Hello Doctor,
I am a 50-year-old male experiencing frequent bathroom trips, dull pain behind my scrotum when sitting, slight discomfort while urinating, and a spotty urine stream. I am currently on three prescriptions for my prostate, but my symptoms persist. What should I do next?
Hello,
Thank you for reaching out to Dr.Galen. Please find the below response to your query
The primary medications for managing an enlarged prostate (BPH) include alpha blockers, which relax the prostate and bladder neck muscles to improve urine flow, and 5-alpha reductase inhibitors, which reduce prostate size by preventing hormonal changes that contribute to its growth. Combination therapy, involving both types of medication, is often more effective for significantly enlarged prostates.
Since you’re already on three prescriptions, likely a combination therapy, and your symptoms persist, the next steps could involve trying a different alpha blocker or 5-alpha reductase inhibitor, as individual responses vary. Adding an anticholinergic medication may help if urgency and frequency are issues. If medications remain ineffective, minimally invasive procedures such as laser therapy or transurethral resection of the prostate (TURP) could be considered.
It's important to work closely with your urologist to determine the best treatment approach. Additionally, lifestyle adjustments, like reducing caffeine and alcohol intake, can help alleviate symptoms. Let me know if you have further questions.
Thanks
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