Download FREE Practo app
Get ₹200 HealthCash
Prostate problem
Iam having 47cc bph. Taking Silodal d8 tablet daily 0ne after dinner for past 4 months on doctor advice. My query shall i continue or go for turp surgery. If so which surgery is best. I heard after Turp retro ejaculation problem will be there.
Answers (6)
Hello,
A prostate size of 47 cc represents moderate enlargement and does not necessarily require surgery.
If you are passing urine comfortably with silodosin 8 mg and have no significant residual urine, recurrent infections, urinary retention or other complications, you may continue medical treatment under your urologist's supervision.
However, if symptoms remain troublesome despite medication, surgery can be considered.
TURP is an effective and established procedure, but retrograde ejaculation is a common side effect.
If preserving ejaculation is important to you, alternatives such as UroLift, Rezūm or ejaculation-preserving surgical techniques may be considered depending on your prostate anatomy and availability.
I recommend assessing your urinary symptom score, uroflowmetry and postvoid residual urine before deciding on surgery.
Also, silodosin itself can cause reduced or absent ejaculation, which is usually reversible after stopping the medication.
Dr Abdul Munnan Durrani
Specialist Urologist
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced doctor online and get your health questions answered in just 5 minutes.
+114
It all depends on your symptoms.
If your symptoms are controlled then no need for surgery.
Continue medicine
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Connect to discuss
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Consult here for further management
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Jatin Soni
Urologist
16 yrs exp
Chennai
Plz consult
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Aditya Prasad Padhy
Urologist
13 yrs exp
Bhubaneswar
Connect please
Answered
Flag this answer
0/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.