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Enlarged Prostate

Hi. I am 43 years old.

I have been experiencing Prostate issues for the last 18 months.
I was diagnosed with Prostate enlargement (BPH). Thankfully so far not cancerous.

My symptons is that i have to frequently go to the toilet to urinate. (upto 15 times a day, including sometimes twice at night). My urinal flow is fair but not very strong. Towards the end it trickles for a while, then stops then trickles again. After i finish it doesn't quite feel that i have completely emptied the bladder.
I also expreience pain when i am sitting down just below the pelvis. I have to unbuckle the belt completely even though it is not tight. The pain feels like it is pushing on something in the vicinity of the bladder / prostate.

These symtpons are uncomfortable and annoying, especially that i have to go to the toilet at least every 2 hours.

My Urologist tells me that my prostate is moderately large at (62ml) This is what is causing the issues. He put me on Flomaxtra tablets (alpha blockers) to relax the muscles of the prostate. It makes the urinal flow better, but is still need to go around 10 times a day now. I also had the procedure called Urodynamics, which came up apprently ok.

Since i have stopped the tablets i am back to all the old symptons again. So now my family doctor has put me back onto the Flomaxtra tablets again. I have just had blood tests again for PSA (waiting on results) and will be having another Renal ultrasound next Tuesday.

I asked the doctor to maybe have the TURP surgery done, but he says he would like to stay away from that as i am still too young. My feeing is that my prostate is not going to get any smaller, in fact it will grow as i get older, so i am pretty worried that i will experience more issues as i get older. For now, the pain is annoying along with the constant trips to the toilet.

If the medical results next week confirm that it is not getting any better, then i am thinking of seeing another Urologist.

Just had another ultrasound today with the following results. Had to go to toilet twice before ultrasound as i couldn't hold it off. During the ultrasound, prior to Micturition the bladder held 460ml, with a 179ml remaining after voiding. The volume of the prostate since last year (62ml) is now 98cc.
I am now thinking of the TURP procedure as medication hasn't helped.

Has anyone had any symptons or experience like this to share here please?

Regards,
Majed.

3 Responses
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Avatar universal
I am 27 years old and I have been experiencing the same issue for the past month. (I'm finally seeing my doctor next Tuesday.) I didn't realize I was urinating more often during the day simply because I drink a lot of fluids. It finally became obvious something wasn't right when I starting waking up at least 5 times a night, and then having to go at least twice. This has left me feeling (and looking) like a zombie. I also have high cholesterol for my age (which runs in the family). So high that my doctor said I could die by the time I was 45.

Another poster, who is the same age as me, had bacterial epididymitis and was then diagnosed with prostatitis after that. I just had acute epididymitis and now this is following it up. Seems like a weird coincidence...
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Avatar universal
have u ever tried any of the 5a-reductase inhibitor that lowers your dihydrotestosterone? they might be a good alternative to TURP.
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Avatar universal
Hi,

Your concerns are pretty valid. While it is one thing to consider that actual size of the prostate, the other thing to consider is the severity of the symptoms. If you feel that there is no improvement, then this may indeed be a case for a surgical intervention. Is it possible that you are expecting the medications will eliminate all the symptoms you describe immediately? Perhaps you are equating the rapidity of gains with surgery with medical therapy, but this is an erroneous expectation. Hence, you would need to convince the doctor that the gains with medication does little to improve the overall quality of your daily symptoms. Stay positive.
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