Hello,
As per my surgical experience, the weak urine stream while on
alpha blocker medication can be due various reasons as:
-
Diabetes (status not mentioned above)
- Non-responsive to drug therapy due to considerable size of
prostate as above 40 or 50 gm / cmm
- Narrowing of the urethra
- Calculus in the urinary system
In my clinic, I do recommend a detailed physical examination with per rectal approach as well as
ultrasound of the KUB and prostate size, post void residual volume, diagnostic
cystoscopy as per the case concern and clinical evaluation.
Hope I have answered your question. Let me know if I can assist you further.
Regards,
Dr. Bhagyesh V. Patel, General Surgeon