Flomax Failure

[Regalhank]

Just had a biopsy--awaiting results but, in the interim:  enlarged prostate regardless of biopsy outcome.  Flomax does not seem to be making an improvement in frequency of urination--does this have an indication that cancer is more likely?  In other words, if nodule were benign would the Flomax be likely to work better?  Does progressive increase in frequency indicate a higher chance of cancer?

[clark007]

I have a freind in Iceland that is using an herb called Angelica via a product called
Sagapro.
He had a high PSA and through taking Sagapro his PSA level has reduced and is staying constant.
When I was in Iceland and switched from Flomax to Sagapro and I found it worked better than Flomax.
I now buy it on line at  www.sagamedicausa.com
Has anyone else had good results with sagapro. I am hooked on it
Regards
Clark007

[Ash Tewari, MD, M.Ch.]

not necessarily.  It is not uncommon that men develop the symptoms of benign prostatic hyperplasia (BPH) such as urinary frequency, weak stream and difficulty starting and starting their stream as they age.  Patients with BPH can have worsening symptoms over time and as the prostate continues to grow, the relief provided by flomax may be diminish.  There is another class of medications, such as Uroxatral, which can help shrink your prostate and improve your symptoms. the results of this class of medications, however, often take many weeks before they make a major differences.  Ultimately, flomax and drugs like uroxatral can be combined to give maximal medical therapy for BPH.  Sometimes men continue to have problems and may be candidates for surgical intervention to improve symptoms.  

Frequently, larger prostates can elevate PSA and lead to biopsy.  While there is the possibility that your biopsy will yield cancer, it is likely that the increase in PSA is due to benign prostatic hyperplasia (BPH).  

Some men do develop progressive frequency as a symptom of prostate cancer.  in th majority of cases, however, the symptoms are do to benign hyperplasia, not cancer.  

You should continue to have regular follow-up with your urologist who, based on your biopsy results and your PSA values, can recommend how to best manage your situation.   Stay positive.

Best
Ash