My father was diagnosed with Advanced Prostate Cancer in Jan 2018, Gleason Score 5+5 with spread to local lymph nodes and bones. He was started on hormone therapy and 6 cycles of docetaxel which finished in July 2018. Since May this year my father's urinary symptoms have returned and his PSA has been steadily rising. My father also has liver cirrhosis and had a bad reaction to one of the hormone therapies (Bicalutamide) so his future treatment options are quite limited (we are debating whether to start on Enzalutamide).
At the moment he is really struggling with urinary retention and inability to pass urine during the day with lots of waking in the night to pass small amounts. We have discussed this with the oncologist as being our main concern, and the oncologist has repeatedly referred us back to the urologist to see what our medical/surgical options are. The urologist has got my father to do various flow tests but is seeming unwilling to act on any results (even though they showed urinary retention), and is insisting on further tests to do with his bladder? My father is already on Tamsulosin and Cyproterone Acetate to help with urine flow. In my mind given he seems very close to complete blockage, I would think he would be a candidate for either a TURP procedure or in need of a catheter. I feel that we may need a second opinion.
Just wondering if anyone else has been in a similar position and may be able to shed some light on our situation?