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I Am XXXXXXX Pahus, 75 Years, Enlarged Prostrate, Taking Duodart

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Posted on Sat, 18 Apr 2020
Question: I am XXXXXXX Pahus, 75 years, enlarged prostrate, taking Duodart 500/400 for 10 years. I need better medicine.
doctor
Answered by Dr. Anders Mark Christensen (11 minutes later)
Brief Answer:
What is wrong with the current medicine?

Detailed Answer:
Hi Repahus,

What is wrong with your current meds? There are several alternatives.

Looking forward to hearing from you.
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Anders Mark Christensen (23 minutes later)
As I stated I've been using the Duodart for 10 hyears +.
lately the prostrate is causing additional problems.
1. Unable to get an erection except for maybe a few minutes sometimes.
2. On the rare occasion when I can masturbate nothing comes out.
3. I cannot pee standing up only sitting on the stool.
doctor
Answered by Dr. Anders Mark Christensen (50 minutes later)
Brief Answer:
There are other possibilities

Detailed Answer:
Hi again Repahus,

Have you had urinary flow measurements, prostate shavings or similar in the past? Any recent PSAs? There is the possibility of medical castration to prevent prostate growth, but that will probably not help the erectile dysfunction. Then there is the possibility of transurethral resection of the prostate, especially of it has not been performed before.
Have you tried cialis or something similar for erectile dysfunction?

Looking forward to hearing from you.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Anders Mark Christensen (5 hours later)
I have had no diagnosis, urinary flow measurements, prostate shavings or similar, since the initial diagnosis when I retired in 2010.
I had no recent PSA's.
I live on a small island in the Philippines and have visited a doctor for the purpose of getting and keeping my prescriptions current.

So the question really is just this: Are there any meds available that work better or are stronger (more effective) than the Duodart and do any meds actually shrink the prostrate?
doctor
Answered by Dr. Anders Mark Christensen (27 minutes later)
Brief Answer:
A GnRH antagonist could work

Detailed Answer:
Hi again,

That depends; are you at full Duodart dosage? Medical castration using an GnRH antagonist may shrink the prostate some, but in that regard the best option would be a transurethral resection of the prostate.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1559 Questions

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I Am XXXXXXX Pahus, 75 Years, Enlarged Prostrate, Taking Duodart

Brief Answer: What is wrong with the current medicine? Detailed Answer: Hi Repahus, What is wrong with your current meds? There are several alternatives. Looking forward to hearing from you.