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Medical Forum / Diseases and Disorders / Prostate BPH / July 2006medication or surgery
I've been on UraXatral for the last month since being diagnosed with BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. with breakfast and with dinner. I had a cystoscopy and bladder scan a month ago. I've seen some mild improvement, but yesterday was a hard day. While driving to the airport (90 minutes away), I had to stop for the bathroom 4x, for a total of 12x throughout the day. A few of those times, I had leakage to the extent that I could feel droplets on my legs. My boxers were damp more than once and I truly felt I wouldn't make it to the bathroom. Fear of arrest prevented me from relieving myself between cars in a parking lot. My current thinking is to continue the UroXatral and, next time I see the urologist, ask for addition of Proscar in hopes of shrinking my prostate medically. Failing that, from what I've read, I think that if I were to choose a surgical procedure (from what I know now), it would probably be PVP. My major question is how long should I give the meds to work without adequate improvement before giving up hope in them and moving to the next step? I'll be 48 this fall. A couple of other questions: Any side-effects from Proscar? And any side-effects from PVP, and how long to recovery? Many thanks. This group is a great resource. Stop torturing yourself and get the PVP if your doctor recommends it, you will be grateful you did. The majority of contributors here (including me) had successful and relatively easy experiences and no longer define our lives by how far away we are from a bathroom. Jim W. > I've been on UraXatral for the last month since being diagnosed with > BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. [quoted text clipped - 25 lines] > > Many thanks. This group is a great resource. Hey Mountainguy, I agree with Jim. I had mine 18 months ago, and I don't know why I waited. Stop the torture and find a uro that has done 150 PVPs. Good luck, Joe > I've been on UraXatral for the last month since being diagnosed with > BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. [quoted text clipped - 25 lines] > > Many thanks. This group is a great resource. Same story as the others. Go for the PVP. Post your location and someone may be able to recommend a good doctor if you are looking. BTW: The only downside is that retro will most likely result but it is not a big deal. Not being able to pee is!! I am not so certain but seems to me that Flomax and Uroxatral made incontinence worse for me. > I've been on UraXatral for the last month since being diagnosed with > BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. [quoted text clipped - 25 lines] > > Many thanks. This group is a great resource. Ditto on the PVP. The meds all have side effects, and all have limited effectiveness. The PVP will more than likely give you complete relief (I NEVER peed like this, even when I WAS a teenager), with no chemical fog. Retro is once or twice a week - dribbling is all day every day. You could spend another ten years of increasing misery and THEN get the PVP, or just get it over with and get your life back now > Same story as the others. Go for the PVP. Post your location and > someone may be able to recommend a good doctor if you are looking. > BTW: The only downside is that retro will most likely result but it is > not a big deal. Not being able to pee is!! I am not so certain but > seems to me that Flomax and Uroxatral made incontinence worse for me. You're going to have surgery sooner or later, so I would suggest doing it now because of the following. Your bladder is being stretched now by your inability to completely empty it. The longer this goes on, the less likely it will return to normal once you have the surgery. If you wait too long, you may not be able to completely empty your bladder even with surgery. So I would suggest not waiting. >I've been on UraXatral for the last month since being diagnosed with >BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. [quoted text clipped - 25 lines] > >Many thanks. This group is a great resource. Talk to your doc. Maybe a different med will work better. Don't rush into PVP but if meds don't work, PVP has produced good results for many. FWIW YMMV >I've been on UraXatral for the last month since being diagnosed with >BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. >with breakfast and with dinner. I had a cystoscopy and bladder scan a >month ago. I've seen some mild improvement, but yesterday was a hard >day. >While driving to the airport (90 minutes away), I had to stop for the >bathroom 4x, for a total of 12x throughout the day. A few of those >times, I had leakage to the extent that I could feel droplets on my >legs. My boxers were damp more than once and I truly felt I wouldn't >make it to the bathroom. Fear of arrest prevented me from relieving >myself between cars in a parking lot. Since you're talking primarily about an irritative symptom see: http://www.medscape.com/viewarticle/537510 under the heading "Alpha Blockers in Combination With Antimuscarinic Agents". The antimuscarinics will stop the urge and the leakage at the risk of reduced throughput. Apart from the urge described above you don't mention anything about other symptoms such as retention. >My current thinking is to continue the UroXatral and, next time I see >the urologist, ask for addition of Proscar in hopes of shrinking my >prostate medically. Failing that, from what I've read, I think that if >I were to choose a surgical procedure (from what I know now), it would >probably be PVP. I presume you've been told that you have a large prostate. If so shrinking via Finasteride (Proscar) may take 6-12 months. See: http://www.medscape.com/druginfo/monograph?cid=med&drugid=4496&drugname=Proscar+ Oral&monotype=monograph&secid=3 (watch the line wrap). >My major question is how long should I give the meds to work without >adequate improvement before giving up hope in them and moving to the >next step? >I'll be 48 this fall. >A couple of other questions: Any side-effects from Proscar? And any >side-effects from PVP, and how long to recovery? <Heh, heh> Finasteride is a nasty drug. See: http://www.askapatient.com/viewrating.asp?drug=20788&name=PROPECIA But don't forget that people who had no problems are not likely to complain. > I've been on UraXatral for the last month since being diagnosed with > BPH; starting at 10 mg. with dinner, doubled about a week ago to 20 mg. [quoted text clipped - 25 lines] > > Many thanks. This group is a great resource. Consider Proscar or Avodart. These block the hormones which keep the prostate enlarged. They can have side effects also. |
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