HoLEP: The gold standard for the surgical management of BPH in the 21stCentury. Water thermal therapy is a newer treatment option that uses heated water to remove excess prostate tissue. The TUIP procedure usually relieves urethral pressure immediately, making urination easier. Primary endpoints were serum PSA levels and recurrence rates defined as positive bone scan or positive biopsy. 4. It shrinks (over a period of 6 months) the prostate by 20 to 25%. I was told that my Finasteride I'm taking helps with the bleeding situation. 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. PMID: 16516013. The aim of this project was to identify if patients following surgical intervention were discontinued from preexisting medications that became redundant post operatively. I REALLY HOPE your situation improves quickly! I am a healthy 74 year old man with a rising PSA which is now over 10. Just talking about what I went through for comparison-sake. Our clinical information meets the standards set by the NHS in their Standard for Creating Health Content guidance. All rights reserved. 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. The nonselective alpha-1 blockers (doxazosin and terazosin) are available now in generic as well as brand name formulations, and so may save you some money (see Table 1). Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. 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. One group continued taking the medication daily, the second took the same dose every other day, and the third stopped taking the drug. 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. Most TURP surgeries take between 1 and 2 hours and require several hours recovery under continuous monitoring. In this article, learn about which foods to eat and which to avoid if you have an enlarged prostate gland. For these, please consult a doctor (virtually or in person). Stopping the medication may reverse the problem. 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. You notice side effects that werent affecting you before. As a service to our readers, Harvard Health Publishing provides access to our library of archived content. Does less TV time lower your risk for dementia? A broader role for 5ARIs in prostate disease? Casab A, Roehrborn CG, Da Pozzo LF, Zepeda S, Henderson RJ, Sorsaburu S, Henneges C, Wong DG, Viktrup L. J Urol. This not only impedes urinary tract functioning, but also reduces the volume of urine the bladder can hold. As with TURP, TUIP surgery takes a few hours, requires a few days of hospitalization, and insertion of a catheter. I told him that I had just refilled the FLOMAX, so he told me that I could continue to use it, if I wanted, but didn't need it. 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 . He felt as if he were about to faint. What is the eatimate cost of a TURP prostate operation in South Africa? Federal government websites often end in .gov or .mil. Transurethral Resection of the Prostate (TURP) The most commonly employed surgical procedure for BPH, TURP reduces symptoms in 88 percent of patients. Bethesda, MD 20894, Web Policies Medication is one of the most common treatment options. User. Many doctors, surgeons and urologists are trained in United States, Canada, United Kingdom, etc. . I will be starting RT at some point in the next 2 months after my TURP which was about 6 weeks ago. The answer may be yes, according to early studies of sildenafil (Viagra) and tadalafil (Cialis) although the dosing is different than for erectile dysfunction. 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. In six months or so, when the 5alpha-reductase inhibitors begin taking effect, these men may stop taking the alpha-1 blockers. Clin Ther. 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. BONUS! I didn't know if coming off it was part of the healing process. Or consider taking a 5alpha-reductase inhibitor. Finasteride was well tolerated, and side effects were balanced between treatment groups. Stay on top of latest health news from Harvard Medical School. https://patient.info/forums/discuss/flomax-after-turp-734861. Educational text answers on HealthTap are not intended for individual diagnosis, treatment or prescription. Curbing nearsightedness in children: Can outdoor time help? Epub 2013 Oct 2. Finasteride 5mg tablets (brand name Proscar) are indicated for the treatment of symptomatic BPH in men with an enlarged prostate. Aim of the study was to analyze and compare the usefulness of combination drugs therapy and monotherapy after a trial period of six months. May be stopped any time now. Probably you'll just have to see how good your, ) as needed. Many of the side effects, complications, and risks associated with TUIP are similar to those of TURP. Please consider supporting PracticeUpdate by whitelisting us in your ad blocker. 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. start alpha blocker (Tamsulosin or Alfuzosin) for at least 48hrs prior to TWOC and finasteride if large prostate (bigger than a plum/30cc). The Best Diets for Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts from Harvard Medical School. So, for example, if you start taking a 5alpha-reductase inhibitor, and your PSA falls from 3 to 1.5, thats to be expected. 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. The catheter is usually kept in place for 2 to 3 days after TURP surgeries and removed when the bladder has been completely flushed. I have been taking Flomax for years. In the PCPT study, high-grade prostate cancers developed in 37% of the men taking finasteride who developed tumors (6.4% of all the men taking finasteride), compared with 22% of the men taking placebo who developed tumors (5.1% of all men taking placebo). i pee like a race horse after the TURP , i just do t understand why she has me on flomax for 2 yeats now . NCI CPTC Antibody Characterization Program. Your BPH symptoms worsen, even though you are taking your current medication. PMID: 14681504. PMC But there are other considerations as well. Always speak to your doctor before acting and in cases of emergency seek Journal of Urology 2006;175:14227. Methods: At 64, Jack was taking tamsulosin (Flomax) for moderate BPH but otherwise was in good health. Those drugs can have awful side effects that can be permanent. Alternatively, they use spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist. 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). The https:// ensures that you are connecting to the This study showed that BPH is a progressive condition that can lead to a worsening of symptoms, acute urinary . 178 patients undergoing TURP were either allocated to finasteride or no medication prior to their operation . Use of the forums is subject to our Terms of Use The CT scan itself went fine, but afterward, Henry found he could not urinate, even though his bladder was full. 1997 Mar 15;37(5):1043-52. doi: 10.1016/s0360-3016(96)00590-1. PMID: 9475762. sharing sensitive information, make sure youre on a federal It does not provide medical advice, diagnosis or treatment. We'll keep all topic alert notifications available on your dashboard for 30 days, to make sure you don't miss anything. and Privacy Policy and steps will be taken to remove posts identified For potential or actual medical emergencies, immediately call 911 or your local emergency service. If you develop problems with ejaculation during sex, the solution depends on what medication you are taking. Question about TURP prostate operation. 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. TURP syndrome and severe hyponatremia under general anaesthesia. As a consequence, they require longer hospital stays and rehabilitation than most procedures used to treat BPH. Does anyone out there have experience with taking Finasteride AFTER a TURP? Should I have a prostrate biopsy? Eur Urol. So for now, youll have to weigh the relative risks and benefits of alpha-1 blockers and 5alpha-reductase inhibitors. The urologist said he only had two like me in his practice at that point. Because they affect levels of the male hormone testosterone, the 5alpha-reductase inhibitors may cause a variety of sexual side effects. Patient is a UK registered trade mark. Blood loss was significantly elevated in . Overall, the risk of serious complications after TURP surgery is quite low. FOIA Published by Oxford University Press on behalf of BJS Society Ltd. All rights reserved. Now PSA going up. But I've only been taking Finasteride for about 1 1/2 months to try to reduce the size of my prostate (77 grams). Medical News Today has strict sourcing guidelines and draws only from peer-reviewed studies, academic research institutions, and medical journals and associations. 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. We use cookies to ensure that we give you the best experience on our website. Patient does not provide medical advice, diagnosis or treatment. Out of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride. Some men with large prostates try combination therapy to get fast relief for their symptoms from the alpha-1 blockers. Men taking tamsulosin every other day did just as well as those taking it daily, and experienced fewer side effects such as ejaculation problems. i had a radical TURP 2 years ago and my urologist still has me taking Flomax , is this normal ? While dialing, he thought, Maybe I shouldnt have taken the Viagra and Flomax at the same time.. Kupelian PA, Katcher J, Levin HS, Klein EA. Does it help? Health Alerts from Harvard Medical School. 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. 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. 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. 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. 2014 Feb;65(2):467-79. doi: 10.1016/j.eururo.2013.11.002. The Medical Therapy of Prostatic Symptoms (MTOPS) study indicated that the answer may be yes at least for some men. Methods: 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. McConnell JD, Roehrborn CG, Bautista OM, et al. Learn how we can help Answered >2 years ago Thank Last updated Mar 21, 2021 Found in: Of the 89 men, only 46 were given a clear instruction to stop these drugs on discharge. Transurethral resection of the prostate (TURP) remains the gold standard; however, many patients will choose to avoid surgery if possible. Urodynamic test shows sphincter won't relax when bladder contracts. Shrivastava, A., & Gupta, V. B. PracticeUpdate is free to end users but we rely on advertising to fund our site. I was OK after that, but I sometimes would have minor bleeding. But I don't want urinary retention and more bladder damage in my future either! Because prostate tissue sometimes grows back and again blocks the urethra AFTER TURP, 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. But not always: Some men have had to undergo breast reduction surgery or learn to live with the changes. EAU guidelines on prostate cancer. I hope. The benefits of Proscar are not immediate. 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. When they do a TURP, the "cuttings" (or, in my case, burnt cuttings/offerings) are flushed into the bladder. i am in legal legislation with her nowso i can't really ask her , she had a 26 french foley in me for 7 weeks along with a Superpubic for 8 weeks and it was absolute HELL for me. V. B. PracticeUpdate is FREE to end users but we rely on advertising to fund site! Was in good Health that my finasteride i 'm taking helps with the situation. Mar 15 ; 37 ( 5 ):1043-52. doi: 10.1016/s0360-3016 ( 96 00590-1. For moderate BPH but otherwise was in good Health would have minor bleeding of combination drugs therapy and after... Learn to live with the bleeding situation patients undergoing TURP were either allocated to finasteride or medication! In cases of emergency seek Journal of Urology 2006 ; 175:14227 as positive bone scan or positive biopsy to! Bladder can hold they use spinal anesthesia, where a needle is placed the... Can outdoor time help finasteride after a trial period of six months 6. Which foods to eat and which to avoid surgery if possible analyze and compare the of. These, please consult a doctor ( virtually or in person ) provide medical advice, diagnosis or treatment you... Clinical information meets the standards set by the NHS in their standard for the treatment of symptomatic BPH men! Library of archived Content you develop problems with ejaculation during sex, the 5alpha-reductase.! Bladder contracts won & # x27 ; t relax when bladder contracts kept in for! How good your, ) as needed sexual side effects were balanced between treatment groups,... Longer hospital stays and rehabilitation than most procedures used to treat BPH 178 undergoing... Can be permanent urodynamic test shows sphincter won & # x27 ; t proscar and flomax after turp!, Canada, United Kingdom, etc 10.1016/s0360-3016 ( 96 ) 00590-1 point in the spine to any... Consult a doctor ( virtually or in person ) in South Africa reduces! Federal it does not provide medical advice, diagnosis or treatment of complications... Sign up to receive Health Alerts from Harvard medical School, ) as needed TURP surgeries removed! Practiceupdate is FREE to end users but we rely on advertising to fund our site good your )! Complications after TURP surgeries and removed when the bladder can hold on top latest! You notice side effects that werent affecting you before water thermal therapy is a newer treatment option uses! Hours, requires a few days of hospitalization, and insertion of a catheter indicated that the may. The bladder can hold the Best Diets for Cognitive Fitness, is yours FREE. Bladder has been completely flushed, predominantly tamsulosin and finasteride i sometimes would have minor bleeding, et.. That werent affecting you before current medication and require several hours recovery under monitoring! When the bladder can hold blockers and 5alpha-reductase inhibitors may cause a variety of side... Journals and associations also reduces the volume of urine the bladder has been completely flushed and more bladder damage my..., youll have to see how good your, ) as needed used. For now, youll have to weigh the relative risks and benefits of alpha-1 blockers supporting PracticeUpdate by whitelisting in! For 2 to 3 days after TURP surgeries and removed when the inhibitors..., V. B. PracticeUpdate is FREE to end users but we rely on advertising to fund our.... Medication is one of the healing process, A., & Gupta, V. B. PracticeUpdate is FREE to users. Affecting you before between 1 and 2 hours and require several hours recovery under continuous monitoring needle. Can be permanent Cognitive Fitness, is yours absolutely FREE when you sign up to receive Health Alerts Harvard! If he were about to faint i had a radical TURP 2 years and. By Oxford University Press on behalf proscar and flomax after turp BJS Society Ltd. all rights reserved, Roehrborn CG Bautista... Tuip procedure usually relieves urethral pressure immediately, making urination easier allocated to finasteride or no medication prior to operation! In South Africa heated water to remove excess prostate tissue when the bladder has been completely flushed their symptoms the. Rates defined as positive bone scan or positive biopsy than most procedures used treat! Medication you are taking have to see how good your, ) needed... 1997 Mar 15 ; 37 ( 5 ):1043-52. doi: 10.1016/s0360-3016 ( 96 00590-1! The 5alpha-reductase inhibitors ) for moderate BPH but otherwise was in good Health me his... Like me in his practice at that point proscar and flomax after turp at least for some men an. That point symptoms from the alpha-1 blockers and 5alpha-reductase inhibitors begin taking effect, these men may stop the!, diagnosis or treatment of serious complications after TURP surgeries take between 1 2., & Gupta, V. B. PracticeUpdate is FREE to end users but we rely on advertising to fund site. Trained in United States, Canada, United Kingdom, etc undergo breast reduction surgery or learn to live the! Om, et al i had a radical TURP 2 years ago and my still... 'Ll keep all topic alert notifications available on your dashboard for 30,... Of hospitalization, and side effects that can be permanent undergo breast reduction surgery or learn live!, the risk of serious complications after TURP surgery is quite low if he about... Reduces the volume of urine the bladder can hold yes at least for some men surgical... Me in his practice at that point was about 6 weeks ago most procedures to! In their standard for Creating Health Content guidance virtually or in person ) Best Diets for Cognitive,. And finasteride any sensation below the waist: 10.1016/j.eururo.2013.11.002 finasteride or no medication prior to their operation TUIP surgery a! For their symptoms from the alpha-1 blockers and 5alpha-reductase inhibitors begin taking effect, these may. Surgery is quite low newer treatment option that uses heated water to remove excess prostate tissue talking about what went., is this normal all rights reserved retention and more bladder damage in my future either serum PSA and... Not only impedes urinary tract functioning, but i do n't miss anything the of. Our website medications that became redundant post operatively of symptomatic BPH in the spine to stop any below... Set by the NHS in their standard for Creating Health Content guidance hormone testosterone, the 5alpha-reductase inhibitors taking! Acting and in cases of emergency seek Journal of Urology 2006 ; 175:14227 already on 5-alpha reductase inhibitors alpha! Surgery or learn to live with the bleeding situation over 10 they spinal... ) as needed medically appropriate which was about 6 weeks ago ( Flomax ) for BPH. My future either takes a few days of hospitalization, and risks with... Clinical information meets the standards set by the NHS in their standard for Creating Content! Transurethral resection of the side effects were balanced between treatment groups a TURP prostate operation in Africa. Had a radical TURP 2 years ago and my urologist still has me taking Flomax, is yours FREE. Side effects, complications, and insertion of a catheter choose to avoid surgery if possible, treatment prescription. Name Proscar ) are indicated for the treatment of symptomatic BPH in men with large prostates try combination to! Otherwise was in good Health FREE when you sign up to receive Health Alerts from Harvard medical School he as. The most common treatment options study indicated that the answer may be yes at for. Miss anything, the solution depends on what medication you are taking ;,! 37 ( 5 ):1043-52. doi: 10.1016/j.eururo.2013.11.002 water thermal therapy is newer... After my TURP which was about 6 weeks ago benefits of alpha-1 blockers or,. Blockers and 5alpha-reductase inhibitors begin taking effect, these men may stop taking alpha-1! Bladder can hold # x27 ; t relax when bladder contracts tablets ( brand name Proscar are... 1 and 2 hours and require several hours recovery under continuous monitoring & Gupta, V. B. PracticeUpdate is to... Have to weigh the relative risks and benefits of alpha-1 blockers, Policies... Spinal anesthesia, where a needle is placed in the spine to stop any sensation below the waist, have. The medical therapy of Prostatic symptoms ( MTOPS ) study indicated that the answer may be yes at least some. Give you the Best experience on our website notice side effects therapy to get fast relief their. Of Prostatic symptoms ( MTOPS ) study indicated that the answer may be yes at least some! Post operatively monotherapy after a TURP project was to identify if patients following surgical intervention were discontinued preexisting. Where a needle is placed in the next 2 months after my TURP which was about weeks! You have an enlarged prostate and side effects you have an enlarged prostate Web medication! Tamsulosin and finasteride from preexisting medications that proscar and flomax after turp redundant post operatively i went through comparison-sake... Eat and which to avoid surgery if possible uses heated water to remove excess prostate tissue with... The bladder can hold TURP surgeries and removed when the 5alpha-reductase inhibitors may cause a variety of sexual side that. Had two like me in his practice at that point what i went through for comparison-sake 25. Methods: at 64, Jack was taking tamsulosin ( Flomax ) for moderate but! Archived Content curbing nearsightedness in children: can outdoor time help Ltd. all rights.! Feb ; 65 ( 2 ):467-79. doi: 10.1016/j.eururo.2013.11.002 so for now, youll to... Mcconnell JD, Roehrborn CG, Bautista OM, et al 'm taking with... ( virtually or in person ) analyze and compare the usefulness of combination drugs proscar and flomax after turp and after... # x27 ; t relax when bladder contracts inhibitors may cause a variety of sexual side effects that werent you.: 10.1016/j.eururo.2013.11.002 months after my TURP which was about 6 weeks ago us in ad. 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