Can You Safely Combine Urinary and Erectile Dysfunction Medications?
Livial vs. Clomid I have been diagnosed with benign prostatic hyperplasia (BPH) with an ultrasound assessment of 34. I started taking Alfuzosin 0.4 mg to improve my urinary symptoms, but I have also been taking Tadalafil 5 mg daily to maintain erectile function. Currently, I take...
Dr. Du Shixi Reply:
Hello: The two are unrelated and have different effects. Wishing you good health.[Read More] Can You Safely Combine Urinary and Erectile Dysfunction Medications?
Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Hello, Dr. Lee has some more questions? Response from Dr. Hsin-Yi Lee, Urologist: Given your age, it is unlikely that you are experiencing true benign prostatic hyperplasia (BPH), and medications like Alfuzosin are generally not necessary. Alfuzosin does not prevent the developme...
Dr. Li Xinyi Reply:
Generally speaking, if a transrectal ultrasound measures the prostate size to be greater than or equal to 30 cubic centimeters, a doctor may indicate that there is an issue with prostate enlargement. However, it is not that straightforward; this can be related to the patient'...[Read More] Understanding Prostate Health: Insights from Dr. Lee on Common Concerns
Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Hello, Dr. Lee? I visited a urologist due to issues with nocturia and frequent urination. Prior to that, my lifestyle was irregular, and because of the frequent urination, I wasn't drinking enough water. After undergoing a urinary tract and rectal ultrasound, blood tests, an...
Dr. Li Xinyi Reply:
Given your age, it is unlikely that you would consider having true benign prostatic hyperplasia (BPH), and medications like alfuzosin are generally not necessary, as they do not prevent prostate enlargement. If you are genuinely concerned about enlargement, it is advisable to vis...[Read More] Managing Enlarged Prostate: Insights on Medication and Lifestyle Changes
Understanding Reverse Ejaculation: Medication Effects and Prostate Health
Hello, Director Du? Recently, I asked the director a question, but now it seems to be caused by the side effects of the medication. Before taking Alfuzosin, my ejaculation during masturbation was normal. After starting the medication, I still have normal erections and can feel th...
Dr. Du Shixi Reply:
Hello: This type of medication often has such effects. If you are concerned, you can switch medications during your follow-up visit; some medications have fewer side effects. As for the duration of use, it should be evaluated by your physician. There is no need to specifically tr...[Read More] Understanding Reverse Ejaculation: Medication Effects and Prostate Health
Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
Hello, Director Du. I would like to ask what items are included in the blood and urine tests for urology? Due to nocturia affecting my sleep quality, I visited a urologist and mentioned that my sister, father, grandmother, and uncle all have a history of diabetes. The doctor advi...
Dr. Du Shixi Reply:
Hello, I would like to ask if routine blood and urine tests in urology also check for diabetes-related blood glucose levels. In urine, the presence of glucose can indicate this, but there are no specific numbers. Whether blood glucose is tested depends on the individual physician...[Read More] Understanding Urinary Tests: What Blood and Urine Tests Reveal About Diabetes and Prostate Health
Understanding Urination Issues: Flow Rate and Bladder Capacity Explained
Issues with urinary flow rate and bladder capacity? Since childhood, I have had a habit of holding my urine for long periods, urinating only twice a day, and my urination time is significantly longer than others. Recently, I heard that prolonged urination time may indicate benign...
Dr. Du Shixi Reply:
Hello: It is recommended to visit a medical center and consult a urologist for a detailed examination. Wishing you good health.[Read More] Understanding Urination Issues: Flow Rate and Bladder Capacity Explained
Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
BPH Rectal Ultrasound My father is a 73-year-old male with a medical history of hypertension and diabetes for over 15 years, as well as G6PD deficiency. He underwent thyroidectomy three years ago due to thyroid nodules. Current vital signs show BP: 128/76 mmHg. Laboratory results...
Dr. Cai Zhuorong Reply:
Is it appropriate to perform a "rectal ultrasound" under local anesthesia? Is the risk associated with this procedure high? There is a certain level of risk, primarily related to infection; however, not undergoing a biopsy also carries the risk of missing a timely diagn...[Read More] Evaluating BPH: Is Transrectal Ultrasound Safe for Prostate Cancer Screening?
Managing Side Effects of BPH Medications: Alternatives and Insights
Side effects of medications for benign prostatic hyperplasia (BPH)? Switching medications every six weeks. There are many side effects, so the doctor has to keep changing them. The doctor mentioned that if the side effects are too severe, surgery may be the only option, but my en...
Dr. Du Shixi Reply:
Hello: The side effects of medications vary from person to person. Currently, I am using these few medications, and if the side effects are too severe, I will have to discontinue their use. As for medications that can reduce prostate size, they require long-term use to be effecti...[Read More] Managing Side Effects of BPH Medications: Alternatives and Insights
Understanding Benign Prostatic Hyperplasia: Treatment Options and Insights
Benign Prostatic Hyperplasia (BPH) Hello, doctor. I have benign prostatic hyperplasia (BPH) with a prostate size of 33g, and I am experiencing slow urination. I underwent a cystoscopy, and upon entry, it was found that the prostate was excessively enlarged at the 6 o'clock p...
Dr. Xu Wencang Reply:
A flexible cystoscope should be able to access the bladder. It can be used to perform uroflowmetry and post-void residual tests. If medication does not provide significant improvement, urodynamic studies can be conducted to assess the potential benefit of surgery.[Read More] Understanding Benign Prostatic Hyperplasia: Treatment Options and Insights
Can Medications Cause Sudden Prostate Enlargement?
Can medications cause prostate enlargement? Dear Doctor, My father recently experienced persistent stomach pain and sought treatment in the emergency department. After medication, he was unable to urinate on his own. The first attempt at catheterization was successful, but the s...
Dr. Du Shixi Reply:
Hello: Some medications can affect urination, such as certain cold medications, which may impact urination in some individuals, although the incidence is relatively low and varies from person to person. In men over the age of 50, a significant proportion may have issues with beni...[Read More] Can Medications Cause Sudden Prostate Enlargement?
Understanding Elevated PSA Levels: Causes and Next Steps for Young Men
Elevated PSA levels in health check-ups? Hello Doctor, I am currently 32 years old. I have been undergoing health check-ups at my company for the past few years, and one of the tests is the PSA (Prostate-Specific Antigen) level. My PSA levels for the past three years have been 9,...
Dr. Du Shixi Reply:
Hello: The information provided here is for reference only and cannot replace a physician's examination, assessment, or testing. Given your young age, if the levels continue to rise, it is advisable to seek evaluation at a medical center. Of course, chronic inflammation coul...[Read More] Understanding Elevated PSA Levels: Causes and Next Steps for Young Men
Understanding Nocturia: Is It a Sign of Prostate Enlargement?
Frequent nocturia? Hello doctor, for the past four months, I have been experiencing nocturia almost every night. I usually wake up after about 3 to 4 hours of sleep to urinate (I notice morning erections when I wake up). After urinating, I can go back to sleep until morning. I do...
Dr. Li Minghui Reply:
Hello: Symptoms related to the prostate typically begin to appear after the age of 40. It is recommended to pay attention to lifestyle factors, ensure adequate sleep, engage in regular exercise, and maintain a daily water intake of over 2000cc, preferably from plain water. Limit ...[Read More] Understanding Nocturia: Is It a Sign of Prostate Enlargement?
Understanding Nocturia: Causes and When to See a Urologist
The issue of nocturia? Hello doctor, I have been experiencing nocturia almost every day for the past four months. I typically wake up after about 3 to 4 hours of sleep to urinate (I notice morning erections when I wake up). After urinating, I can go back to sleep until morning. I...
Dr. Du Shixi Reply:
Hello: Symptoms related to the prostate typically begin to appear after the age of 40. It is advisable to pay attention to lifestyle factors, ensure adequate sleep, engage in regular exercise, and maintain a daily water intake of over 2000cc, preferably from plain water. Limit co...[Read More] Understanding Nocturia: Causes and When to See a Urologist
Post-Surgery Urinary Issues in Benign Prostatic Hyperplasia: Causes and Solutions
Postoperative urinary obstruction after benign prostatic hyperplasia surgery and medication management? Dear Dr. Hsu, I hope this message finds you well. My father is 84 years old and underwent surgery for benign prostatic hyperplasia (BPH) about 5.5 months ago, during which the...
Dr. Xu Wencang Reply:
Further evaluation of the cause of urinary retention may require urodynamic studies. Cystoscopy should be performed to rule out the possibility of urethral stricture and bladder spasms. If bladder dysfunction is identified, consideration should be given to the patient's over...[Read More] Post-Surgery Urinary Issues in Benign Prostatic Hyperplasia: Causes and Solutions
Are Prostate Exam Costs Covered by Health Insurance in Taiwan?
Are the costs for prostate-related examinations covered by health insurance? Hello Dr. Tsai, I am fifty years old and have been experiencing frequent nocturia. After urination, I often feel a persistent urge to urinate. After researching, I suspect this may be related to benign p...
Dr. Cai Zhuorong Reply:
Examinations within a reasonable range are covered by health insurance. Some urology specialty clinics and most hospitals with urology departments are equipped with the necessary instruments and equipment.[Read More] Are Prostate Exam Costs Covered by Health Insurance in Taiwan?
Post-Prostatectomy Urinary Retention: Causes and Solutions
Post-prostatectomy, the patient is unable to urinate independently? Hello Doctor, My father has been experiencing urinary difficulties for a long time due to benign prostatic hyperplasia. He has been taking "Uroflow" for many years and has nighttime urination 3-5 time...
Dr. Cai Zhuorong Reply:
Hello Ms. Lin, thank you very much for your detailed description. There are many causes of urinary obstruction; one of them is bladder outlet obstruction due to benign prostatic hyperplasia (BPH). Another cause could be the decreased bladder contractility resulting from cold medi...[Read More] Post-Prostatectomy Urinary Retention: Causes and Solutions
Understanding Urination Issues: Dribbling, Urgency, and Prostate Health
Urinary issues Hello Doctor, I would like to ask if it is normal to notice a few drops of urine leaking after I think I have finished urinating. Additionally, I occasionally feel like my urine has stopped, but I still feel urine in the urethra, and I have to exert pressure from m...
Dr. Du Shixi Reply:
Hello: I would like to inquire if it is normal to notice a few drops of urine leaking after I think I have completely finished urinating? --》 This is common. Additionally, I occasionally feel that the urine has stopped, but I still feel some urine in the urethra, and I have to ex...[Read More] Understanding Urination Issues: Dribbling, Urgency, and Prostate Health
Understanding Prostate Enlargement in Young Men: Causes and Solutions
Young individuals can experience issues with prostate enlargement? Hello Doctor, I am about to turn 37 this year. For the past few years, I have been experiencing frequent urination, feeling the urge to go to the bathroom often, but it is not uncontrollable. I initially thought i...
Dr. Li Minghui Reply:
Hello: What could be the reasons for this issue at my age? --> Is it normal that the doctor has not prescribed any medication to suppress or improve this phenomenon since the cause is unknown? --> Since urination is normal, what can I do on my own to improve this condition ...[Read More] Understanding Prostate Enlargement in Young Men: Causes and Solutions
Understanding Prostate Enlargement at a Young Age: Causes and Solutions
Benign Prostatic Hyperplasia (BPH) Hello Doctor, I am about to turn 37 this year. For the past few years, I have been experiencing frequent urination, feeling the need to go to the bathroom often, but it is not uncontrollable. I initially thought it was just due to drinking more ...
Dr. Du Shixi Reply:
Hello: What exactly is the reason for this issue at my age? --> Is it normal for the doctor not to prescribe medication to suppress or improve this phenomenon since the cause is unknown? --> If urination is normal, what can I do on my own to improve this condition or delay ...[Read More] Understanding Prostate Enlargement at a Young Age: Causes and Solutions
Impact of Anticholinergic Medications on Prostate Health: A Doctor's Insight
Issues Affecting Prostate Medication Hello Doctor, I was diagnosed with benign prostatic hyperplasia (BPH) at the age of 40. My current condition is relatively stable, but I have mild irritable bowel syndrome, so my gastroenterologist often prescribes antispasmodics such as antic...
Dr. Du Shixi Reply:
Hello: 1) In clinical practice, the occurrence of patients experiencing sensations is quite rare, although the medication insert indicates this; the incidence is generally low. 2) If patients do not experience any sensations, they can continue using this type of medication long-t...[Read More] Impact of Anticholinergic Medications on Prostate Health: A Doctor's Insight