It is not related to cancer and is usually harmless, though it can cause unpleasant symptoms. Finasteride does shrink the prostate, however it takes 2-6 months to be effective, and yes, to prevent the prostate from growing again and it will, you must stay on it most likely the rest of your life.As far as awful side effects; whenever you start a new drug there will be side effects as your body has to get used to it, I have been on both Flomax and Finasteride for 6 months now both pre Op and post op, very little if any side effects. I will be starting RT at some point in the next 2 months after my TURP which was about 6 weeks ago. If medical management of BPH fails surgical transurethral resection of the prostate maybe required. PMC 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. I had the same surgery and from what I understood 9 out of 10 have regrowth of the prostate within 7 to 10 yrs. Hasan M, Parveen F, Shamsuzzaman AK, Kibria MD. As with any medical procedure, especially those involving anesthesia, the surgery for BPH is associated with some medical complications. In the long-term, the MTOPS and Combination of dutasteride (Avodart) and Tamsulosin study (CombAT) 5-ARI monotherapy arms demonstrate 30% decrease in IPSS and 20% urinary flow at 4-year mark . 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. i thought the surgery was suppose to cure everything ? During the procedure, surgeons remove the excess prostate tissue through the urethra. Would you like email updates of new search results? Registered number: 10004395 Registered office: Fulford Grange, Micklefield Lane, Rawdon, Leeds, LS19 6BA. Please note the date of last review or update on all articles. Originally published Jan. 1, 2007; last reviewed April 22, 2011. MNT is the registered trade mark of Healthline Media. Discuss with the doctor who did your. From what I have read in this Forum I PROBABLY WILL STILL have more challenges to come while recovering from the surgery. 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. 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. Urodynamic test shows sphincter won't relax when bladder contracts. Some stay overnight at the hospital and the Foley comes out in 24 hours. Hormonal manipulation for rising PSA after radical prostatectomy. Posted In the remainingpatients, pre-surgical use of antispasmodics was associated with the highest risk of medication use at 4 months after surgery compared to patients who did not take any medication prior to surgery. Of course this may also depend on what type of drug coverage is included in your health insurance plan, and how much of a co-pay you need to contribute. The nonselective agents, doxazosin (Cardura, generic) and terazosin (Hytrin, generic), affect both the urinary tract and other tissues elsewhere in the body. Click through to become a member and gain access to support, information and real time replies. Despite these limitations, researchers think that patients should be better informed about continued or new use of medical therapy after laser and TURP procedures. Watch your intake of fluids, especially if you will be unable to urinate for a while (such as when youre at a sporting event or on a long airplane trip). How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Transurethral resection of the prostate (TURP), http://www.cancer.ca/en/cancer-information/cancer-type/prostate/prostate-cancer/benign-prostatic-hyperplasia/?region=on, https://synapse.koreamed.org/DOIx.php?id=10.4111/kju.2010.51.8.557, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4543890/, https://link.springer.com/article/10.1007/BF03346761, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446381/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1477638/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425142/, https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia, http://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph)/treatment/surgery?article=31, https://www.nhs.uk/conditions/transurethral-resection-of-the-prostate-turp/, Bariatric surgery can treat complications in people with obesity and diabetes. It might be worth checking with your consultant whether there could still be some debris, or the odd clot . Maybe we don't need anything? The combination therapy is effective in decreasing the irritative and obstructive symptoms in patients with BPE than monotherapy. Pay attention to PSA levels. I was OK after that, but I sometimes would have minor bleeding. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. They may also include frequent urination and incomplete bladder emptying. If you need another procedure in 7-10 years, it won't be a TURP. Simon, H. B. Thanks for visiting. In the past, patients really had only two options when it came to surgery for BPH. The aim of this project was to identify if patients following surgical intervention were discontinued from preexisting medications that became redundant post operatively. After what I went through I really don't want to do that. and Privacy Policy and steps will be taken to remove posts identified government site. Second, although the MTOPS study found that side effects were similar whether men took one drug or the combination, many experts feel differently, based on the patients they see. Sign up now and get a FREE copy of theBest Diets for Cognitive Fitness. 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. Finasteride was well tolerated, and side effects were balanced between treatment groups. Recently retired, he looked forward to a weekly round of golf with friends at a local country club. Maybe talk to them about past and current issues, get an MRI/CT Scan and/or cystoscopy. Out of 100 male patients aged 45 years and above diagnosed with BPE, 92 were included in the study. You alone know how bad your urinary symptoms are, and what other health issues and trade-offs you need to consider. TURP (bipolar) done 19 days ago Main reason: huge PVR and potential complications. 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. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. But if it should double over the course of a year, say from 1.5 back to 3, talk with your doctor about whether to have a prostate biopsy. Common side effects of TURP surgeries include: The minor side effects associated with TURP surgeries usually go away as the urethra and prostate tissues become less inflamed, usually within a few weeks. TURP syndrome and severe hyponatremia under general anaesthesia. I never spent the night in the hospital and my catheter was removed before I left. 26!?! Tagged BPH, laser surgery, medications, surgery, TURP. He felt as if he were about to faint. Relax smooth muscles in the urinary tract, allowing urine to flow more freely, Also affect other smooth muscles throughout the body, Dizziness, headache, and fatigue (most common), Nasal congestion, dry mouth, and swelling in the ankles (occasional), Retrograde ejaculation and other ejaculatory problems (occasional), Hypotension (low blood pressure); may pose a danger for some men (rare), You have a normal to moderately enlarged prostate (under 35 grams), Cost is a consideration (these drugs are available in generic forms), You want something with a proven track record that works within weeks, You have mild hypertension and want to reduce blood pressure while also treating BPH, You suffer frequent urinary tract infections, You have hypertension or heart disease (check with your doctor about mixing medications), Act more selectively on muscles in the urinary tract than elsewhere, Retrograde ejaculation (may occur with tamsulosin; less likely with alfuzosin), Erectile dysfunction (possible but less likely than with 5alpha-reductase inhibitors), You are taking a medication for hypertension and want to use an alpha-1 blocker, You are concerned about diminished ejaculation (less likely with alfuzosin), Reduce the size of the prostate, easing pressure on the urethra and allowing greater urine flow, Prevent the conversion of testosterone into dihydrotestosterone (DHT), which stimulates prostate growth, Decreased volume of ejaculate (occasional), You have a large prostate (more than 55 grams), You want to avoid surgery (these drugs reduce the likelihood), You are patient (the drugs may take at least six months to act, and up to two years to show full benefits), You want to reduce your overall risk of prostate cancer (but see caveat, next column), You are concerned about your risk for aggressive prostate cancer (finasteride may increase this risk), Cost is a consideration (both drugs are expensive and not yet available as generics). BPH patients can develop urinary tract symptoms including urinary retention, urinary tract infections and even kidney damage. 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. C. The 5alpha-reductase inhibitors have a different mechanism of action: They neutralize 5alpha reductase, the enzyme that initiates conversion of testosterone into dihydrotestosterone, or DHT, the form of the hormone that is usable in the prostate. Download My Dashboard by PracticeUpdate for easier access on your mobile device. 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. Disclaimer. Use of the forums is subject to our Terms of Use The resectoscope helps your doctor . Youll need to figure this new baseline into your calculations as you monitor your PSA in the future. Patients were randomized using computer generated random number table. Most TURP surgeries take between 1 and 2 hours and require several hours recovery under continuous monitoring. The TUIP procedure usually relieves urethral pressure immediately, making urination easier. What foods are good for an enlarged prostate? 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. Fortunately none of these consequences had long-lasting health effects and they could be avoided in the future by making some adjustments. Eur Urol. The https:// ensures that you are connecting to the These medications are all PDE-5 inhibitors, which generate nitric oxide, a chemical that enables arteries to widen. Initially, the urethra and surrounding area will be inflamed, and it will be difficult to urinate. Also when I pee I have the serious sensation to poop, so with all that, my answer would have to be that the finesteride is not changing a thing for me, of course everyone has a different reaction with there surgery one is not the same as the others, best of luck to youif my situation does not improve then my career is over (ups driver) hard to be in residential areas and have 8 secounds to pee. Please enable it to take advantage of the complete set of features! Bookshelf To manage it, the provider prescribes a combination drug therapy with 5-alpha reductase inhibitor finasteride (Proscar) and an alpha-adrenergic blocking agents such as Flomax and Cardura. Common Flomax side effects may include: abnormal ejaculation, decreased amount of semen; dizziness, drowsiness, weakness; Every man is different. New England Journal of Medicine 1998;338:55763. 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. Surgical intervention by Transurethral Resection of the Prostate (TURP) and laser therapy provide symptomatic relief in over 70% of men. Please consider supporting PracticeUpdate by whitelisting us in your ad blocker. This site needs JavaScript to work properly. During TUNA procedures the urethra is protected from the radio waves with a shield. We want the forums to be a useful resource for our users but it is important to remember that the forums are Blood loss was significantly elevated in . By continuing you agree to the use of cookies. 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. I had radical Turp surgery 11/08/2016. Water thermal therapy is a newer treatment option that uses heated water to remove excess prostate tissue. Investigators have discovered in the past few years that more than half of men with BPH also suffer from overactive bladder, and that this may further exacerbate urinary difficulties. Egton Medical Information Systems Limited. 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. In some cases, a separate device will be used to flush sterile fluid through the surgical site. You notice side effects that werent affecting you before. Obviously the decision about whether to make some change in your medication regimen for BPH whether it involves changing the dose or switching medications is a complex one. Gynecomastia (breast enlargement), another possible side effect of the 5alpha-reductase inhibitors, is rare but is distressing when it occurs. So, he took me off FLOMAX but left me on Finasteride. 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. Can a (turp) be reversed? Suddenly tonight I am just passing a lot of blood and urination is very painful. Even though a value of 3 is considered normal in men not taking a 5alpha-reductase inhibitor, a PSA value that doubles within a year of beginning one of these medications could indicate that cancer is present. Will if affect erection and other things? Federal government websites often end in .gov or .mil. Levels of DHT fall precipitously after several weeks of taking a 5alpha-reductase inhibitor, but it may take at least three to six months, and perhaps even longer, before you notice any improvement in urine flow. Symptoms of BPE may vary between the patients. Posted Especially after I lost the ability to pee at all while retaining bladder spasms. Heidenreich A, Bastian PJ, Bellmunt J, Bolla M, Joniau S, van der Kwast T, Mason M, Matveev V, Wiegel T, Zattoni F, Mottet N; European Association of Urology. And if you ultimately decide that medications are not providing you with sufficient relief, it may be time to look into surgical options. Once the surgeon has positioned the resectoscope, they will use it to cut away abnormal prostate tissues and seal broken blood vessels. But I've only been taking Finasteride for about 1 1/2 months to try to reduce the size of my prostate (77 grams). Most are fine with no help. 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. Instead of returning home after the CT scan, Henry wound up in the emergency room, where he had to have a catheter inserted. Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2005 Apr 18. If you develop problems with ejaculation during sex, the solution depends on what medication you are taking. Alternatively, they use spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist. Open prostatectomies are associated with a higher rate of side effects and risk of complications. It does not provide medical advice, diagnosis or treatment. An official website of the United States government. 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).

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