Question: Dear Doc. I had enlarged prostate, about 60 mm and PSA 15.5 (tested locally). I was given medicine Silofast-D which I took for sometime. I went to Apollo, New XXXXXXX and repeat PSA retested was Free 0.32 and Total 1.2 + Uroflowmetry Normal. Doctor told me I hade UTI. He prescribed Niftran 100 mg twice daily & Flotral 10 mg once daily for six weeks. During the period I was taking medicine, I felt ok. But once I completed the course and discontinued medicine, I have started feeling frequently some burning sensation (something like acidic) while urinating. I could not get further advice from my Doc. as he seemed to have gone on leave/holidays. Kindly guide me.

Dear Doctor,
Thanks. Here is detail you have kindly asked :

My Age : 67
High blood pressure : No
Diabetes : No
Any Other Ailment : No

March, 2015
Urinary Problem started.
I was taking longer to empty the bladder & some burning sensation + some discomfort.

Locally checked PAS (about 15) and Prostrate size (about 60mm).
Local Doctor prescribed : Silofast-D which I took for about 10-15 days

During this period I felt ok.


April, 2015
Second Opinion at Apollo (ND) : repeat tested : PSA Free 0.32 and Total 1.2 + Uroflowmetry Normal. Prostate size : not tested.

Doctor diagnosed : UTI
He prescribed Niftran 100 mg twice daily + Flotral 10 mg once daily for six weeks.

Course completed 5th XXXXXXX 15
After stoppage of medicine I experienced frequent slight burning sensations and discomfort
Original Doctor in ND could not contacted. Substitute doctor advised continuance of Nifran & Flotral for a week.

I have re-started above medicine.
Seems it is helping.

My question:

Should I continue above medicine for more than 1 week so that I get rid of UTI which I feel is quite heavy.
Even should I take Niftran 3 times in 24 hours in place of 2 times ?
If so, how long should I take above medicines ?

I also want to retest my PAS and prostrate size. Please advise.
Which medication is better flotral or Silofast-D

Thank you.