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Online clinic on prostate & testicular health - Nov 2018

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General Prostate Health Questions

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I believe I have an enlarged prostate

Postby needanand on Thu Nov 15, 2018 12:41 pm

I believe that I have an enlarged prostate, although GP and Urologist tests have not confirmed this. This is possibly because I am obese. I am 80 years old height 1.68 m high and weight 107 kg.

My reasoning is that I have a need for frequent and urgent urination. I have several times kept records over a 3 day period and the consensus is that I trip to the loo about 17/18 times during the day and about 9/10 times at night (about every 45 minutes). I tend to pass small quantities during the day (about 75ml) but larger amounts at night (about 150 ml). I don't have a steady stream but stop/start over about 2/3 minutes at night.

I have recently had an operation to remove a 7mm kidney stone (ureteroscopy and laser lithotripsy) which was successful. Upon leaving hospital I was given extra medication - Tamsulosin 400 mcgs and solifenacin 10 mg, I don't know what the solifenacin was for but I found that the Tamsulosin gave me a steady stream with no waiting and my nocturnal trips have reduced to about 4. I have, therefore requested a permanent prescription for Tamsulosin from my GP and he has concurred.

Is there anything more that I can do to get a good nights sleep? And can you please advise on the Solifenacin.

Thank you
needanand
 
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Re: I believe I have an enlarged prostate

Postby Jonathan Makanjuola on Fri Nov 16, 2018 12:05 pm

Dear needanand

thinks for your message

although from your symptoms it sounds like you have Lower Urinary Tract Symptoms (LUTS)
the one of the only ways to know if you have a large prostate is a rectal exam to feel the prostate or a ultrasound scan of the prostate

The tamsulosin is a prostate relaxer and will help the flow. the Solifinicin is for bladder spasms caused by an overactive bladder

I suggest you go to see you GP to evaluate your symptoms they may need to start you on the prostate shrinker (finasteride) and or refer you to a Urologist who will to a simple urine flow test and initiate a management for the GP.

Reducing the fluid input before going to bed is one simple thing you can do to reduce the need to wake up at night but I suggest going to see your GP first as there are other causes of waking up excessively at night to pas urine (nocturia)
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Jonathan Makanjuola
 
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Re: I believe I have an enlarged prostate

Postby needanand on Fri Nov 16, 2018 3:32 pm

Thank you
needanand
 
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