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Frequent Urination At Night. Taking Urimax. Developed Retrograde Ejaculation. Any Effective Medicine?

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Posted on Tue, 12 Mar 2013
Question: Hi ,I HAVE frequency of micturation in night (3 times) Residual urine is 67 ml Prostate size normal ,was never increased,12 gram only ,my age is- 51 years I was prescribed urimax 0.4 mg ,developed retrograde ejaculation in 3 days though the frequency improved . Is there some other drug i can take for reducing nocturnal frequrncy( 100 ml -150 ml each time 3-4 times which does not cause this bad side effect
doctor
Answered by Dr. Dr. P. T. Patil (7 hours later)
Hello ,

Thanks for your query.

Based on the facts and ultrasound scanning report that you have posted it appears that you have What is called as "Bladder Neck Obstruction (Stenosis)". During micturition because of obstruction your bladder neck does not open completely resulting into incomplete emptying of Bladder. Thus 67 cc of urine remains within the bladder after passing urine (Post Void Residue).

The drug Urimax that has been prescribed by your doctor is a group of drug that selectively relaxes the bladder neck muscles resulting into complete emptying of the bladder.

During ejaculation bladder neck is closed completely to prevent semen from going into the bladder resulting into forward entry of the semen in Urethra. However as after taking this drug, bladder neck remains relaxed and open; therefore semen enters into the bladder - Retrograde Ejaculation.

Retrograde ejaculation is common with Urimax, but since this is only group of drug available to relax the bladder neck you are bound to face this problem. You can try other medication of the same group having highly selective and similar action with minimal side effects like Naphtopedil starting with small dose. I hope Naphtopedil will help you. Please consult your family Physician for dosage and to get prescription of this drug.

Hope I have answered your query. Please feel free to ask if you have any more questions I shall be happy to help you.

With Regards,
Dr.Patil..
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Dr. P. T. Patil (7 hours later)
Dr XXXXXXX urologist,U recommended naphtopedil,can you send commercial names of this,

thnx
XXXXXXX
doctor
Answered by Dr. Dr. P. T. Patil (2 hours later)
Hello
Thanks for follow up.Naphtopedil is available in 25,50 and 75 mg strength as NAFODIL manufactured by Intas Pharmaceuticals..Hope this will help you.
Thanks and Regards.
Dr.Patil
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Mohammed Kappan
doctor
Answered by
Dr.
Dr. Dr. P. T. Patil

Urologist

Practicing since :1971

Answered : 10583 Questions

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Frequent Urination At Night. Taking Urimax. Developed Retrograde Ejaculation. Any Effective Medicine?

Hello ,

Thanks for your query.

Based on the facts and ultrasound scanning report that you have posted it appears that you have What is called as "Bladder Neck Obstruction (Stenosis)". During micturition because of obstruction your bladder neck does not open completely resulting into incomplete emptying of Bladder. Thus 67 cc of urine remains within the bladder after passing urine (Post Void Residue).

The drug Urimax that has been prescribed by your doctor is a group of drug that selectively relaxes the bladder neck muscles resulting into complete emptying of the bladder.

During ejaculation bladder neck is closed completely to prevent semen from going into the bladder resulting into forward entry of the semen in Urethra. However as after taking this drug, bladder neck remains relaxed and open; therefore semen enters into the bladder - Retrograde Ejaculation.

Retrograde ejaculation is common with Urimax, but since this is only group of drug available to relax the bladder neck you are bound to face this problem. You can try other medication of the same group having highly selective and similar action with minimal side effects like Naphtopedil starting with small dose. I hope Naphtopedil will help you. Please consult your family Physician for dosage and to get prescription of this drug.

Hope I have answered your query. Please feel free to ask if you have any more questions I shall be happy to help you.

With Regards,
Dr.Patil..