Problems having a pee

[beau thai]

Thanks for advice,I will try the Palmetto first.

You'll be wasting your time. Saw Palmetto has been shown in clinical trials to be no more effective than a placebo. It'll do absolutely nothing for you.

From The Journal of the American Medical Association (JAMA):

http://jama.jamanetwork.com/article.aspx?articleid=1104439

And for a layman's version of the same study:

http://www.webmd.com/men/prostate-enlargement-bph/news/20110927/does-saw-palmetto-treat-enlarged_prostate

I dont know about research but I do know it works for me. If I stop taking it I am up 3 times a night- I start taking it, once a night.

[loppylugs1]

You do understand that prostate surgery will most likely leave you impotent.

Thinking about this too.

I take Thyroid,and Statins ,do not want to take any more,that is why I am looking for a permanent fix.

No point in being in Thailand excepting bashing the bishop on a frequency that at my advancing years surprises even me. I am here all on my lonesome,got great pensions,do not play golf or smoke so my only vice is ...vice.

Have to give it some thought though,but I like getting checked out medically wise in India,it is a great place for any procedures

[telldem]

Thanks for this OP. I am having similar problems and need to get it looked at. I've been putting it off because the thought of somebody putting a huge sausage finger up my ass is frightening.

[loppylugs1]

Here is some interesting reading about this problem.

But, IT IS NOT INTENDED TO PROVIDE MEDICAL ADVICE.

this information does not replace the advice of your physician or other health care provider. Before undertaking any course of treatment, the reader must seek the advice of their physician or other health care provider.

The article on the Dailymail >>> http://www.dailymail.co.uk/health/article-2470412/Alternative-treatment-shrinks-enlarged-prostate-using-second-blast-steam.html

You probably are outside of Thailand or using a VPN. Daily Mail is blocked at the moment in Thailand, I read it on Kindle

[oneday]

Saw Palmetto.

I second that.

If I were you I would try San Palmetto first. Many of us older guys have this problem. I saw my doctor in the US and he surprisingly suggested I buy this herb, but I didn't believe him. I met an expat here who takes it and said it really works so I ordered some from the US and tried it and to this day I take one pill a day and it has made a big difference. It did not clear it up completely for me, but as far as I'm concerned there is NOW no need for surgery. During the night or first thing the morning it is still difficult, but during the day there is no problem at all.

I take one 320mg pill each morning. They are not that expensive. I buy "Doctor's Best" off Amazon, 60 gel caplets for a 2-month supply for $7.92 and worth every single penny. Buy 5 bottles and get free shipping. I have a friend bring it over. I'm sure you could have a friend mail it to you, but I'd use normal post such as Priority mail with the USPS as much trouble as I have heard people have with customs and deliveries from companies like DHL or UPS or FEDEX.

[bra]

Not fully responding to the OP, but this may be of interest to others who have problems with urination. I was going several times in the night and day, sometimes very urgently and passing some blood after exercise. A scan revealed stones in my bladder - prostrate slightly enlarged. An operation by a Urological Surgeon (day surgery only), stones removed by laser treatment plus some work on my prostrate while they were in there. No cancer. All Ok since. Operation done in Australia - no cutting and no pain.

[taiping]

I was diagnosed with BPH and prostate cancer 7-years ago. I tried various things for the nocturia (having to go for a pee at night) including Saw Palmetto. The active ingredient in Saw Palmetto is Beta Sitosterol - suggest you try 500 mg Beta Sitosterol, but it did not seem to do anything for me. Proscar works by reducing the size of the prostate but (for me) has negative effects on sexual function so I stopped using it. I have recently tried 5 mg Cialis (recently received FDA approval for BPH) but I cannot say there's much if any improvement. Nocturia has remained at 2~3 times a night for a long time - not a huge problem.

Please provide more details of the Indian surgery - although I will avoid surgery unless absolutely necessary.

There is also the Gat Goren surgical treatment for BPH in Israel, but I believe it costs in the region of USD 15K, and a new procedure called "Prostate Artery Embolization" (blocking the veins supplying blood to the prostate).

[oneday]

Thanks for advice,I will try the Palmetto first.

You'll be wasting your time. Saw Palmetto has been shown in clinical trials to be no more effective than a placebo. It'll do absolutely nothing for you.

From The Journal of the American Medical Association (JAMA):

http://jama.jamanetwork.com/article.aspx?articleid=1104439

And for a layman's version of the same study:

http://www.webmd.com/men/prostate-enlargement-bph/news/20110927/does-saw-palmetto-treat-enlarged_prostate

Well I am here to tell you that for me Saw Palmetto DID WORK without question. I could never pee normal during the day anymore, after taking Saw Palmetto I can without a doubt verify that it DID WORK for me. It was not a little improvement during the day which may have been subjective...no, it was a huge improvement.

It may not work for everyone, but it did for me. I have been on it for 5 years now and my only discomfort is in the middle of the night or first pee in the morning. The rest of the day is virtually normal.

[BAMBOO13]

tamsulosin is a medical drug that helps

if you just go to any pharmacy and tell them what is wrong, they will give you the right drug

[oneday]

Saw Palmetto.

Any reputable urologist will tell you this is rubbish.

So are you a reputable urologist, because I don't know one I can ask right now? However, I can tell you I have taken Saw Palmetto and with 100% certainty it worked for me. So I guess I have no need to speak with a urologist as it turns out.

[umbanda]

<script type='text/javascript'>window.mod_pagespeed_start = Number(new Date());</script>

Surgery??? Only if is ABSOLUTELY necessary. Look for CAZOSIN in any pharmacy, similar to FLOMAX..and buy KWAO KRUA (Buterba Superba or Red Pueraria Mirifica capsules in an herbal store. In BK and Chiang Mai look for the Asoke store...or buy online with a local Thai distributor...or send me a message for info. Take care.

Is Cazosin any cheaper than Harnal 0.4mg? I paid 1500 baht for 30 tablets of Harnal. I can't find any medical evidence that supports Kwao Krua in reducing or relaxing prostate.

Cazozin and many others Thai medications similar to Flomax are very inexpensive and works. Prostate problems occurs in men over 50 because hormonal unbalance. Butea Superba or Red Pueraria Mirifica restore and rejuvenates sexual organs in men, and it is totally natural. Contraindications?...Yes.....Sexual performance and libido increases. Nothing to lose in trying..and perhaps a lot to gain....I am 70....and I lost..... a lot of sleep and a lot of pleasure....before taking it, and before moving to Thailand.

[pattaya1234was]

There are several different types of medication which can be used for this, should have the advice of an experienced urologist.

Surgery for benign enlargement of prostate should not be considered unless management with medication alone failed.

I would urge you to see a urologist and try medical management first before going to India for surgery. Dr. Viroj at Bumrungrad and Dr. Thanoo at Samitivej are both recommended.

Agree about Dr Viroj-highly rated.. My problem was an enlarged prostate , very enlarged, and Dr Viroj cut out a large amount. And I am not impotent at 75 years of age.

[Suradit69]

There are several different types of medication which can be used for this, should have the advice of an experienced urologist.

Surgery for benign enlargement of prostate should not be considered unless management with medication alone failed.

I would urge you to see a urologist and try medical management first before going to India for surgery. Dr. Viroj at Bumrungrad and Dr. Thanoo at Samitivej are both recommended.

Yes, even if you buy into the idea that saw palmetto would be of some help, you have to take a load for a long time before the alleged improvement is forthcoming.It may or may not provide some help, but I never found it to be of any benefit. In some cases improvement may occur without doing anything and that improvement is mistakenly attributed to the drug or herb being taken.

Why not see a urologist here? There are plenty of excellent doctors in Thailand and they'll be easily available for follow up if you are resident normally resident in Thailand. If you already had it checked out and cancer was not an issue, why not get further advice from the same doctor? Some people on Thai Visa might provide useful information, but taking medical advice from strangers on an Internet forum is not a good approach to solving medical problems.

Edited May 29, 2014 by Suradit69

[oneday]

You do understand that prostate surgery will most likely leave you impotent.

Thinking about this too.

I take Thyroid,and Statins ,do not want to take any more,that is why I am looking for a permanent fix.

No point in being in Thailand excepting bashing the bishop on a frequency that at my advancing years surprises even me. I am here all on my lonesome,got great pensions,do not play golf or smoke so my only vice is ...vice.

Have to give it some thought though,but I like getting checked out medically wise in India,it is a great place for any procedures

I take "Lisinopril" for high blood pressure, a statin (cholesterol) and an enteric aspirin and the Saw Palmetto all once in the morning. They all work together just fine doing their own separate jobs. Naturally you would need to see a doctor for any combination you were taking or would consider taking.

[AYJAYDEE]

Don't listen to such certainty. It's impossible to be correct like that.

Everyone is different, drugs have side effects for some, not for others. Herbs work for some, not for others. But herbs very rarely have side effects like pharmaceutical drugs do.

If you've been to india, and may well go to india, have you not come across ayurveda? I feel certain if you see a good ayurvedic doctor over there he will fix you up without drugs and without side effects.

My personal understanding is that you can fix prostate problems through a nutritional and/or herb approach.

The AMA have some serious black marks against their name when one starts investigating their practices.

Actually, through scientific research it is quite possible to be certain of the efficacy of drugs as long as they have been subject to rigorous trials.

Herbs most definitely can and do have side effects just like anything else. Indeed, many are poisonous. Others are used in modern, mainstream medicine, though not in raw plant form because it is impossible to standardize dosages with that. The digitalis family drugs, for example -- highly potent and very dangerous if used incorrectly, but very helpful for certain heart conditions.

An herb is simply a plant that dies completely at the end of the growing cycle with nothing left behind.

It is a great mistake to assume that "herbal" means "harmless". it does not. Taken internally they are drugs like any other. And they can also have significant and potentially dangerous interactions with other drugs.

Sheryl, you're not actually addressing what i said. There is nothing in my post to suggest i've said anything you're putting in your post here. Could you specifically refute anything i said in that post of mine you replied to?

But herbs very rarely have side effects like pharmaceutical drugs do.

[Jing Joe]

DONT whatever you do have an operation unless absolutely last resort !!

Most Doctors think "if it swells, cut it out"

Nonsense. Getting to the cause or natural is nearly always better.

Even then they will surely cut the erection nerve.

TURMERIC + BLACK PEPPER and the other "naturals" others suggest.

Black pepper multiplies the already extremely anti inflammatory effect of Turmeric.

Look it up. Indian lady Dr in USA research.

Look up Turmeric + Chemotherapy. It enhances colon (and other) chemo greatly.

Teaspoon of Turmeric + good shake of Black pepper + some Vitamin C in half a glass of water.

If Chronic take twice a day for a start.

How do I know? Been OK for 20 years now and my specialist Dr says keep doing whatever you are.

Side effects, you bet. Other inflammations might go also.

Edited May 29, 2014 by Jing Joe

[ice4351]

You need FlowMax from America--until you can get the surgery. Not sure if you can get it in Thailand, but you can order it online!

[SOTIRIOS]

Vitamin D3

[oneday]

Yes, even if you buy into the idea that saw palmetto would be of some help, you have to take a load for a long time before the alleged improvement is forthcoming.It may or may not provide some help, but I never found it to be of any benefit.

It just did not work for you and that is too bad, but you should not make it sound as if your experience is what everyone else will experience. That is simply irresponsible. What you say may have been correct for you, but not for me. I do take it and it did not take long at all to see improvement and I take the same normal dose everyday now as I did on day one.

Once again that was for me. I guess I was lucky.

[femi fan]

Don't listen to such certainty. It's impossible to be correct like that.

Everyone is different, drugs have side effects for some, not for others. Herbs work for some, not for others. But herbs very rarely have side effects like pharmaceutical drugs do.

If you've been to india, and may well go to india, have you not come across ayurveda? I feel certain if you see a good ayurvedic doctor over there he will fix you up without drugs and without side effects.

My personal understanding is that you can fix prostate problems through a nutritional and/or herb approach.

The AMA have some serious black marks against their name when one starts investigating their practices.

Actually, through scientific research it is quite possible to be certain of the efficacy of drugs as long as they have been subject to rigorous trials.

Herbs most definitely can and do have side effects just like anything else. Indeed, many are poisonous. Others are used in modern, mainstream medicine, though not in raw plant form because it is impossible to standardize dosages with that. The digitalis family drugs, for example -- highly potent and very dangerous if used incorrectly, but very helpful for certain heart conditions.

An herb is simply a plant that dies completely at the end of the growing cycle with nothing left behind.

It is a great mistake to assume that "herbal" means "harmless". it does not. Taken internally they are drugs like any other. And they can also have significant and potentially dangerous interactions with other drugs.

Sheryl, you're not actually addressing what i said. There is nothing in my post to suggest i've said anything you're putting in your post here. Could you specifically refute anything i said in that post of mine you replied to?

But herbs very rarely have side effects like pharmaceutical drugs do.

Since you're answering on sheryl's behalf, why don't you give a proper answer. I stand by my comment that you have just reproduced. Care to tell me how i'm wrong in my statement?

[RichBKK]

My dad had surgery but he had cancer (as do I in the bowel and liver, his father did in the liver, 3 generations in 5 years) and had some major issues due to a ruptured vein, 3 operations in the space of a week. It's quite fiddly doing anything connected with the prostate apparently, is one of the reasons why medical practitioners often just let it be even with cancer as it is generally very slow growing and the benefit may not match the risk

So, yep, would check out several options first, like dietary changes etc

[loppylugs1]

Some great advice here,thanks.

Bought the Saw Palmetto,straight from the "off" I will give it a shot,but sometimes I wonder if it is mind over matter. Times I have just opened the door coming in from outside and the urge to pee overcomes,just at that point ,just when so close to the pan too,why not half hour before?

I do not need any encouragement for an erection,like the Rock of Gibralter as I wake and stays all day too,until relief at 700 baht a go,defying nature,could shag a barbers floor any time of the day or night the way I feel,must be the heat, or the size of the prostate, anyway thats me.

Will be investigating that uroflow method though

[mogo51]

I started taking a moderate dose of Saw Palmetto daily about two years ago. It works like a charm! I only have to get up to pee in the middle of the night when I have been up late drinking beer.

I read your post with interest, have the same problem, up three or four times a night, but have been like this long before I got old, but worse now, get from Pharmacy, cost please, many thanks.

[femi fan]

It's particuarly relevant to this discussion since the OP said he was planning on going to india to get surgery...

and even more so since many posters are now coming here with their herbal experiences which is great...

check out ayurverda everyone. The reeason herbs or foods or pills work for some and not other is that there are three main kinds of constitution in ayurveda (the approach to health and illness in india for the last few thousand years, in contrast to the very young allopathic approach that is the modern one emanating from the US and spreading like a virus all over the world!):

vata

pitta

kapha

Each of us normally is dominant in one of them, which is our constitution, and we all have a certain amount of all of them. Prostate problems are associated with vata constitutions, and furthermore vata represents the old age section of life. Therefore those with a vata constitution who have reached mid-old age are most likely to get prostate problems.

The solution is finding the right diet and herbs to counter the problem which came about in the first place due to diet and lifestyle.

The symptom fix (western approach) is to cut it out or take lots of pills, which nearly all will have side effects especially through accumulation.

So the ironical thing is the OP may go to india to have surgery, the western approach to prostate enlargement, when in fact India is the home of ayurveda which would help the OP reduce/eliminate the swelling through herbal and nutritional means. Further irony is tha saw palmetto is an american herb (i believe) and clearly helps many with prostate problems.

Since our bodies have a prostate gland in the first place, clearly it has a use and a function. Change your diet, get help from herbs, and change your lifestyle in ways that support healing. Healing will then occur.

Or, take the quick fix and get a pill to sort out the symptoms. Then gain other symptoms from taking these pharmaceutical pills. Not definitely, but very likely.

[Surasak]

Might I suggest PROSCAR (finasteride MSD) 5 mg once per day. Available from a good pharmacy. I would recommended seeing a urologist before doing so as there may be other complications.

[atyclb]

tamsulosin is a medical drug that helps

if you just go to any pharmacy and tell them what is wrong, they will give you the right drug

False.

Many pharmacies are staffed by cashiers and not pharmacists. Akin to getting medical help from the 7/11 cashier

Secondly you need to get a pharmacy with a competent pharmacist.

I have had fascinating encounters with incompetent and/or greedy lazy pharmacists.

[atyclb]

All joking aside,

ejaculation relieves prostatic congestion.

Regarding hospitals on india; although i have never been there it appears some are excellent and others less so, just like in thailand. theres absolutely no lack of very smart indian doctors that do well outside of india in usa, uk, etc etc.

overall higher english language skills are likely a big plus there.

[giddyup]

<script type='text/javascript'>window.mod_pagespeed_start = Number(new Date());</script>

tamsulosin is a medical drug that helps

if you just go to any pharmacy and tell them what is wrong, they will give you the right drug

False.

Many pharmacies are staffed by cashiers and not pharmacists. Akin to getting medical help from the 7/11 cashier

Secondly you need to get a pharmacy with a competent pharmacist.

I have had fascinating encounters with incompetent and/or greedy lazy pharmacists.

I agree. When I asked my local pharmacist about prostate medication she immediately suggested that I see a urologist, she certainly wasn't going to recommend anything herself.

[giddyup]

<script type='text/javascript'>window.mod_pagespeed_start = Number(new Date());</script>

All joking aside,

ejaculation relieves prostatic congestion.

Regarding hospitals on india; although i have never been there it appears some are excellent and others less so, just like in thailand. theres absolutely no lack of very smart indian doctors that do well outside of india in usa, uk, etc etc.

overall higher english language skills are likely a big plus there.

I know that doctors say that regular sex/orgasms lessens the chance of prostate enlargement or cancer, but I can honestly say that I haven't missed many days in achieving an orgasm since I reached puberty, and yet I still have an enlarged prostate.

[Rockhopper]

Harnal 0.4mg (tamsulosin) has worked for me. Been taking it for a year now.