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Problem Urinating, Erections Not Proper, Lose Erection Soon, Sugar And BP Controlled. Can Some OTC Medicine Be Prescribed?

Posted on Wed, 27 Jun 2012

Question: I was having problem in urinating due to inconsistent and poor stream. Frequency was also more. I consulted a physician and after abdominal sonography it was confirmed to be an enlarged prostate on one side. He prescribed me Tamlocept 0.4 for three months one capsule before sleeping. Within a week I felt improvement not only in urination but also in my erections (now stronger) and long lasting. However, I observed that I was not ejaculating though the feeling of orgasm was there. I discussed with doctor and as per him this was a part of process. However, after 4 months when I stopped medication slowly the ejaculations became normal. I did not go for repeat sonography as I was almost cured. Now again I feel a little problem in urination, though not as bad as it was earlier. What should I do. Nowadays erections are also not proper and i loose it after some time. Sugar and BP are under control. can some med. be prescribed which is available over the counter.

Answered by Dr. Dr. Praveen Tayal (6 hours later)

Hello,
Thanks for posting your query.
Your symptoms are suggestive of benign prostatic hyperplasia which is an age related disorder.
For this kind of thing certainly a consultation with a urologist is indicated. In addition there are several different medications which have been approved for prostatic enlargement. These medications are widely available in both generic and name brand formation and include Proscar, Avodart and finasteride. But none of these formulations is available over the counter. I believe any of these would be a safe start to help shrink the prostate and allow for adequate bladder drainage.

Sometimes a urologist may recommend a TURP which is a procedure by which a catheter is inserted up the urethra and to the area of the prostate. At that point some of the prostate tissue is removed to allow for adequate passage of urine and decrease the recurrent symptoms.

I really think you would benefit greatly from a consultation with a skilled urologist who may offer you both medical or surgical possible interventions. The outcome might improve your quality of life significantly.

I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Please accept my answer in case you do not have further queries.
Wishing you good health.
Regards.
Dr. Praveen Tayal.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Dr. Praveen Tayal (15 hours later)

Thank you very much for the answer. I feel that I need to consult a specialist for the problem However, I am still not clear whether the other problem was related to prostate or there is something else for which I need to visit another specialist.

Answered by Dr. Dr. Praveen Tayal (8 minutes later)

Hello,

Thanks for writing again.

Both of your problems are related to the hyperplastic prostate. Mild erectile dysfunction can be attributed to the anxiety related to your problem also.

Consulting an urologist will help in improvement of both the symptoms.

Hope my answer is helpful.

Please accept my answer in case you do not have further queries.

Regards.

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. Shanthi.E