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Suffering from bladder problem, small drops while urinating. Adviced Minipress, Solifenacin. Will it increase the problem ?

Hi I am AAAA. I have been suffering from bladder problem since last 10 years . I have been getting small drop of water during urination . I consulted doctor who diagnosed KUB,RGU,MCU,Uroflometery, Urodynamics, Cystoscopy . It has been found 26 % pvr . Doctor adviced me Minipress Xl 5mg , Solifenacin 5mg . I started to take this medicine since last 15 days i have to force more for urination . Can anybody suggest me it would get hard to urinate after taking above medicine . What is minimum time period to get effect of medicine .
Asked On : Mon, 29 Apr 2013
Answers:  1 Views:  44
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General & Family Physician 's  Response
Hello and welcome to HCM.

Thank you for your query.

It appears as though you have been diagnosed with benign prostate hyperplasia (BPH). This is normal in males above the age of 50 years, and is thus an age-related condition. I would recommend the investigation serum PSA, which is routinely conducted in all patients diagnosed with an enlarged prostate to rule out other more serious causes of prostatic enlargement.

Now coming to the medications, these medications are good and effective. But, please note that with a PVR (post voidal residue) of 26 %, the more feasible treatment option would be a minor procedure called TURP (transurethral resection of prostate).

But, it is always advised to initiate medical treatment before planning for surgery. Medical management can help, although not as effective as surgery, and leads to a slow and gradual change. You will have to give your medication some time to improve, as the main aim of these medications is to prevent progression of the condition, and to reduce the size of the prostate, only by a small and negotiable amount. This is time consuming, and you might not really notice an improvement in the stream or flow or urine.

It the problem persists, I would recommend you to discuss the option of TURP, which is a minor procedure with a recovery time of 3-7 days.

I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you.

Best wishes.
Answered: Tue, 30 Apr 2013
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