I am 75 with slightly enlarged prostate (30gms), Post Void Residual Urine 70 ml with normal PSA. Urine culture and Urine Analysis ae also normal. I have Urge Incontinence due to Overactive Bladder. There is always a leakage of few drops before reaching the toilet. I am also suffering from Erectile Dysfunction. I was suggested 2 methods of treatment. (1) Take one tablet of Cialis 5mg daily for BPH and ED. (2) Take Avodart 0.5 mg and Spasmolyt 20 mg daily in the morning and Xatral XL 10 mg daily at night.
I shall be grateful for advice on the best method of treatment.
Hello there. Sorry that you are having so many problems. I look up some of your med and you should be care full with them. I was on cialis for a while it never help with my bladder or anything else. For ED you should be taking a pill that is at least 100 mg to help you. for your bladder Try to see if your doctor will give you Myrbetrig 10 MG I was on that and it relax my bladder great to good. I was only going once or twice a day. Treatments : Try something less invasive first. Uro-lift, PAE are a couple to look up there are a few more but start with these 2. Also get off Avodart. it causes a decrease in libido and impotence. I hope you can fine something to help you Good Luck Ken.
Eu não gosto nada deste regime. Para bexiga hiperativa, eu tentaria o Myrbetriq primeiro - ele traz os menores efeitos colaterais de longe. Os outros causam boca seca e constipação. O Cialis é a melhor solução para DE porque você o toma todos os dias, permitindo que o sexo seja espontâneo. Eu discordo fortemente do Avodart - ele muitas vezes CAUSA impotência, então para alguém com DE, é contraindicado - mas também não é necessário. Sua próstata é normal, não levemente aumentada e você não menciona nenhum problema sério com HPB, então eu não vejo a necessidade de Avodart - eu tive uma HPB bastante grave e me recusei a me aproximar dele mesmo então. A Alfuzosina (Urixatral) não vai te machucar e geralmente não traz efeitos colaterais, mas parece desnecessário.
Eu começaria com o Myrbetriq, veria se isso resolve com sucesso sua incontinência de urgência e o Cialis. Se o Cialis não funcionar, os outros remédios para DE podem funcionar. E se o Myrbetriq não te der a ajuda que você está procurando, remédios mais antigos para tratar a condição podem.
Existe uma alta probabilidade de que o Myrbetriq resolva seus problemas de urgência, a DE é menos previsível. Mas a menos que você tenha sintomas de HPB que não mencionou, eu não tomaria nenhum remédio para tratá-la - especialmente Avodart, que pode ser um grande desastre.
No meds will help. They all have side effects which will make you feel worse. Get 3 urologic opinions as to which procedure is best for you.
Discordo respeitosamente. Ele não descreve ter sintomas de HPB e não há cirurgias para DE ou bexiga hiperativa. Provavelmente os remédios ajudarão e a cirurgia certamente não.
"I was suggested 2 methods of treatment. (1) Take one tablet of Cialis 5mg daily for BPH and ED. (2) Take Avodart 0.5 mg."
That is exactly what I take, shareefmm. My prostate is at 40 g. These drugs at least make my condition tolerable. Good, bad, or indifferent, I'm using these drugs as a strategy to buy time. Yes, there are procedures I could undergo right now. However, if my symptoms don't worsen over time, I'll procrastinate those procedures for as long as possible. Things seem to be constantly improving regarding the research of prostate disorders. One final note. Check with your health care practitioner about a potential interaction between Cialis and any blood pressure medication you might be taking. Also check about a potential interaction between Cialis and any form of nitroglycerin you might be taking. Best of luck to you.
Oi OB,
Existe uma cirurgia muito eficaz para DE, que é um implante peniano. Tenho um, são ótimos!
Neal
I'm most pleased with my UroLift surgery. You can google it up. Had it a year and a half ago. Now getting up to 7 hours of sleep at night. 4 and 6 hours at least nearly every night. Check with your insurance first. I wound up with a bill for $18K USD. Appealed and they paid for all but $1,200. Happy to pay that for the relief. Still have a sex life. 72yo
Thats great river. Janruary 1, 2017 it is being covered by medicare Had my 2 years ago Doing good Ken
That is great, Neal! I always wanted to communicate with someone with a PI. Do you pump yours up when needed? What kind is it? How long have you had it? I've forgotten all the research I've done on these products, so I've forgotten the appropriate questions.
Harvey
Oi Harvey,
O moderador apagou minha resposta para você, então eu enviei por mensagem particular. Por favor, me avise quando você receber.
Neal
Your reply was moderated because it had a link in it to avoid a commercial or self-serving link, I think. This is done automatically by their software. I already replied by PM. I think links that go to, for example, NIH sites are automatically passed along without moderation.
Harvey
Oi Harvey,
Eu ainda não recebi sua resposta. Eu te aviso quando receber.
Neal