1 hour ago, JimHuaHin said:

My recommendation - follow Sheryl's advice, closely.

 

I have had prostrate issues for about 6-7 years.  I have been seeing two very good urologists at my local government hospital, both of who provided similar advice as Sheryl.

 Hi Jim..

What medicines are you taking?

and do you have any side effects?

Mine are not too good and am looking for some way to stop taking my dutasteride and 400 micrograms Tamsulosin daily..[ all from Uk]

9 minutes ago, Moonlover said:

This is a very important issue @p414. I reached your stage after being on meds for a few years. I live in the sticks and all the local urologist could offer was surgical removal. No way Jose! I was aware of the risk of kidney damage as described above by @BuddyPish and decided to chance my arm at self catherization in order to relieve the pressure on the bladder and kidneys. 

 

That was over a year ago and it's been so successful that I 've continued using this method. I'm no longer 'toilet hunting' whenever we go out anywhere as I can last for up to 4 hours between pees and importantly I only need to visit the loo once during the night so my sleep has greatly improved. Like you I practice intermittent fasting, nothing after 6pm which also helps and I've also come off the meds which were, by now ineffective and giving me nasty side affects, notably weight gain and edema.

 

There's a very interesting website right here if you'd like more details and you can PM me if you'd like to discuss further. You should of course also chat with Sheryl about it.

Thanks Moonlover..

I should have said that a couple of times a week I urinate only about an eggcup full..Flow is ok.

2 hours ago, JoseThailand said:

@Sheryl What are the options if one has Thai social security?

Whatever is offered at your nominated hospital. In most cases that will be only TURP. 

2 hours ago, JoseThailand said:

 

I just wanna know what types of treatment are covered by Thai social insurance

There is no restriction for treatment (except probably not gover implsnts such ss used in Utolift) but you are restricted to your registered hodpital snd highly unlikrly this offers othrr thsn conventional TURP. 

 

16 hours ago, p414 said:

I am most interested in the 'Urolift' treatment.. This sounds much better to me than surgery.

Urolift does not last very long.  So unless your life expectancy is only a few years, this is unlikely to be a long-term solution

10 minutes ago, No Forwarding Address said:

A US based (youngish) Urologist has prescribed me 2.5mg Cialis twice a day.

This is interesting! I am currently on  Duodart which I dislike. I am going to ask my urologist about replacing Duodart with Cialis. The cost of Duodart may be comparable to Cialis. Unfortunately, to the best of my knowledge, generic tadalafil pills are not available in Thailand.

I am on prostasin 2, 1 at night and ucholine 10, 1 in the morning, has worked great for 6 months but now starting to have to go pee more often especially at night so seriusly have to look at what comes next, do I need to up my dosage or change it or do I need to have the op.

23 minutes ago, CapraIbex said:

Unfortunately, to the best of my knowledge, generic tadalafil pills are not available in Thailand.

Pretty sure they are available especially in Pattaya

3 minutes ago, scubascuba3 said:

Pretty sure they are available especially in Pattaya

Maybe somewhere in Pattaya but definitely not at Fascino Pharmacy in Bang Lamung.

10 minutes ago, CapraIbex said:

Maybe somewhere in Pattaya but definitely not at Fascino Pharmacy in Bang Lamung.

have you tried different pharmacies? I'd try fascino first then one by Tony's 2nd road

Be  carefull,of Adovarte DUSTERIDE side effects. It stopped my husband sleeping for 2 years, he became so weak and hardly closed his eyes. I researched Adovart Dusteride and found many Forums of people experiencing the exact same problems. The first day he got off this drug he slept 14 hours straight. It took  6 months to clear this drug out of his system. His PSA is now 2 and he takes 1 Havasu Saw Palmetto a day. 

1 hour ago, LOUIS65 said:

Saw Palmetto

Yes, I heard good things about Saw Palmetto.

4 hours ago, p414 said:

Thanks lacessit..

Where is 'gemini?..I want something that means I do not have to keep taking the medicine I am now taking daily.

Gemini is an artificial intelligence program which can be asked medical questions. Access it by typing Gemini into the Google search bar.

 

Once in, you can type in a question such as "What are the risks of Urolift surgery" and it will answer, usually less than 10 seconds to respond.

 

It won't get involved in political questions, which is probably not such a bad thing.

4 hours ago, K2938 said:

Urolift does not last very long.  So unless your life expectancy is only a few years, this is unlikely to be a long-term solution

Thanks for your post.I am considering all recommendations

3 hours ago, LOUIS65 said:

Be  carefull,of Adovarte DUSTERIDE side effects. It stopped my husband sleeping for 2 years, he became so weak and hardly closed his eyes. I researched Adovart Dusteride and found many Forums of people experiencing the exact same problems. The first day he got off this drug he slept 14 hours straight. It took  6 months to clear this drug out of his system. His PSA is now 2 and he takes 1 Havasu Saw Palmetto a day. 

 

Thanks for that.

I have problems with my medicines...I have gone years without even taking an aspirin until I got BPH.

What places stock this herbal treatment?

56 minutes ago, p414 said:

What places stock this herbal treatment?

Saw Palmetto? Sold as 'Sametto' in Thailand. Available at every pharmacy.

4 minutes ago, mfd101 said:

Saw Palmetto? Sold as 'Sametto' in Thailand. Available at every pharmacy.

And from iHerb. No duty.

Large number of off topic and/or trolling posts removed.

 

Please stay on topic and respect Community Standards and Health Forum rules. 

 

This is a serious -- and specific --  health issue. 

10 hours ago, K2938 said:

Urolift does not last very long.  So unless your life expectancy is only a few years, this is unlikely to be a long-term solution

It is intended to be a permanent solution. Follow up data at this point is for only 5 years as the device is new. 5 year results are favorable.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205643/

 

Should note that this, like Rezum, is suitable only for relatively small prostate size.  

 

Laser treatments can be used with larger prostates

Hey Sheryl, you get a new keyboard? (just kidding) 

8 hours ago, No Forwarding Address said:

A US based (youngish) Urologist has prescribed me 2.5mg Cialis twice a day.  Yes, I was skeptacle as well, as Cialis is designed for ED but after taking the big three tamosolin, artrovat, finesteride, for a few years..........went to him and he prescribed 2.5 Cialis twice a day,,,,,,,,,,,after 3 or 4 months now, I no longer get up in middle of the night, last exam prostrate has shrunk, and bladder is emptying normally.  He killed two birds with one stone...........Now he is considering a Water Vapor Therapy called Rezum, I believe it was developed in Germany.

If you have no problems and your prostate has shrunk why let your urologist consider rezum?

 

Don't laugh but a handful of Sunflower or pumpkin seeds every day works wonders ! (and no, I am not a veggie or Vegan)

1 minute ago, stuandjulie said:

Don't laugh but a handful of Sunflower or pumpkin seeds every day works wonders ! (and no, I am not a veggie or Vegan)

I am two years in to the Tamsulosin and Finasteride  regimen which generally seems to work as intended. But have also recently noted some related advocacy for pumpkin seeds and tomato extract. Am now interested in an attempt to clarify issues about potential contraindications.

 

Thanks to everyone who has responded to my post.I have decided to try sametto from i.herb..[just sent my order.]

I hope it is better for me than the 2+ years of side effects I have been getting from taking Dutasteride [brought from UK.]

I have decided against surgery .

As an aside, anyone taking regular medicine ...Check out 'Medisafe'...they are on ,'Line'..

They deliver and offer. C.O.D....

which I use.

2 hours ago, Sheryl said:

Large number of off topic and/or trolling posts removed.

 

Please stay on topic and respect Community Standards and Health Forum rules. 

 

This is a serious -- and specific --  health issue. 

Thanks for all of your help ,Sheryl.

I have decided to try Sametto ..I will not have any surgery done as it appears to be a 'last resort'..

8 hours ago, LOUIS65 said:

Be  carefull,of Adovarte DUSTERIDE side effects. It stopped my husband sleeping for 2 years, he became so weak and hardly closed his eyes. I researched Adovart Dusteride and found many Forums of people experiencing the exact same problems. The first day he got off this drug he slept 14 hours straight. It took  6 months to clear this drug out of his system. His PSA is now 2 and he takes 1 Havasu Saw Palmetto a day. 

I too have side effects from Dutasteride ..I have ordered some saw Palmetto.and hope for similar effects as your husband.

10 hours ago, Moonlover said:

This is a very important issue @p414. I reached your stage after being on meds for a few years. I live in the sticks and all the local urologist could offer was surgical removal. No way Jose! I was aware of the risk of kidney damage as described above by @BuddyPish and decided to chance my arm at self catherization in order to relieve the pressure on the bladder and kidneys. 

 

That was over a year ago and it's been so successful that I 've continued using this method. I'm no longer 'toilet hunting' whenever we go out anywhere as I can last for up to 4 hours between pees and importantly I only need to visit the loo once during the night so my sleep has greatly improved. Like you I practice intermittent fasting, nothing after 6pm which also helps and I've also come off the meds which were, by now ineffective and giving me nasty side affects, notably weight gain and edema.

 

There's a very interesting website right here if you'd like more details and you can PM me if you'd like to discuss further. You should of course also chat with Sheryl about it.

Many thanks for your input...Moonlover.

4 hours ago, Sheryl said:

It is intended to be a permanent solution. Follow up data at this point is for only 5 years as the device is new. 5 year results are favorable.

 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8205643/

Thank you for this, Sheryl.  I was advised that the key 5 year underlying evidence is from a manufacturer affiliated study putting a question mark over its reliability.  Moroeover, even this is just a single study and only 5 years.  So I was advised that if one views this over a longer period, like 10+ years, one will most likely need a conventional operation on top of this as the prostate just continutes to grow over the Urolift implants with a later operation at older age being much more dangerous.  The "EAU Guidelines on Non-Neurogenic Male Lower Urinary Tract Symptoms (LUTS)" in their current, i.e. 2024, edition concluded as follows in view of the totality of the evidence currently available:

Are there any known long term negative effects of 2.5mg Cialis daily?

saw palmetto is the source of phytoestrogens. why order something from iHerb if it grows in Thailand?

but seriously - does this phytoestrogen works?

I thought it was for treating PMS and enlarging b00bs