PROSTATE MEDS

I would try supplements first, I don't know where you live, but over here Swanson has something to offer. Also cialis is beneficial, of course depending on the issue, maybe you do indeed need some meds, but first of all I'd suggest seeing a specialist, not self medicating. There may be some underlying issues that are beyond your scope. Just saying. Stay safe and take care.
 
If you have symptoms of an enlarged prostate low dose daily Cialis will help with urination more than any over the counter or research chem, along with other general health benefits.

If it's very bad, only Fin or Dut will be truly effective, shrinking it by 1/3 or more, and reducing the risk of prostate cancer.
 
I would try supplements first, I don't know where you live, but over here Swanson has something to offer. Also cialis is beneficial, of course depending on the issue, maybe you do indeed need some meds, but first of all I'd suggest seeing a specialist, not self medicating. There may be some underlying issues that are beyond your scope. Just saying. Stay safe and take care.
I do use 5mg cialis daily with Libidon which is another bio and have fair results but not 100% consistent. Tried some of the others like fin and dut, with some weird undesirable side effects. Have also used saw palmetto, etc. with mediocre results. Recent diagnosis of BPH/enlarged prostate. I have the Samprost but have not used it, just curious if anyone has.
 
If you have symptoms of an enlarged prostate low dose daily Cialis will help with urination more than any over the counter or research chem, along with other general health benefits.

If it's very bad, only Fin or Dut will be truly effective, shrinking it by 1/3 or more, and reducing the risk of prostate cancer.
I've tried the fin and dut but figured out fast they weren't for me. Met with urologist he said any surgery to the prostate would likely result in the same weird side effects(sexual) that the meds gave. No cancer involved.
 
I've tried the fin and dut but figured out fast they weren't for me. Met with urologist he said any surgery to the prostate would likely result in the same weird side effects(sexual) that the meds gave. No cancer involved.

Yeah they can be tough for some of us (I'm hypersensitive to them), but, for those willing to experiment with microdoses, you can find a low enough dose that provides benefits and is tolerable.

There are ultra high tech operations that approach the prostate from the inside, open things up with a laser and never touch the nerves that create all the problem.

Only a handful of hospitals worldwide can provide that however (but if I ever need it where you'll find me having the procedure done).
 
Yeah they can be tough for some of us (I'm hypersensitive to them), but, for those willing to experiment with microdoses, you can find a low enough dose that provides benefits and is tolerable.

There are ultra high tech operations that approach the prostate from the inside, open things up with a laser and never touch the nerves that create all the problem.

Only a handful of hospitals worldwide can provide that however (but if I ever need it where you'll find me having the procedure done).
Yeah, I doubt if the VA uses that technology but I don't really know. What countries are the top hospitals for it in? And what is the procedure called?
 
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Yeah, I doubt if the VA uses that technology but I don't really know. What countries are the top hospitals for it in? And what is the procedure called?

I hadn't checked into it for a couple of years, and it looks like the data showing how successful it is and availability have grown a lot in just a couple of years,

TLDR:

Optilume BPH

Medication coated balloon is inserted in urethra (under anesthesia of course), inflated, pushes open the "lobes" of the prostate. taking pressure off the urethra.

Medication coats the lobes so they can't rejoin and constrict the urethra.

Baloon is removed.

30 minute procedure.

Maximum flow urination is restored.

No effect on sexual function.

So for, 6 year success rate is 97%.

Looks like some VA medical centers offer it.


View: https://youtu.be/SjILwA38EYU
 
Yeah, I’ve heard of Samprost - pretty common back in the CIS. It’s an injectable prostate bioregulator made from bovine prostate extract, mainly used for chronic prostatitis and BPH. Works by reducing inflammation and improving urinary function. It’s similar to Prostatilen (which also comes in suppository form) and Vitaprost, which has an antibacterial component added.

You won’t find Samprost in the US, and peptide-based prostate treatments aren’t really a thing here. Instead, people usually go for Saw Palmetto, Beta-Sitosterol, or even low-dose Tadalafil to improve blood flow. Not exactly the same, but those are the more common options.

Interestingly, in Russia, a pack of 10 vials (5mg each) costs around $6–9, which is pretty cheap for what it offers.
 
I actually have several boxes of it just haven't used yet. Does it have a reputation of being effective? There's very limited info available on it, especially if you can't read Russian.
 
I would try supplements first, I don't know where you live, but over here Swanson has something to offer. Also cialis is beneficial, of course depending on the issue, maybe you do indeed need some meds, but first of all I'd suggest seeing a specialist, not self medicating. There may be some underlying issues that are beyond your scope. Just saying. Stay safe and take care.
I'm in the US. I have used Swanson berberine , seems to work quite well.
 
Yeah they can be tough for some of us (I'm hypersensitive to them), but, for those willing to experiment with microdoses, you can find a low enough dose that provides benefits and is tolerable.

There are ultra high tech operations that approach the prostate from the inside, open things up with a laser and never touch the nerves that create all the problem.

Only a handful of hospitals worldwide can provide that however (but if I ever need it where you'll find me having the procedure done).
Well wtf man, share the knowledge. Maybe I want to have my prostate lasered from the inside out.
 
Well wtf man, share the knowledge. Maybe I want to have my prostate lasered from the inside out.

Sorry man, I mixed up two different procedures. The laser is the OLDER one.

Optilume, the medicated balloon that splits your prostate lobes apart along the "seam" that holds the two halves together pinching your urethra closed, and the medication applied directly to it preventing it from healing back together, keeping the prostate lobes split is the top of the line procedure that completely preserves sexual function, with a tremendous success rate, and very rare complications.

It takes 15 minutes and doesn't cut or burn any tissue, or require hardware to be installed, unlike every other procedure up until now.

The surgeon in the second video describes it.
 
Sorry man, I mixed up two different procedures. The laser is the OLDER one.

Optilume, the medicated balloon that splits your prostate lobes apart along the "seam" that holds the two halves together pinching your urethra closed, and the medication applied directly to it preventing it from healing back together, keeping the prostate lobes split is the top of the line procedure that completely preserves sexual function, with a tremendous success rate, and very rare complications.

It takes 15 minutes and doesn't cut or burn any tissue, or require hardware to be installed, unlike every other procedure up until now.

The surgeon in the second video describes it.

Honestly, when I wrote that last night I could barely read. Like everything else, my sensitivities extend to alcohol, and I made the mistake of ordering a small frozen margarita.. to which they added like two ounces of grand marnier. So I didn't keep reading past that post where you posted the newer procedure.

You know I tried the low-dose Finasteride (and Minoxidil), but after a month, it started hitting workouts hard. I kept seeing my numbers decline week after week. Was also having really bad fatigue.. just bone deep fatigue. The worst was back squats. I didn't even think it was the Fin until the very end. Within a few days of stopping, I started to feel better. So, while I don't know what to do about hair loss, I did move on to my next experiment with Flomax. Hair loss really isn't that bad at all, but my prostate is definitely not well. I wonder how much that Optilume might cost out of pocket for self-pay. I've got a urologist appointment to discuss my bent dick in two weeks (I'm a fucking mess). I'm going to ask about it.
 
Honestly, when I wrote that last night I could barely read. Like everything else, my sensitivities extend to alcohol, and I made the mistake of ordering a small frozen margarita.. to which they added like two ounces of grand marnier. So I didn't keep reading past that post where you posted the newer procedure.

You know I tried the low-dose Finasteride (and Minoxidil), but after a month, it started hitting workouts hard. I kept seeing my numbers decline week after week. Was also having really bad fatigue.. just bone deep fatigue. The worst was back squats. I didn't even think it was the Fin until the very end. Within a few days of stopping, I started to feel better. So, while I don't know what to do about hair loss, I did move on to my next experiment with Flomax. Hair loss really isn't that bad at all, but my prostate is definitely not well. I wonder how much that Optilume might cost out of pocket for self-pay. I've got a urologist appointment to discuss my bent dick in two weeks (I'm a fucking mess). I'm going to ask about it.

Let me just forewarn you. My experience is that if a provider, especially a surgeon, can't offer a procedure, they won't recommend it regardless of the merits for the patient.

Sending you somewhere else won't cover his boat payment.

I'd advise you to ask if he does the procedure.

If not, just search for Optilume BPH and contact the nearest place that does offer it, and see if you can get a consult over the phone or however.

I see urologists increasingly announcing they're doing it, but clearly it's still a minority that's adopted this new tech.

 
I like this part the most (paraphrased)

Doc 1: "So it looks like it preserves most ejaculation, erection, orgasm function?"

Surgeon: "I'd say it preserves ALL ejaculation, erection, and orgasm function."
The gold standard is HoLEP at the Mayo Clinic which cores out the prostate entirely leaving no tissue to grow back. Anything that is just making the canal a little bigger is a temporary fix at best. All of these new medical device based treatments come with a pile of complications they don't mention. I have been treated by one of the best urologists in the world and he told me they will ALL reduce sexual function.
 
The gold standard is HoLEP at the Mayo Clinic which cores out the prostate entirely leaving no tissue to grow back. Anything that is just making the canal a little bigger is a temporary fix at best. All of these new medical device based treatments come with a pile of complications they don't mention. I have been treated by one of the best urologists in the world and he told me they will ALL reduce sexual function.

"Best" depends on what you're trying to accomplish.

Holep is very tissue destructive but provides maximum relief of constrained urination.

10 years after the procedure it has a 78% success rate (success=no retreatment needed).

It damages sexual function in 76% of patients.

------

Optlume doesn't destroy any tissue.

6 years after the procedure it has a 97% success rate.

Sexual function is impacted in less than 1% of patients.


You can always have your prostate cored out later if Optilume fails. You'll never fully regain sexual function once it's damaged from tissue destruction.


It's worth noting here that your prostate has to be below a certain size or you won't qualify for Optilume, in which case a destructive procedure is the only other option.
 
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