Post-Prostate Surgery Medication: Should You Continue Taking UroLift? - Urology

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Medications After Prostate Surgery


Hello, doctor.
Three years ago, I underwent prostate surgery.
After the surgery, my attending physician prescribed UroLift for benign prostatic hyperplasia, one tablet daily.
After three months, the dosage was changed to one tablet every two days.
The attending physician mentioned that this medication could be taken as maintenance or could be discontinued.
Last month, a urologist told me that after taking it for three years, I could stop.
I'm unsure whether it's better to continue taking it or not, as I feel that taking UroLift helps me urinate more smoothly.
Could you please clarify this issue for me? Thank you.

Wang Liang, 60~69 year old female. Ask Date: 2024/04/03

Dr. Du Shixi reply Urology


Hello: If it helps with urination, I personally recommend long-term use.
Wishing you good health.

Reply Date: 2024/04/03

More Info


After undergoing prostate surgery, many patients find themselves questioning the necessity of continuing medications like UroLift, especially when they experience varying degrees of urinary symptoms. UroLift, which is primarily used to treat benign prostatic hyperplasia (BPH), works by physically lifting and holding the enlarged prostate tissue away from the urethra, thereby alleviating urinary obstruction.
In your case, you mentioned that you have been taking UroLift for three years, initially at a daily dosage and later reduced to every other day. Your initial physician indicated that this medication could be used as a maintenance treatment, which is a common approach for managing chronic conditions like BPH. The fact that you feel your urinary flow is smoother while on UroLift suggests that the medication is providing symptomatic relief.

When considering whether to continue or discontinue UroLift, several factors should be taken into account:
1. Symptom Management: If you notice a significant improvement in your urinary symptoms while taking UroLift, it may be beneficial to continue its use. Discontinuing the medication could lead to a return of symptoms, which can affect your quality of life.

2. Medical Advice: It's crucial to follow the advice of your healthcare provider. If a urologist has suggested that you can stop taking the medication after three years, it may be based on your current health status, symptomatology, and any potential side effects you may be experiencing. However, if you are still experiencing symptoms that are manageable with UroLift, it may be worth discussing your concerns with your physician.

3. Monitoring: If you decide to stop taking UroLift, it is advisable to monitor your symptoms closely. If you experience a resurgence of urinary issues, you should consult your healthcare provider to reassess your treatment plan.

4. Long-term Effects: Long-term use of medications like UroLift is generally considered safe, but it is essential to have regular follow-ups with your urologist to evaluate the effectiveness of the treatment and to check for any potential complications or side effects.

5. Alternative Treatments: If you are considering stopping UroLift, discuss with your doctor about alternative treatments or lifestyle modifications that could help manage your symptoms. This could include dietary changes, pelvic floor exercises, or other medications.

In conclusion, the decision to continue or discontinue UroLift should be made collaboratively with your healthcare provider, taking into account your personal experience with the medication, your current symptoms, and any medical advice you have received. If you feel that UroLift is beneficial for your urinary health, it may be worth continuing its use while keeping an open line of communication with your doctor regarding your treatment plan. Regular follow-ups and monitoring are key to ensuring that your urinary health remains stable post-surgery.

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