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MRI clear, but enlarged Prostate

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User
Posted 24 Oct 2025 at 21:50

Hi All

I had a PSA reading of about 5 I went to see the GP, as for about 5 months now been getting pain in the pelvis region behind my penis after I finish peeing.

My flow ok and it doesn’t hurt when peeing, I just get the pain from the lower region after I finish. It doesn’t happen all the time, some peeing sessions can be all ok hardly any pain, then others can be more intense.

It’s like a dull ache / cramping, but after 10-15 minutes it eases off, but doesn’t occur all the time.

My flow ok and frequency of going is regular (ie every few hours), I have found sometimes I can leaking after going.

My MRI came back all clear, but staying slightly enlarged prostate of 46cc, I am 53 years old.

My GP offered me Tamsulosin, saying it a long term medication. Anyone used this before, I am trying to stay off long term medication if have to, I thought be some other ways to treat this?

User
Posted 25 Oct 2025 at 08:14

Hi Nesty.

Your PSA is elevated and is normally under 3.5 for someone your age. 

Your prostate is slightly enlarged and is normally about 30 cc for someone your age.

The enlargement could be the cause of your higher PSA.

Its obviously great news that your MRI scan is clear.

I believe, from some of your other posts, that your dad, when in his late forties, was diagnosed with prostate cancer. This slightly increases the risk to you. In your position, I'd ensure my PSA was regularly monitored.

I had similar symptoms to you. I had an enlarged prostate, elevated PSA and had regular PSA checks. I was on Tamsulosin for several years. It helped a lot and I had no side effects

According to the NHS, Tamsulosin helps to reduce the symptoms of an enlarged prostate gland by relaxing the muscle around the bladder and prostate gland so you can pee more easily.

I hope Tamsulosin helps you. Good luck, mate.👍

Edited by member 25 Oct 2025 at 08:19  | Reason: Typo

User
Posted 26 Oct 2025 at 01:58
Just to say Tamsulosin can be used in several situations. I have been on it without noticeable side effects for about 25 years. In my case it was to help relax a narrowed sphincter to aid peeing.
Barry
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User
Posted 25 Oct 2025 at 08:14

Hi Nesty.

Your PSA is elevated and is normally under 3.5 for someone your age. 

Your prostate is slightly enlarged and is normally about 30 cc for someone your age.

The enlargement could be the cause of your higher PSA.

Its obviously great news that your MRI scan is clear.

I believe, from some of your other posts, that your dad, when in his late forties, was diagnosed with prostate cancer. This slightly increases the risk to you. In your position, I'd ensure my PSA was regularly monitored.

I had similar symptoms to you. I had an enlarged prostate, elevated PSA and had regular PSA checks. I was on Tamsulosin for several years. It helped a lot and I had no side effects

According to the NHS, Tamsulosin helps to reduce the symptoms of an enlarged prostate gland by relaxing the muscle around the bladder and prostate gland so you can pee more easily.

I hope Tamsulosin helps you. Good luck, mate.👍

Edited by member 25 Oct 2025 at 08:19  | Reason: Typo

User
Posted 25 Oct 2025 at 11:46

Hi Adrian

Many thanks for your reply. I have seen you quite informative poster on this board.

The GP has offered me annual PSA tests, which I accepted, but not the Tamsulosin, (well not yet)!

My Dad has his prostate out at 60. I had a cancer scare in 2022, (PSA then 4.2), that went to MRI and biopsy all clear.

However, prior to that my GP kinda assumed I had prostate bacterial infection and put me on Ciprofloxacin, (I did private tests later on to conform it was viral), I had a terrible reaction after 5 days on it and was off work 3 months, (term is called being floxed), still not 100% recovered. My faith in GP trying to push prescription drugs on me is a bit low, hence why asking here.

It’s kinda strange with this peeing, as pain it doesn’t occur all the time. I’d say about 3 times out of 5. I sometimes wish could have it removed and be done with it.

I’ll give Tamsulosin a go to see it helps.

Thanks for the advice.

 

User
Posted 26 Oct 2025 at 01:58
Just to say Tamsulosin can be used in several situations. I have been on it without noticeable side effects for about 25 years. In my case it was to help relax a narrowed sphincter to aid peeing.
Barry
User
Posted 26 Oct 2025 at 18:24

Hi Old Barry

Many thanks for the feedback and advice.

I might give the Tamsulosin a try. 

 

 

 

 
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