Is An Extra Dose Of Flomax Advisable For Enlarged Prostate?

Posted on Mon, 1 May 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 1 May 2017 Answered on

Thu, 25 May 2017 Last reviewed on

Question : would u advise taking 0.8 of flomax . the 0.4 is not giving me enuf pressure as it did 5years ago?

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
You need to reevaluate the size of enlarged prostate

Detailed Answer:
Hello
Thanks for query ,
Based on the facts that you have posted you seems to have obstructive voiding symptoms due to Enlarged Prostate since 5 years and have been taking Flomax 0.4 mg once daily ,

The maximum recomonded dose of Tomsulosin is 0.4 mg .It will not help to improve urine flow even though you take 0.8 mg of Tomsulosin once daily .

The poor flow in spite of taking Tomsulosin is suggestive of increase in size of prostate over a period of 5 years and needs to reevaluate .

Consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm about the present status of Enlarged Prostate with Post Void Residual Urine (PVR)
1) Urine routine and culture.
2) Ultrasound scanning of abdomen and pelvis
3) Serum PSA.

If situation demands I would suggest you to undergo resection of Enlarged prostate by an endoscopic procedure called Trans Urethra Resection of Prostate (TURP).This is a gold standard procedure practiced all over the world to resect enlarged prostate It gives permanent relief and helps to improve quality of life at this age .

Hope I have answered your query ,please feel free to ask if you have more questions,I shall be happy to help you
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. P. T. Patil (22 hours later)

Thank you Dr XXXXXXX
does the turp procedure kill my erection chances.Is it a painful operation,after the
operation,will i need large amounts of opoids?
thank you,
XXXXXXX

Answered by Dr. Dr. P. T. Patil (3 hours later)

Brief Answer:
It will not affect erection .

Detailed Answer:
Hello
Thanks for follow up .

TURP is an endoscopic surgery and done under anesthesia .There is no severe pain post imperatively except minor discomfort for a week and do not need to take opiates at all .
However since bladder neck is also resected along with prostate you will have retrograde ejaculation .It will not affect climax of sensation of pleasure of sex (Orgasm ) as usual .

Your Urologist will explain you all the details before surgery .
Thanks and Regards.
Dr.Patil.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Dr. P. T. Patil (3 days later)

thank you dr. XXXXXXX I apreaciate the reply XXXXXXX

Answered by Dr. Dr. P. T. Patil (1 hour later)

Brief Answer:
Thanks for compliments

Detailed Answer:
Hello
Thanks for compliments .
If you have time do write your review about my suggestions and comments about your problem on floor of Health Care Magic .Com

Thanks and Regards,
Dr.Patil.

Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar