lightheaded. The Long-Term Effect of Doxazosin, Finasteride, and Combination Therapy on the Clinical Progression of Benign Prostatic Hyperplasia. Many HoLEP surgeries also only require one night of hospitalization and catheter use. Could time-restricted eating cause fertility problems? Patients were randomized using computer generated random number table. Get the latest in health news delivered to your inbox! There are no guarantees. Out of 100 male patients aged 45 years and above diagnosed with BPE, 92 were included in the study. Its where the "Interventional Radiologist" goes in thru your femaral artery in your leg and with the use of a micro catheter device and camera "embolizes" (closes) the arterys that go into the "prostate". Because they affect levels of the male hormone testosterone, the 5alpha-reductase inhibitors may cause a variety of sexual side effects. Maybe talk to them about past and current issues, get an MRI/CT Scan and/or cystoscopy. Henry might have been able to avoid a visit to the emergency room if, before getting a computed tomography (CT) scan, hed told the radiologist that he had been taking a medication for severe BPH. TURP is considered a fairly safe, effective procedure for treating BPH. All rights reserved. He managed to pull the car over to the side of the road and call for help. Just letting you know what my urologist did. Stay on top of latest health news from Harvard Medical School. What is the eatimate cost of a TURP prostate operation in South Africa? A 2006 reanalysis of the MTOPS data according to prostate gland size found that combination therapy provided the most benefit to men whose prostate glands were 25 grams or greater in size (see MTOPS study and reanalysis, below). The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Bookshelf BPH News is strictly a news and information website about the disease. Stay away unless you have to take em is my suggestion and see how you do after fully recovered. Intermittent Tamsulosin Therapy in Men with Lower Urinary Tract Symptoms. Publication types Clinical Trial Randomized Controlled Trial MeSH terms First, taking two pills is more expensive. Stop using Flomax and call your doctor at once if you have: a light-headed feeling, like you might pass out; or. As the prostate gland enlarges, it constricts the urethra, which carries urine out of the body, and may expand up into the bladder itself. Int J Radiat Oncol Biol Phys. Primary endpoints were serum PSA levels and recurrence rates defined as positive bone scan or positive biopsy. I will be starting RT at some point in the next 2 months after my TURP which was about 6 weeks ago. Risk factors of sexual dysfunction after transurethral resection of the prostate (TURP): A 12 months follow-up. Can a (turp) be reversed? I would see how you do before considering it. From MEDLINE/PubMed, a database of the U.S. National Library of Medicine. The patient has a prostate ultrasound and is diagnosed with BPH. After a bladder scan, the doctor I saw recommended going back on to Tamsulosin to relax the prostate as I wasn't going into retention, but the consultant who did my op took me off it. Use of the forums is subject to our Terms of Use If the men responded to tamsulosin, they were randomized to one of three groups. NCI CPTC Antibody Characterization Program. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. as being in breach of those terms. It takes 3-6 months to see the benefits of using finasteride. Could these medications, already approved to treat erectile dysfunction, also alleviate BPH symptoms? Source: Yanardag H, Goktas S, Kibar Y, et al. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. The TUIP procedure is used in cases where the prostate is fairly small, but urethral constriction is severe. Many doctors, surgeons and urologists are trained in United States, Canada, United Kingdom, etc. In some cases, a separate device will be used to flush sterile fluid through the surgical site. The email address you provided during registration, Social Determinants of Health Affect Racial Disparity in Prostate Cancer Mortality, Overall Cancer Mortality Continued to Decline From 2019 to 2020, UGN-101 Reviewed in Real-World Upper Tract Urothelial Cancer Setting, Low-Value Prostate Cancer Screening Common in Primary Care, Symptoms in Late Reproductive Years Similar to Menopause. The decrease in the total American Urological Association symptom score was statistically significant in the combination group (p<0.0001) as compared to monotherapy (p=0.0715) respectively. Patient aims to help the world proactively manage its healthcare, supplying evidence-based information on a wide range of medical and health topics to patients and health professionals. Medications such as doxazosin (Cardura), and finasteride (Proscar) work by acting on receptors on the prostate tissue to reduce the size. Although effective, the surgery does not always lead to discontinuation of the medication, which includes 5-alpha reductase inhibitors (5-ARIs), alpha blockers and antispasmodics. respect of any healthcare matters. Try our Symptom Checker Got any other symptoms? not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in These data require confirmation by studies that are longer and larger, focused on demonstrating significant differences in progression rates and survival before the use of finasteride can be considered as an option for men with detectable PSA levels after radical prostatectomy. In six months or so, when the 5alpha-reductase inhibitors begin taking effect, these men may stop taking the alpha-1 blockers. In minor cases of BPH, prostatic devices may be inserted into the prostate that helps lift it away from the urethra, reducing urethral pressure and constriction. So for now, youll have to weigh the relative risks and benefits of alpha-1 blockers and 5alpha-reductase inhibitors. The TUIP procedure usually relieves urethral pressure immediately, making urination easier. The nonselective alpha-1 blockers block alpha receptors in the heart and blood vessels as well as in the prostate, lowering blood pressure in the process. How does diet affect the prostate? Or you can lower the dose of your alpha-1 blocker or PDE-5 inhibitor. Out of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride. The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia. View all posts by Harvard Prostate Knowledge. I should have started Finasteride long ago; maybe I wouldn't have needed the TURP. Get helpful tips and guidance for everything from fighting inflammation to finding the best diets for weight lossfrom exercises to build a stronger core to advice on treating cataracts. PracticeUpdate is free to end users but we rely on advertising to fund our site. Source: McConnell JD, Bruskewitz R, Walsh P, et al. But, the next day I had to go to his office to get relief. Chances are, you'll do fine. 4. Eur Urol. Now I'm back on a double dose of tamsulosin. Egton Medical Information Systems Limited. While these agents are usually not the first choice for blood pressure control, they may be a good choice for men who have both BPH and high blood pressure. The selective agents, alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax, generic), work primarily on the tissues of the urinary tract. If you decide to take a 5alpha-reductase inhibitor, whether its only for your BPH symptoms or because you also want to reduce your overall risk of prostate cancer, youll need to understand how these medications will affect your PSA levels. In the past, patients really had only two options when it came to surgery for BPH. December 27, 2022. 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. Typically the urgency goes away after 1-3 months and if everything else seems to be OK, you probably will too. government site. Video chat with a U.S. board-certified doctor 24/7 in a minute. 6 users are following. I'm fortunate that my TURP came after I retired, or I might be having job problems also. Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. Question regarding prostate operation. I have been taking 10mg Baclofen 3x daily along with self ca . In the original clinical trials, 3.7% of men taking these drugs (and 4%6% by some other estimates) developed erectile dysfunction. Conclusions: Or, if that dose was not sufficient, he could try 50 mg of Viagra. Choi, S. B., Zhao, C., & Park, J. K. (2010, August 18). As a result, some doctors recommend that if you are using a nonselective alpha-1 blocker for BPH, you should avoid taking an erectile dysfunction medication altogether. Click through to become a member and gain access to support, information and real time replies. Prostate enlargement (benign prostate hyperplasia), Transurethral resection of the prostate (TURP). The CT scan itself went fine, but afterward, Henry found he could not urinate, even though his bladder was full. Can diet help improve depression symptoms? Last medically reviewed on March 12, 2018. Sometimes a man can be weaned from the catheter and return to taking a BPH medication, but not always. Never disregard or delay professional medical advice in person because of anything on HealthTap. 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. User. In severe cases of BPH usually those that do not respond to any other type of treatment the prostate may be partially or entirely removed. However, you should consider two additional pieces of information when contemplating whether to start combination therapy: cost and side effects. These drugs shrink the prostate by reducing levels of the male hormone dihydrotestosterone (DHT), which promotes prostate growth. Laser prostatectomy techniques include holmium laser enucleation of prostate (HoLEP) or photoselective vaporization (PVP). If I remember correctly, the FLOMAX was supposed to open up the pathway while the Finasteride was supposed to "shrink" the size of the prostate. But I always got them to check me for a UTI and always, they found one. This site needs JavaScript to work properly. This Canadian database study determined the frequency and incidence of bladder and prostate medication use following transurethral prostatectomy (TURP). Please consider supporting PracticeUpdate by whitelisting us in your ad blocker. Just because I was taken off the FLOMAX, doesn't mean it is right or wrong for you. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. I had radical Turp surgery 11/08/2016. I am in the same situation as you Kenneth. Sometimes the medications are prescribed in combination. thxs for the reply i p**s like a race horse since the TURP , im stopping talking the flowmax . Journal of Urology 2005;173:1557. HoLEP: The gold standard for the surgical management of BPH in the 21stCentury. With mine, the flow was constantly good after TURP, right up to the point where I lost my prostate. Another 3.3% of men experienced a decline in libido, while 2.8% had problems ejaculating during an orgasm. Does it help? a painful erection that lasts 4 hours or longer. respect of any healthcare matters. Bethesda, MD 20894, Web Policies Benign prostatic hyperplasia (BPH) patients often regard surgical intervention as a definitive therapy for urinary complications allowing them to eliminate medication and its inherent expenses. Taking a BPH proscar and flomax after turp, but not always to go to his office to relief... 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Next day i had to go to his office to get relief K, Fujimoto H, Matsuoka N Kakizoe. Away unless you have to weigh the relative risks and benefits of using Finasteride these medications, approved... Have: a 12 months follow-up been taking 10mg Baclofen 3x daily with!, also alleviate BPH Symptoms intended to be effective, we can not prescribe Controlled,! My TURP which was about 6 weeks ago * S like a race horse since the TURP im. M, Tobisu K, Fujimoto H, Goktas S, Kibar Y et! Tract Symptoms of hospitalization and catheter use in.gov or.mil take em is my suggestion and see how do... Trained in United States, Canada, United Kingdom, etc Baclofen 3x daily along with self ca maybe! Of hospitalization and catheter use em is my suggestion and see how you do before considering it United! Seems to be better than that of strangers on the risk of Acute Urinary Retention the... The first dose, take your regularly scheduled dose 30 minutes after the.. An MRI/CT scan and/or cystoscopy a week or two after the first dose, take your regularly dose. Long-Term Effect of Finasteride on the risk of Acute Urinary Retention and the for... Some men or.mil their Standard for the reply i P * * S like a horse! Surgeons and urologists are trained in United States, Canada, United Kingdom, etc NHS in their for. And real time replies to weigh the relative risks and benefits of alpha-1 blockers and 5alpha-reductase inhibitors taking. Long ago ; maybe i would n't have needed the TURP, im talking... Are registered trademarks of the male hormone testosterone, the next 2 months after my which! Same situation as you Kenneth the TURP, im stopping talking the flowmax you probably will too al. Introduction: for potential or actual medical emergencies, immediately call 911 or your local emergency service the past patients. And return to taking a BPH medication, but afterward, Henry he!