Why does it hurt when I pee...
September 23, 2020 11:49 AM   Subscribe

I have Benign Prostatic Hyperplasia. It really is annoying and I would love to know if there is anything I can do short of surgery to help the discomfort?

My version of Benign Prostatic Hyperplasia acts like this. Goes form annoying to down right painful every 4-6 weeks, not really on a calendar, but sporadically.

When it is bad I sometimes take AZO and it helps, my doctor was surprised by this, but has no issues with continuing that course, but it really doesn't help all that much. I tried Palmetto and had no luck, I tried FlowMax and the side effects were horrific, extreme back aches, head aches, nausea, not going to work for me.

I have read that there are different treatments including this out patient one that looks interesting, but I would love to know more. I have not found any decent advice on the internet about other possible homeopathic treatments I can at least try?

Thanks for your input
posted by silsurf to Health & Fitness (8 answers total) 4 users marked this as a favorite
 
If you're open to in-office procedures, you might look into water vapor thermal therapy. Non-sexual prostate massage therapy, for prostatitis and BPH. 2019 meta-analysis: qianlieshutong capsules in the treatment of benign prostatic hyperplasia. You may want to stock at-home dipstick tests (a study on male testing) for UTIs, in case recurrent infection is contributing to your pain.
posted by Iris Gambol at 1:03 PM on September 23, 2020


My husband had bph. He got some help from Avodart. Not total recovery. I am not your doctor and Avodart is a prescription drug. Incidentally, some of his head hair came back. I understand that's a common side effect.
posted by tmdonahue at 1:51 PM on September 23, 2020


Response by poster: thanks very much
posted by silsurf at 4:05 PM on September 23, 2020


I tried surgery and drugs and neither helped.
posted by Obscure Reference at 5:13 PM on September 23, 2020


There are a variety of alpha blockers and you can certainly try one or more. Just because you didn't react well to one says about nothing at all about how you will react to the next one--it might go just as bad, it might go just fine.

Any drug you don't react well to, it could the drug itself, the class of drugs, the particular sub-class of drugs, or just something about the particular formulation (maybe you react to one of the inert ingredients or something). So as a rule, don't just try one and then give up altogether.

Anyway, this article seems to run down a large number of alternatives--both alternative alpha blockers to Flomax and other approaches.
posted by flug at 9:36 PM on September 23, 2020


Dumb basic starting point: reduce or eliminate caffeine if you haven’t.
posted by spitbull at 3:59 AM on September 24, 2020


Trans gal with recurring prostate trouble here! Had it since I was 21, because my body is awesome like that. For me it's always been a recurring thing, it can go away for months or years and then come roaring back, and I don't get much pain but I'll be walking around all day feeling like I've really gotta pee but then I can't pee much. So I don't know if our situations overlap much, but I'll offer what I can.

Have you tried sitz baths? They definitely help when I'm in the tub, although the effect goes away almost immediately once I'm out of the tub. It wasn't until last year (LAST YEAR), after many years of prostate nonsense, that a doctor told me that niggly gotta-pee-but-can't-pee feeling comes from inflammation and I should try OTC anti-inflammatories. Well, I've tried them now and I can't say they're miraculous, but I do feel like they help a little bit.

I haven't heard great things about surgery but I hold out hope they'll figure that shit out within my lifetime. That Uroloft thing is intriguing and I'll ask my doc about it sometime! I take Flowmax without trouble, and while it probably helps (I haven't had a raging prostate episode in some time) it doesn't totally solve things. Have you tried other drugs? Trying to manage this without serious prescription meds sounds like hell. I'd say keep experimenting until you find something you can tolerate. Too much caffeine can aggravate this but I haven't found that eliminating the stuff was a cure-all and I love my Diet Dr. Pepper too much to quit. I've experimented with hippie woo, prostate massage, etc., and none of it did a damn thing. You need prescription drugs and sitz baths!

Also, jerk off. Or fuck, regularly. Seriously, it's important to keep things moving down there, so orgasms are medically necessary. You need to keep those pipes clean.
posted by Ursula Hitler at 4:06 AM on September 24, 2020 [2 favorites]


Response by poster: great intel Ursula and Flug
posted by silsurf at 3:40 AM on September 29, 2020


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