From what I know, doing something about BPH is a matter more for the patient
to decide than the doctor. BUT if you get to a point where your post void
retention is high, then you run risks.. in other words, if you are not fully
emptying your bladder, and the amount left is in excess of 100mL you run the
risk of stagnant urine causing infection.. you also run the risk of kidney
failure... IF there is enough urine in there to block the ureters...  the
body is smart and knows to stop filling the bladder when it is full. Thus
the kidneys shut down.
You lso run the risk of eventually obstructing completely which could mean
very painful urnine retention in hebladder, emeregency catheterization and
then a manditory TURP or more.

As for the Hytrin, best to check because at some point you risk severe
orthostatic hypotension...or other undesireably low BP.. and at some point
it just won't work for the prostate anymore.

Doug,

Sorry you had to join us.  BPH is no fun.  As long as the Hytrin is
working and the side effects are manageable, you should be able to go
up to the maximum dose.  If your BP goes too low, as facetime
mentioned, you could try Avodart, which can actually shrink the
prostate and grow hair.  Be aware, however, that Avodart can have
severe sexual side effects, and isn't always effective.  When you get
tired of putting up with the side effects of the drugs (which you
probably will eventually), there are safe and effective surgical
options, such as PVP, which you can find lots of discussion on in
historical posts on ths group.  Because there is no single universally
recognized treatment for BPH, and because the side effects vary so
widely, your best bet is to take charge of your own treatment.  Do lots
of research (and again, historical posts here are a good place to
start), try different meds and see how you react to them, and when you
get fed up with planning your life around the nearest rest room, find a
urologist who does PVP.  Go to the other end of the state if you have
to.