Suggest treatment for severe BPH symptoms
Patient: I am a 63 year old man with severe BPH. For 20 + years I have had TURP numerous procedures. I have been taking Avodart and Uroxitral for many years with no noticeable results. In 2009 I was diagnosed with Squamous (sp) cell Colorectal Cancer. I underwent chemo and radiation in the late spring of 2009. After going in for follow ups for a little over a year it was discovered that the treatment protocol in 2009 had not worked. I underwent Colorectal Surgery in the fall of 2010. At the time of surgery I was told that they had good margins and felt very confident that the cancer had been eliminated. HOWEVER; I was then told that the cancer had eroded through the colon wall and attached itself to my ureter. They felt a little less confident in that area and I have been doing 90 day follow ups to check me out since the surgery in 2010. During this time I have had 3-4 additional TURPS that work for about a month and then I am back to severe BPH symptoms. TUPRS and medications are not working. What are my other options? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have history of colon cancer and it may spread to ureter.  You should check for cancer spread first.  You should take drugs like prazocin or terazocin for your benign prostatic hyperplasia.  If drugs are not working then surgery is the treatment of choice.  Go for surgery to remove the obstruction.  It will releive your symptoms.  Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.