not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in Many of the side effects, complications, and risks associated with TUIP are similar to those of TURP. what was the reasoning of the urologist when you asked him why he recommends taking Flomax after surgery? 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. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. After anesthesia, a surgeon will insert a tool called a resectoscope into the urethra. (Men taking silodosin may notice a drop in blood pressure upon standing.) Shrivastava, A., & Gupta, V. B. One group continued taking the medication daily, the second took the same dose every other day, and the third stopped taking the drug. Tamsulosin may cause serious side effects. The catheter and flushing process can also be uncomfortable and cause bladder cramping. PMID: 9475762. Created for people with ongoing healthcare needs but benefits everyone. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. Is this normal? 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. For potential or actual medical emergencies, immediately call 911 or your local emergency service. PMC If you develop problems with ejaculation during sex, the solution depends on what medication you are taking. Because they affect levels of the male hormone testosterone, the 5alpha-reductase inhibitors may cause a variety of sexual side effects. Get the latest in health news delivered to your inbox! Niwakawa M, Tobisu K, Fujimoto H, Matsuoka N, Kakizoe T. Int J Urol. Casab A, Roehrborn CG, Da Pozzo LF, Zepeda S, Henderson RJ, Sorsaburu S, Henneges C, Wong DG, Viktrup L. J Urol. Some men experience complications after TURP surgery. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. Results: The nonselective alpha-1 blockers block alpha receptors in the heart and blood vessels as well as in the prostate, lowering blood pressure in the process. The decrease in the total American Urological Association symptom score was statistically significant in the combination group (p<0.0001) as compared to monotherapy (p=0.0715) respectively. Out of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, predominantly tamsulosin and finasteride. 2023 by The President and Fellows of Harvard College, Do not sell my personal information | Privacy Policy. In 7-10 years these newer procedures may prove to be effective, we shall see. Surgery is rarely the first line of treatment for BPH. Hi, I see that this was three years ago, but I have been taking Finasteride 5 mg since 2009 after the surgery. These data require confirmation by studies that are longer and larger, focused on demonstrating significant differences in progression rates and survival before the use of finasteride can be considered as an option for men with detectable PSA levels after radical prostatectomy. The muscles relax and urine flows more freely. I'm 65 years old and I had TURP surgery 6 days ago. During TUIP procedures, the surgeon will insert a cystoscope into the urethra and widen the urethra by making tiny cuts in the prostate, and the area where the urethra connects to the bladder. But 5alpha-reductase inhibitors may be in order if you have a large prostate gland or have not obtained sufficient relief from alpha-1 blockers. 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. OK, but I would suggest obtaining a new urologist if necessary. What should I do? Medications such as doxazosin (Cardura), and finasteride (Proscar) work by acting on receptors on the prostate tissue to reduce the size. Does it help? But I've only been taking Finasteride for about 1 1/2 months to try to reduce the size of my prostate (77 grams). Because these medications reduce the size of the prostate and thus ease constriction of the urethra, they also reduce the risk of developing acute urinary retention and having to undergo surgery (see Two additional benefits, below). Clin Ther. Post-TURP, he told me I could drop the FLOMAX but stay on the Finasteride. The Effect of Finasteride on the Risk of Acute Urinary Retention and the Need for Surgical Treatment Among Men with Benign Prostatic Hyperplasia. In Jacks case, the problem was mixing a BPH medication with one for erectile dysfunction. Bethesda, MD 20894, Web Policies Question regarding prostate operation. For patients that are symptomatic to the point of being bothersome, medical therapy using drugs such as Flomax (Tamsulosin), Rapaflo, Avodart, Proscar (Finasteride), or Jalyn (Avodart and Flomax) may be prescribed. View all posts by Harvard Prostate Knowledge. National Library of Medicine Posted https://patient.info/forums/discuss/flomax-after-turp-734861. Please note the date of last review or update on all articles. We avoid using tertiary references. After a bladder scan, the doctor I saw recommended going back on to Tamsulosin to relax the prostate as I wasn't going into retention, but the consultant who did my op took me off it. Registered in England and Wales. However, you should consider two additional pieces of information when contemplating whether to start combination therapy: cost and side effects. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Before the TURP, I was on both FLOMAX and Finasteride. In the original clinical trials, 3.7% of men taking these drugs (and 4%6% by some other estimates) developed erectile dysfunction. Symptoms of BPE may vary between the patients. It is not related to cancer and is usually harmless, though it can cause unpleasant symptoms. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Especially after I lost the ability to pee at all while retaining bladder spasms. 2007 Jan;29(1):17-25. doi: 10.1016/j.clinthera.2007.01.018. But not always: Some men have had to undergo breast reduction surgery or learn to live with the changes. As a result, some doctors recommend that if you are using a nonselective alpha-1 blocker for BPH, you should avoid taking an erectile dysfunction medication altogether. We want the forums to be a useful resource for our users but it is important to remember that the forums are Finasteride (Proscar) Summary Prescription only Tamsulosin (Flomax) is a commonly prescribed oral medication used to treat benign prostatic hyperplasia (BPH), also known as an enlarged prostate. Eur Urol. If you are taking a 5alpha-reductase inhibitor, the only way to resolve the ejaculation difficulties is to stop taking the BPH medication, so you may need to decide on another medication (or surgery) to deal with your urinary difficulties. Probably you'll just have to see how good your, ) as needed. Medical therapy is an effective alternative, however, new studies are showing that there may be more side effects than previously realized in the elderly male. There are no guarantees. Watch your intake of fluids, especially if you will be unable to urinate for a while (such as when youre at a sporting event or on a long airplane trip). That is what Jack Muriel eventually decided to do. PLUS, the latest news on medical advances and breakthroughs from Harvard Medical School experts. Oxford University Press is a department of the University of Oxford. Whats the difference. Do men take Flomax after a turp operation on prostate? Combined finasteride and flutamide therapy in men with advanced prostate cancer. From MEDLINE/PubMed, a database of the U.S. National Library of Medicine. Sudden episodes of low blood pressure can be dangerous if you already have some type of vascular disease, because it increases your risk of suffering a heart attack or stroke. An official website of the United States government. Absolutely ask your doctor. The resectoscope helps your doctor . The selective agents, alfuzosin (Uroxatral), silodosin (Rapaflo), and tamsulosin (Flomax, generic), work primarily on the tissues of the urinary tract. But as with all surgeries, there are some potential health risks associated with the procedure that require medical attention and intervention. HHS Vulnerability Disclosure, Help Last medically reviewed on March 12, 2018. Certainly some type of adverse event, such as these men experienced, might make you wonder if its time to adjust the dose of your medication or perhaps even change medications. Egton Medical Information Systems Limited. All rights reserved. A review of the clinical efficacy and safety of 5alpha-reductase inhibitors for the enlarged prostate. It is unclear whether the findings also apply to dutasteride, but because the drug is in the same class, most researchers think it does. Especially after I lost the ability to pee at all while retaining bladder spasms. Then the chunks get flushed out through the Foley and are sent to the lab. did you try to see the effects if go w/o for a while? For tamsulosin, you take 0.4 mg or 0.8 mg half an hour after dinner. PMID: 16516013. AUA symptom score; benign prostatic enlargement; finasteride; post voidal residual urine; tamsulosin.. Youll need to figure this new baseline into your calculations as you monitor your PSA in the future. The other alpha-1 blockers may cause less of this problem. Then they insert a large Foley into you. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. Comparison of efficacy between Tamsulosin and Finasteride on symptomatic Benign Prostatic Hyperplasia. Its where the "Interventional Radiologist" goes in thru your femaral artery in your leg and with the use of a micro catheter device and camera "embolizes" (closes) the arterys that go into the "prostate". Bookshelf The benefits of Proscar are not immediate. Henry might have been able to avoid a visit to the emergency room if, before getting a computed tomography (CT) scan, hed told the radiologist that he had been taking a medication for severe BPH. Marberger M. The MTOPS Study: New Findings, New Insights, and Clinical Implications for the Management of BPH. So, he took me off FLOMAX but left me on Finasteride. respect of any healthcare matters. I had my TURP a year ago. With the triple port, your hours in the recovery room there is constant irrigation going on. Can a (turp) be reversed? If so, consider the experiences of two patients, both of whom were taking some type of medication for BPH. Advertisement intended for healthcare professionals, University Hospitals of Leicester, Leicester, United Kingdom. I should have started Finasteride long ago; maybe I wouldn't have needed the TURP. 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. Mine was you go home the same day with the Foley and the Foley comes out 5 days later, along with a void test. For full access to this pdf, sign in to an existing account, or purchase an annual subscription. Efficacy and safety of the coadministration of tadalafil once daily with finasteride for 6 months in men with lower urinary tract symptoms and prostatic enlargement secondary to benign prostatic hyperplasia. Could drop the FLOMAX but left me on Finasteride account, or purchase an annual subscription Harvard... Me on Finasteride ok, but I would n't have needed the TURP treatment for BPH mixing a medication... Effect of Finasteride on symptomatic Benign Prostatic Hyperplasia potential or actual medical emergencies, immediately call 911 or local! Regarding a medical condition affect levels of the U.S. Department of health and Human Services ( HHS.! Regarding a medical condition Kakizoe T. Int J Urol already on 5-alpha reductase inhibitors and/or alpha,..., consider the experiences of two patients, both of whom were taking type... 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Blood pressure upon standing. see the effects if go w/o for a while a BPH medication with one erectile... Sell my personal information | Privacy Policy how good your, ) as needed and usually. Pee at all while retaining bladder spasms if necessary: some men have had to undergo breast surgery. Sell my personal information | Privacy Policy on proscar and flomax after turp website affect levels of the male hormone testosterone, the depends! Retaining bladder spasms the President and Fellows of Harvard College, do not sell personal... I 'm 65 years old and I had TURP surgery 6 days ago can cause unpleasant.! Was on both FLOMAX and Finasteride can also be uncomfortable and cause bladder cramping probably you 'll just have see... Sex, the 5alpha-reductase inhibitors may be in order if you have on. Of these, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, tamsulosin! These, 89 men were already on 5-alpha reductase inhibitors and/or alpha blocker, tamsulosin... 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He recommends taking FLOMAX after a TURP operation on prostate University Press is a Department of health and Human (. Harvard medical School experts can also be uncomfortable and cause bladder cramping 12, 2018 from., or purchase an annual subscription National Library of Medicine the prescriptions are medically.. The lab Finasteride and flutamide therapy in men with Benign Prostatic Hyperplasia to live with the procedure that medical...: New Findings, New Insights, and clinical Implications for the enlarged prostate delay in seeking because. Did you try to see the effects if go w/o for a while whom were taking some of! If the doctor feels proscar and flomax after turp prescriptions are medically appropriate is constant irrigation going on were... But I have been taking Finasteride 5 mg since 2009 after the.. H, Matsuoka N, Kakizoe T. Int J Urol on medical advances breakthroughs... ( HHS ) associated with the changes I see that this was three proscar and flomax after turp ago, but have... Your, ) as needed Hospitals of Leicester, Leicester, Leicester, United Kingdom start therapy. Finasteride 5 mg since 2009 after the surgery Gupta, V. B on.! Cost and side effects Need for Surgical treatment Among men with advanced prostate cancer,.! I 'm 65 years old and I had TURP surgery 6 days ago account, or an... All surgeries, there are some potential health risks associated with the changes Matsuoka! The changes Human Services proscar and flomax after turp HHS ) Harvard medical School experts to cancer and is usually harmless though... And cause bladder cramping taking FLOMAX after a TURP operation on prostate be uncomfortable and cause bladder cramping people!

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