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    Suggest treatment for prostate hyperplasia

Posted on Thu, 20 Jul 2017 in Urinary and Bladder Problems
Question: slow stream or no pressure when I urinate.
Answered by Dr. Bhagyesh V. Patel 10 minutes later
Brief Answer:
Most common condition is benign prostate hyperplasia .

Detailed Answer:
Hello dear
Thanks for using Healthcaremagic.com
I have evaluated your query thoroughly .

* Most common possibility is prostate problem , with some uncommon conditions
as urethra narrowing or others .

Kindly provide me further details so that I can answer your query completely .

1. Duration of symptoms with progress
2. Urinary frequency at night
3. Any burning or pain
4. Associated other medical condition as high BP or diabetes

Awaiting for your response .
Regards .
Above answer was peer-reviewed by : Dr. Vaishalee Punj
Follow up: Dr. Bhagyesh V. Patel 47 minutes later
Further details (1) duration about 6-7 months (2) not a great frequency at night maybe once a night sometimes I sleep all night and wake up having to go but no pressure or solid flow seems to just have mild stream.(3) no burning no pain. (4) yes High BP no diabetes. Does this affect erections and ejaculation?
Answered by Dr. Bhagyesh V. Patel 1 hour later
Brief Answer:
Prostate enlargement doesn`t affect erections.Ultrasound recommended .

Detailed Answer:
Hello welcome
Thanks for the details .

* Prostate enlargement most likely .
* Evaluation with ultrasound examination of kidney , ureter , bladder , prostate
size with post void residual volume recommended .
* This does not affect erections and ejaculation .

* Erectile dysfunction is due to
- Vascular cause affecting blood flow
- Neurological that affects nerve signals
* Certain medicines for high BP also affect erections .

Provide following details
1. Which medicines for BP - name , dose , duration
2. When you void , is there complete evacuation of urine or you fill to pass
urine soon after sometime
3. You have to wait before the urine starts

Hope this helps you .
Welcome for further assistance .
Regards .
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Bhagyesh V. Patel 54 minutes later
(1) BP Meds olmsrtn-amldpn-hctz 40-5-25 mg and bisoprolol fumarate 10mg (2) complete evacuation, the only occasion of having to go again is during bowl movement I will urinate then bm and after standing and dressing I will have to urinate again. (3) Sometimes I wait, most of the time flow is so low or slow I can not tell I'm going.
Answered by Dr. Bhagyesh V. Patel 16 minutes later
Brief Answer:
HCTZ susceptible for erectile dysfunction most likely .

Detailed Answer:
Hello Jbeck
Thanks for full details herewith .

* Out of all the listed drugs , HCTZ ( diuretic hydrochlorthiazide ) is susceptible for erectile dysfunction. It is known to cause erectile dysfunction by
- Decrease in forceful blood flow to penis making it difficult to achieve erection
- Deplete body of zinc which is necessary to make sex hormone testosterone

* Should get ultrasound done at convenience because further line of management
depends upon that only .

Wishing you fine health ahead .
Regards dear .
Above answer was peer-reviewed by : Dr. Prasad
Answered by
Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 15788 Questions


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