Enlarged prostate problems.

User

Posted 22 Oct 2025 at 15:09

Hi everybody (first post).

I'm 74 and like most of my contemporaries, have an enlarged prostate.

I'm slightly worried, since I assume as I get older it's only going to continue growing.

Initially I was prescribed Tamsulosin, but I found it was making me feel a bit "queasy" and was affecting my libido, although at 74 I'm not sure you're still supposed to have a libido!

As an alternative I've been taking Tolderine (prescribed) and also Saw Palmetto and a quarter cup of pumpkin seeds every morning. Not sure they've made any great difference though.

The biggest problem at the moment, though, is having to use the toilet 2/3 times during the nighr, which is something I intend discussing with my doctor. I've previously had the "finger up the bum" procedure to dispel cancer fears.

I'm wondering what I should do in the future. Maybe give the Tamsulosin another chance, or enquire about the possibility of undergoing the Urolift procedure, which from the reading I've done appears to be the most potentially simple and straightforward procedure I could have done.

Any comments and advice will be appreciated.

User

Posted 22 Oct 2025 at 18:05

Can I ask have you had a PSA blood test? While it's not definitive, it is something that can help to create a better picture and I am not sure how effective the finger examination really is. A quick chat with Gemini AI states that it is not effective as only a small portion of the prostate can be felt, so you might want to consider asking for the PSA blood test.

I was okay on Tamsulosin before I was diagnosed with Prostate Cancer. It might be worth trying again before you consider an operation.

User

Posted 23 Oct 2025 at 11:01

Hi, Peter.

Welcome to the forum, mate.

I have no medical training.

I'm five years younger than you.

I was on Tamsulosin for ten years and fortunately suffered no side effects.

As you say, the prostate gland usually enlarges as men get older. Benign Prostatic Hyperplasia can cause nocturia. Nocturia in both sexes increases as you get older.

When I had a prostate, I was getting up two or three times a night to pee. Since it's removal, I'm still getting up a least couple of times a night to have a pee.

I think you may just be suffering from nocturia which may be exacerbated by your non cancerous prostate condition.

For men of our age this is a common ailment.

Here's an a good video on steps that can be taken to reduce the problem.

I hope it helps.

https://youtu.be/rlCAbaY2LqA?si=zcP044CtsuhrF_KC

By all means, to be on the safe side, you could see your GP, and may be have another DRE and a PSA check. However, be aware that an enlarged prostate can on it's own, cause any elevated PSA result

Good luck and please keep us updated.👍

Edited by member 23 Oct 2025 at 11:24 | Reason: Add link

User

Posted 23 Oct 2025 at 13:02

Hi Adrian and thank you for the welcome.

I've taken on board what you've said, and will have a look at the video.

I've an appointment at the doctors on the 3rd November, and will report back.

Show Most Thanked Posts

User

Posted 22 Oct 2025 at 18:05

I was okay on Tamsulosin before I was diagnosed with Prostate Cancer. It might be worth trying again before you consider an operation.

User

Posted 23 Oct 2025 at 08:22

Hi Paul. I normally have a blood test once a year, not sure if it was PSA, but have got an appointment soon with my doctor and will query this.

I will consider recommencing Tamsulosin again. Perhaps in conjunction with Tolderodine?

Even though, hopefully, prostate cancer is not a current issue, I'm assuming my prostate will continue growing as I get older, and this turns my thoughts to what surgery or treatment might be available out there to deal with the problem.

From the reading I've done, I've been made aware that water vapour and laser treatment are possibilities, and also the UroLift system.

Again, I will be discussing this with my doctor.

Thank you for your input and advice.

User

Posted 23 Oct 2025 at 11:01

Hi, Peter.

Welcome to the forum, mate.

I have no medical training.

I'm five years younger than you.

I was on Tamsulosin for ten years and fortunately suffered no side effects.

As you say, the prostate gland usually enlarges as men get older. Benign Prostatic Hyperplasia can cause nocturia. Nocturia in both sexes increases as you get older.

When I had a prostate, I was getting up two or three times a night to pee. Since it's removal, I'm still getting up a least couple of times a night to have a pee.

I think you may just be suffering from nocturia which may be exacerbated by your non cancerous prostate condition.

For men of our age this is a common ailment.

Here's an a good video on steps that can be taken to reduce the problem.

I hope it helps.

https://youtu.be/rlCAbaY2LqA?si=zcP044CtsuhrF_KC

By all means, to be on the safe side, you could see your GP, and may be have another DRE and a PSA check. However, be aware that an enlarged prostate can on it's own, cause any elevated PSA result

Good luck and please keep us updated.👍

Edited by member 23 Oct 2025 at 11:24 | Reason: Add link

User

Posted 23 Oct 2025 at 13:02

Hi Adrian and thank you for the welcome.

I've taken on board what you've said, and will have a look at the video.

I've an appointment at the doctors on the 3rd November, and will report back.

Notification

Join the online community now.