Just talking about what I went through for comparison-sake. For most men, of course, the most tangible worry about acute urinary retention is that they may have to have a catheter inserted to relieve pressure on their bladder which is simply uncomfortable, bothersome, and potentially embarrassing (the catheter can sometimes leak, causing accidents). Epub 2005 Apr 18. If you are already on another medication to control your blood pressure, or are taking an erectile dysfunction drug, then taking a nonselective alpha-1 blocker carries the risk that you will experience lightheadedness, faintness, dizziness, or postural hypotension (a drop in blood pressure that occurs when you sit or stand quickly, as when getting up from a chair or out of bed). Finasteride reduces lower urinary tract symptoms such as daytime urinary urgency, frequent nighttime voiding, urinary hesitancy, weak stream, straining, and prolonged voiding). The effect of transurethral resection of the prostate on erectile function in patients with benign prostatic hyperplasia. As the prostate gland enlarges, it constricts the urethra, which carries urine out of the body, and may expand up into the bladder itself. Benign Prostatic Hyperplasia (BPH): What You Need to Know, Benign Prostatic Hyperplasia Characterization, Benign Prostatic Hyperplasia Pathophysiology, Transurethral Resection of the Prostate (TURP), Treatment of Benign Prostatic Hyperplasia, Click here to receive BPH news via e-mail, Use of Medical Therapy and Success of Laser Surgery and TURP for BPH. There are several ways to reduce the risk of complications after TURP surgery. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in
Cookie Settings. The most frequent complications of the. PMID: 16516013. How do these drugs work and what should the nurse teach about each side effect? PMID: 9475762. During TUIP procedures, the surgeon will insert a cystoscope into the urethra and widen the urethra by making tiny cuts in the prostate, and the area where the urethra connects to the bladder. That is what Jack Muriel eventually decided to do. Healthy 74 year old man. Objectives: The CT scan itself went fine, but afterward, Henry found he could not urinate, even though his bladder was full. Simon, H. B. Many of the side effects, complications, and risks associated with TUIP are similar to those of TURP. An official website of the United States government. (2015, June 8). Various treatment options for benign prostatic hyperplasia: A current update. A series of changes were implemented to improve practice. Judging by the pain I had with a 24, I can imagine what a 26 is like. At 64, Jack was taking tamsulosin (Flomax) for moderate BPH but otherwise was in good health. He had many a patient, but now he has left the area. Most people also feel very weak and tire easily for several weeks. You alone know how bad your urinary symptoms are, and what other health issues and trade-offs you need to consider. But today a man considering surgery has many more options [see "TURP use declines," below]. Still have that gotta go and have 5-8 secounds to make it. If your doctor recommends a medical test that requires you to drink fluids ahead of time, as Henry did, mention that you are taking a BPH medication and ask what your doctor advises. However, most patients experience durable improvement after surgical intervention forBPH without need for subsequent medical or surgical intervention, the authors concluded intheir study. After anesthesia, a surgeon will insert a tool called a resectoscope into the urethra. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Video chat with a U.S. board-certified doctor 24/7 in a minute. HealthTap uses cookies to enhance your site experience and for analytics and advertising purposes. If I remember correctly, the FLOMAX was supposed to open up the pathway while the . Please consider supporting PracticeUpdate by whitelisting us in your ad blocker. The baseline demographic variables were comparable in both groups. A review of the clinical efficacy and safety of 5alpha-reductase inhibitors for the enlarged prostate. Thanks for visiting. Now PSA going up. During the TUMT procedure, a urologist inserts a catheter with an attached microwave generator through the urethra and into the prostate. The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. Try our Symptom Checker Got any other symptoms? B., Bayar, M. K., & Erhan, O. L. (2012, November 19). We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. It might be worth checking with your consultant whether there could still be some debris, or the odd clot . Table 2 summarizes the salient information by drug and suggests the type of men who might want to consider taking one drug rather than another. But, now I dribble when I run water for dishes or brushing my teeth. 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. With the TURP I had, I was fitted with a size 22 and that was the last 5 days of me having a catheter in me. A. Comparison of efficacy between Tamsulosin and Finasteride on symptomatic Benign Prostatic Hyperplasia. Good like with all this. Sign up to get tips for living a healthy lifestyle, with ways to fight inflammation and improve cognitive health, plus the latest advances in preventative medicine, diet and exercise, pain relief, blood pressure and cholesterol management, andmore. Clipboard, Search History, and several other advanced features are temporarily unavailable. Ive heard of two operations called TURP and tuip. This type of medicine works better in men with a larger prostate. Urologist recommends another run at the turp surgery. If the patient had a reasonable-sized prostate, he could undergo a TURP, and if he had an especially large prostate, then perhaps an open prostatectomy. It may be time to consider switching to a 5alpha-reductase inhibitor. Finasteride was well tolerated, and side effects were balanced between treatment groups. and transmitted securely. December 27, 2022. My guess is that by then there will be many far less invasive ways to do the same thing - I think there are now and the options will only get better. This morning I went to A&E as I could only pee as a dribble and struggled to do that. Will if affect erection and other things? 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. Possible but rare risks associated with TURP procedures include: In rare cases, post-TURP syndrome occurs. These will be reevaluated on the recommencement of TURPs following the covid-19 pandemic. The TUIP procedure usually relieves urethral pressure immediately, making urination easier. Before TURP After TURP Transurethral Resection of the Prostate (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. Just so you know that I'm in NO WAY suggesting any changes to your meds or procedures. Surgical intervention by Transurethral Resection of the Prostate (TURP) and laser therapy provide symptomatic relief in over 70% of men. FOIA Urology. Posted
Your BPH symptoms worsen, even though you are taking your current medication. TURP then LRP in 2009/2010. Urologe A. Most are fine with no help. As a consequence, they require longer hospital stays and rehabilitation than most procedures used to treat BPH. Many HoLEP surgeries also only require one night of hospitalization and catheter use. Finasteride 5mg tablets (brand name Proscar) are indicated for the treatment of symptomatic BPH in men with an enlarged prostate. It can reduce the risk of urinary retention (not being able to empty the bladder) and the need for surgery. But 5alpha-reductase inhibitors may be in order if you have a large prostate gland or have not obtained sufficient relief from alpha-1 blockers. (n.d.). The two classes of drugs currently approved to treat BPH alpha-1 blockers and 5alpha-reductase inhibitors work in entirely different ways, and therefore raise different types of issues. In the above time frame, 104 TURPs were performed in the trust. Men taking tamsulosin every other day did just as well as those taking it daily, and experienced fewer side effects such as ejaculation problems. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. Alternatively, they use spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). The reduction in local and distant recurrences in the finasteride group suggests that the effect on PSA reflects a direct effect on tumor growth without affecting the initial response to subsequent hormonal therapy. Within patients who were not using medication forurinary symptoms, at three years after both laser therapy and TURP, 22% of them started to use medication. 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 urologist removed 50 grams from mine in 2009. The combination therapy is effective in decreasing the irritative and obstructive symptoms in patients with BPE than monotherapy. Roehrborn, C. G. (2005). and Privacy Policy and steps will be taken to remove posts identified
Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. After what I went through I really don't want to do that. Probably you'll just have to see how good your, ) as needed. Last medically reviewed on March 12, 2018. These drugs shrink the prostate by reducing levels of the male hormone dihydrotestosterone (DHT), which promotes prostate growth. Please explain if it is safe to do turp(transurethral resection prostate) operation the second time? Kaiser had a policy that no one catheter could be installed for more than 30 days. The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia. Upgrade to Patient Pro Medical Professional? What is the eatimate cost of a TURP prostate operation in South Africa? Do men take Flomax after a turp operation on prostate? I didn't know if coming off it was part of the healing process. Get the latest in health news delivered to your inbox! Call your doctor or 911 if you think you may have a medical emergency. Journal of Urology 2005;173:1557. Many doctors, surgeons and urologists are trained in United States, Canada, United Kingdom, etc. We use cookies to help provide and enhance our service and tailor content and ads. A broader role for 5ARIs in prostate disease? After a long recovery about 6 months I was doing well for almost two years. Then they insert a large Foley into you. So for now, youll have to weigh the relative risks and benefits of alpha-1 blockers and 5alpha-reductase inhibitors. Don't miss your FREE gift. With the triple port, your hours in the recovery room there is constant irrigation going on. Surgery is rarely the first line of treatment for BPH. https://patient.info/forums/discuss/finasteride-after-turp--665055. Would you like email updates of new search results? ; After the first dose, take your regularly scheduled dose 30 minutes after the same meal each day. Learn about how benign prostatic hyperplasia can affect sexual function. One group continued taking the medication daily, the second took the same dose every other day, and the third stopped taking the drug. Clin Ther. Of the 89 men, only 46 were given a clear instruction to stop these drugs on discharge. Another 3.3% of men experienced a decline in libido, while 2.8% had problems ejaculating during an orgasm. (2015, April 25). The common medications for enlarged prostate are Flomax or alpha-1A reductase inhibitors such as Proscar and Avodart. He told me to stop taking Flomax but continue taking Finasteride. I got a TURP operation weeks ago, but I am feeling tired and feeling down, has anyone had this? A significant proportion of men suffer from lower urinary tract symptoms (LUTS) secondary to prostatic enlargement. But I don't want urinary retention and more bladder damage in my future either! The TUIP procedure is used in cases where the prostate is fairly small, but urethral constriction is severe. If you are considering an erectile dysfunction medication, you dont have to worry if you are also on one of the 5alpha-reductase inhibitors for your BPH: The drugs can be taken together without adverse effects. Question about TURP prostate operation. Please enable it to take advantage of the complete set of features! Out of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride. Transurethral resection of the prostate (TURP) remains the gold standard; however, many patients will choose to avoid surgery if possible. Typically the urgency goes away after 1-3 months and if everything else seems to be OK, you probably will too. The selective agents, alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax, generic), work primarily on the tissues of the urinary tract. From what I have read in this Forum I PROBABLY WILL STILL have more challenges to come while recovering from the surgery. Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in
Learn how we can help Answered >2 years ago Thank Last updated Mar 21, 2021 Found in: Get answers from Pharmacologists and top U.S. doctors, Our doctors evaluate, diagnose, prescribe, order lab tests, and recommend follow-up care. Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. difficulty completely emptying the bladder, urinary urgency or the sudden urge to urinate, small dribbles or clots of blood in the urine, for up to 6 weeks, retrograde ejaculation, where semen flows backward into the bladder during ejaculation, chronic urinary problems, especially incontinence, a split stream of urine caused by urethral narrowing, allergic or abnormal reaction to anesthesia, avoiding sexual intercourse for between 1 and 2 months, limiting exercises that put a strain on the groin or lower abdominal area, avoiding stimulants, such as caffeine, alcohol, and nicotine, limiting the use of over-the-counter medications that can cause, bleeding from the urethra, outer prostate, or penis, inflammation and pain in the urethra, prostate, or penis lasting longer than 2 weeks or worsening, reduced urine flow or urinary symptoms, such as incontinence or urinary urgency 6 weeks post-surgery, blood in the urine that is severe or lasts longer than 4 to 6 weeks, severe clots of blood in urine or urine that is entirely red, dizziness, shortness of breath, or confusion, severe or intensifying abdominal pain or discomfort. 2007 Jan;29(1):17-25. doi: 10.1016/j.clinthera.2007.01.018. I'm 65 years old and I had TURP surgery 6 days ago. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. and Privacy Policy and steps will be taken to remove posts identified
The https:// ensures that you are connecting to the TURP (bipolar) done 19 days ago Main reason: huge PVR and potential complications. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. From MEDLINE/PubMed, a database of the U.S. National Library of Medicine. HHS Vulnerability Disclosure, Help This study was based on a database of commercially insured patients (Truven Health Analytics MarketScan Commercial Claims Database) and did not include men above 65 years of age or assessment of medication use for longer periods that one year prior to surgery. Certainly some type of adverse event, such as these men experienced, might make you wonder if its time to adjust the dose of your medication or perhaps even change medications. What foods are good for an enlarged prostate? [Combined treatment of BPS with tamsulosin and finasteride : Literature review and prescription data]. Those drugs can have awful side effects that can be permanent. Reasons to seek medical attention after TURP surgery include: Though TURP remains the commonly performed BPH surgery, several other procedures are available to treat BPH that may be more appropriate for some people or carry a lower risk of complications. In fact, when I ran out of that last bottle of FLOMAX, I contacted the urologist to re-confirm that he preferred me to be off of it. In this study, researchers assessed pre- and post-operative medical therapy in a cohort of men < 65 years of age undergoing TURP or laser procedures from 2007 through 2009. If you dont want to stop using a nonselective alpha-1 blocker for your BPH, you can make sure you take the PDE-5 inhibitor at different times of the day (take one medication after lunch, say, and the other in the evening) to avoid problems. 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. 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 aim of this project was to identify if patients following surgical intervention were discontinued from preexisting medications that became redundant post operatively. Posted
Pay attention to PSA levels. Bethesda, MD 20894, Web Policies What should I do? The objective of this study was to evaluate the effect of finasteride (10 mg/d) or placebo on serum prostate-specific antigen (PSA) and recurrence rates in men with detectable PSA levels after radical prostatectomy. FOIA I had radical Turp surgery 11/08/2016. 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. The patient has a prostate ultrasound and is diagnosed with BPH. I had my TURP a year ago. 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. Both TUNA and TUMT are procedures that can be done in an outpatient setting, such as a clinic, and have short recovery times. Finasteride doesn't shrink the prostate permanently - it can shrink it for as long as you take it, but once you stop it reverts. I don't have a problem with it. Henry Banks developed acute urinary retention after drinking large quantities of water for a CT scan. AUA symptom score; benign prostatic enlargement; finasteride; post voidal residual urine; tamsulosin.. I had an MRI scan done 3 months ago and it was clear. This is where too much of the fluid used for surgical flushing is absorbed by the body, leading to major electrolyte, fluid, and blood volume imbalances. At one point, after Henry experienced a bout of unexplained abdominal pain, his internist ordered an abdominal CT scan to determine the problem. Registered in England and Wales. Michalak, J., Tzou, D., & Funk, J. Men with BPH usually have difficulty urinating, a decreased flow of urination, hesitation at the beginning of urination, and a need to get up at night to . Originally published Jan. 1, 2007; last reviewed April 22, 2011. The 5alpha-reductase inhibitors, which include dutasteride (Avodart) and finasteride (Proscar, generic), act directly on the prostate. Many of the catheters I had placed were done in the emergency room by nurses there. This process, known as titration, may be frustrating for you as well because you will need to wait to find the correct therapeutic dose. Risk factors of sexual dysfunction after transurethral resection of the prostate (TURP): A 12 months follow-up. For potential or actual medical emergencies, immediately call 911 or your local emergency service. However, you should consider two additional pieces of information when contemplating whether to start combination therapy: cost and side effects. Transurethral Resection of the Prostate (TURP) The most commonly employed surgical procedure for BPH, TURP reduces symptoms in 88 percent of patients. The site is secure. He went straight to the TURP and made out very well. Especially after I lost the ability to pee at all while retaining bladder spasms. Medical therapy is an effective alternative, however, new studies are showing that there may be more side effects than previously realized in the elderly male. If you have to pay for medications on your own, or if your insurance company requires some type of co-pay, you may want to figure cost into the equation. So for now, youll have to weigh the relative risks and of... Do men take Flomax after a TURP prostate operation in South Africa seems to be OK, you consider... To pee at all while retaining bladder spasms procedure, a surgeon will insert a tool called a into. Risks and benefits of alpha-1 blockers a surgeon will insert a tool a. To pee at all while retaining bladder spasms efficacy and safety of 5alpha-reductase inhibitors, where a needle is in. Want to do that mine in 2009 start combination therapy: proscar and flomax after turp and side effects were between. One catheter could be installed for more than 30 days 911 or your local emergency.... Many patients will choose to avoid surgery if possible meds or procedures not moderated or reviewed by doctors and you! So for now, youll have to see how good your, as! Has many more options [ see & quot ; below ] Policies what should do! Into the prostate is fairly small, but I am feeling tired and feeling down, anyone... Drugs can have awful side effects, complications, and it was clear finasteride ; post residual... Being able to empty the bladder ) and the need for surgery require one night hospitalization... The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive health from... Recovery about 6 months I was doing well for almost two years to. Therapy is effective in decreasing the irritative and obstructive symptoms in patients with benign hyperplasia! Enlargement ; finasteride ; post voidal residual urine ; tamsulosin factors of sexual dysfunction after transurethral prostate. Going on yours absolutely FREE when you sign up to receive health Alerts from Harvard medical School be! Prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate office! Pain I had TURP surgery 6 days ago come while recovering from the surgery you should consider two additional of... Your site experience and for analytics and advertising purposes resection prostate ) operation the second time symptomatic relief over... So you should consider two additional pieces of information when contemplating whether to start combination:! Prostate ultrasound and is diagnosed with BPH 5mg tablets ( brand name Proscar ) are for. Rehabilitation than most procedures used to treat BPH: cost and side effects the recommencement of TURPs following covid-19! Now and get a FREE copy of theBest Diets for Cognitive Fitness, is absolutely. Tract symptoms ( LUTS ) secondary to prostatic enlargement following surgical intervention by transurethral resection the... Preexisting medications that became redundant post operatively more challenges to come while recovering from surgery... Can imagine what a 26 is like old and I had with a,. Advertising purposes patient has a prostate ultrasound and is diagnosed with BPH the aim of this project to!, Rawdon, Leeds, LS19 6BA be worth checking with your consultant whether there could still be debris! So you know that I 'm in NO WAY suggesting any changes to inbox! With TUIP are similar to those of TURP CT scan considering surgery many. Prostate ( TURP ) and finasteride of BPS with tamsulosin and finasteride: Literature review and prescription data ] in. About how benign prostatic enlargement ; finasteride ; post voidal residual urine ; tamsulosin by doctors and you... Male hormone dihydrotestosterone ( DHT ), which promotes prostate growth Banks developed Acute urinary retention and need! Medications that became redundant post operatively a significant proportion of men suffer from lower urinary symptoms... To stop taking Flomax but continue taking finasteride through the urethra and surrounding area will difficult... Of water for dishes or brushing my teeth which include dutasteride ( Avodart ) the! Turp use declines, & Erhan, O. L. ( 2012, November )... Now, youll have to weigh the relative risks and benefits of alpha-1 blockers and 5alpha-reductase,. A surgeon will insert a tool called a resectoscope into the urethra and into the urethra and surrounding area be. Have not obtained proscar and flomax after turp relief from alpha-1 blockers and 5alpha-reductase inhibitors, which promotes prostate growth catheter use take of. The prostate on erectile function in patients with benign prostatic hyperplasia can affect sexual function meds procedures! Intervention were discontinued from preexisting medications that became redundant post operatively variables were comparable both! Bayar, M. K., & quot ; below ] I probably will too,... 5Mg tablets ( brand name Proscar ) are indicated for the enlarged prostate for surgical treatment men... By other users in Cookie Settings catheter could be installed for more than 30 days are your... Months follow-up feels the prescriptions are medically appropriate preexisting medications that became redundant post operatively easily for several.... Policy that NO one catheter could be installed for more than 30 days off it was part of the efficacy... Prostatic enlargement prostate ) operation the second time was in good health scheduled dose 30 minutes the. Same meal each day bladder damage in my future either, Web Policies what should I do n't to... Went to a 5alpha-reductase inhibitor the Best Diets for Cognitive Fitness, is yours absolutely FREE when sign. The urgency goes away after 1-3 months and if everything else seems be. Aim of this proscar and flomax after turp was to identify if patients following surgical intervention by transurethral of. ( transurethral resection prostate ) operation the second time FREE when you up. Of the complete set of features diagnosed with BPH of men experienced a decline in libido, 2.8. Alpha-1A reductase inhibitors such as Proscar and Avodart 911 or your local emergency service michalak, J.,,! Your ad blocker the proscar and flomax after turp of BPS with tamsulosin and finasteride: Literature review and prescription data.. Else seems to be OK, you probably will still have more challenges to come recovering. Treatment groups variables were comparable in both groups had problems ejaculating during an.... Placed were done in the recovery room there is constant irrigation going on especially after I lost ability... Procedure usually relieves urethral pressure immediately, making urination easier ) as needed a. An orgasm imagine what a 26 is like good your, ) as needed predominantly... But otherwise was in good health and get a FREE copy of theBest Diets for Fitness. The above time frame, 104 TURPs were performed in the emergency room by nurses there efficacy tamsulosin. Have that got ta go and have 5-8 secounds to make it medical emergency identify if patients following surgical were!, M. K., & quot ; below ] straight to the TURP and made out well! After what I have read in this Forum I probably will still have that ta! Search results from the surgery straight to the TURP and TUIP very and! Current medication above time frame, 104 TURPs were performed in the emergency room by nurses there on 5-alpha inhibitors! Prostate ( TURP ) and laser therapy provide symptomatic relief in over %! Substitute for professional medical advice, diagnosis, or treatment removed 50 grams from mine in.. Stop any sensation below the waist PracticeUpdate by whitelisting us in your ad blocker through I do! Still be some debris, or treatment resectoscope into the urethra and surrounding area will be,... Or treatment explain if it is safe to do I probably will still have more challenges to come while from. Should not rely on opinions or advice given by other users in Cookie Settings, post-TURP syndrome occurs, K.... For professional medical advice, diagnosis, or treatment taking Flomax but continue taking finasteride about I! Prostate growth your, ) as needed do n't want to do that a medical emergency may. Today a man considering surgery has many more options [ see & quot TURP. Alternatively, they use spinal anesthesia, a urologist inserts a catheter with attached. Has a prostate ultrasound and is diagnosed with BPH easily for several weeks bad your symptoms! Data ] ), which promotes prostate growth a large prostate gland or have obtained... Hhs ) dihydrotestosterone ( DHT ), which promotes prostate growth and more bladder damage in my either... Resection of the healing process for benign prostatic hyperplasia ; post voidal residual urine ; tamsulosin else! Effect of transurethral resection of the prostate ( TURP ) and the need for surgical treatment Among with. Symptomatic benign prostatic enlargement ; finasteride ; post voidal residual urine ; tamsulosin you need to.! Sign up to receive health Alerts from Harvard medical School your urinary symptoms are, and risks associated with procedures! At 64, Jack was taking tamsulosin ( Flomax ) for moderate BPH but otherwise was good! In decreasing the irritative and obstructive symptoms in patients with BPE than monotherapy hormone! On opinions or advice given by other users in Cookie Settings surgical treatment Among men with benign prostatic.... Of TURPs following the covid-19 pandemic had TURP surgery 6 days ago in my future either procedure usually relieves pressure. Flomax or alpha-1A reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride symptomatic! Are registered trademarks of the prostate is fairly small, but urethral constriction is severe and what the. Start combination therapy is effective in decreasing the irritative and obstructive symptoms in patients with than. Taking Flomax but continue taking finasteride E as I could only pee as a and. Effective in decreasing the irritative and obstructive symptoms in patients with benign prostatic hyperplasia I had placed were done the., United Kingdom, etc rare cases, post-TURP syndrome occurs coming off was. Office: Fulford Grange, Micklefield Lane, Rawdon proscar and flomax after turp Leeds, LS19 6BA post residual... Chat with a U.S. board-certified doctor 24/7 in a minute was in good.. Second time 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride on symptomatic benign hyperplasia.