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Mild BPH symptoms, unclear treatment path — anyone in a similar situation?
Hi everyone, I’m a 56-year-old male dealing with some mild but persistent lower urinary tract symptoms, and I’d appreciate hearing from others who’ve been through something similar. For the past year or so, I’ve been experiencing: Increased daytime urinary frequency (sometimes every 1–2 hours), Early morning urgency (often waking between 4-5 am), Weak urine flow, especially in the morning, Usually 1 wake-up per night, though occasionally I sleep through. I recently saw a urologist and had some basic tests done: Prostate volume on abdominal ultrasound: 26 ml (doctor says "mildly enlarged"), PSA: 1.01 ng/mL (previously around 0.4), Urine flow test: not dramatic, but mildly impaired, no flat curve, still shows a peak. The doctor did a rectal exam and said my prostate felt “rather enlarged,” though he didn’t repeat that at follow-up. He suggested that a transrectal ultrasound would be more accurate, but also said it wouldn’t change management much unless I pursue intervention. I did a 7-day trial of tamsulosin, and while there might have been some very minor improvement (e.g., one full night of sleep), it wasn’t dramatic. I also experienced retrograde ejaculation, which really affected my sexual experience. My doctor advised discontinuing tamsulosin, saying it likely wouldn’t give more benefit long-term. I asked about Duodart, but he advised against it due to high risk of sexual side effects (I already have ED and take tadalafil 5 mg every other day). We also briefly discussed options like Urolift, but he said it's usually for more severe symptoms (e.g., people waking up 3–4 times a night, or with serious retention). He didn’t recommend further tests like cystoscopy unless I plan to consider a procedure. So in the end, his advice was basically: try to live with it for now, and come back if symptoms get worse. I’m not sure if I’m doing the right thing by waiting. The symptoms are not disabling, but they are consistently frustrating and affecting my sleep and focus. I’m also uncertain how to assess “how bad is bad enough” when it comes to acting on this. Has anyone else been in a similar “grey zone”? Did your symptoms improve over time, stay stable, or eventually require treatment? Has anyone regretted or benefited from doing UroLift or similar procedures relatively early? Did anyone find alternatives to tamsulosin that helped without sexual side effects? Any shared experiences would be truly appreciated. Thanks in advance. -
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Report Defence Minister Keeps Alarm Bells Ringing: Coup Not Off the Table
You did not make the claim, nobody asked you about it -
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School Uniforms
How would he? You are supposed to provide him with clothes. -
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Report Thailand to Require Medical Certificates for Cannabis Use Within 40 Days
Are you meaning Retirement Extension needs a phot? If so, move! -
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School Uniforms
I did not do anything. My wife, with the help of my office manager got all manner of free stuff. -
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