It has a role in contemporary surgical management of benign prostate enlargement. It is applicable for most prostate sizes but its definitive role in extremely large glands is still under investigation, with an ongoing multi centre international study; of which two NHs hospitals in the UK are a part...

Thank you, stopping this may improve your libido but also blood in the urine can return.

It is important that you have had a full urinary tract assessment for blood in the urine, by a Urologist. This is paramount, before any definitive advice on finasteride can be given at this point.

A urologist will need to clinically assess your relative for cardiolulmonary factors that could contribute to his symptoms. In general, to manage nocturia, we advise to lower fluid intake in the evening/night, particularly of caffeinated or alcoholic beverages. A clinician may also prescribe new med...

Thank you. To answer your questions: (a) Should I be worried about the potential cancer risk. You should get yearly PSA checks and their value should be adjusted to medication (finasteride for example usually decreases the true value by 50%). If it is above the age reference range your GP should ref...

Yes, this can happen with all surgical approaches.

It depends on how much tissue is surgically removed, an individual’s rate of prostate regrowth and most importantly any symptomatic recurrence that may not respond to medical therapy.

Thanks for your question.

It depends on what medication exactly.

Typically, we would review your symptoms on tamsulosin or alfuzosin after a few weeks.

If it is Finasteride, the impact can be maximally assessed after 6 months.

Thank you for your question. You are right, fluid redistribution from accumulation in your legs at the end of the day (when you lie down at night) can mean your bladder will become full = frequent urination at night. There are strategies your doctor can consider to address this depending on your med...

This is a very important topic. Some men can be apprehensive to see their doctor. Keep encouraging your relative to see theirs. I compare this to a MOT status of your vehicle. It may be that nothing is abnormal or requires treatment. It may require a simple change in fluids consumed (tea/fizzzy drin...

No. Your GP should rely on your age specifc reference PSA level. If the PSA is above the normal range, then a Urologist will determine whether your prostate harbours lesions that could possibly represent cancer. This is following your initial consultation, and is on the basis of a MRI scan of the pr...