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This is Dr. David
it sounds like your prostate is most likely enlarged.
we see your symptoms frequently with men who have enlarged prostate glands.
cystoscopy would temporarily dilate the urethra to help urination.
you can talk to your doctor about taking the maximum dose of flomax which is two 0.4mg pills before bed time.
you need to talk to your doctor about medication to help shrink your prostate gland like proscar or avodart
but if these medications don't work, then our only options are really to either straight catheterize yourself 3-5 times a day to help get the urine out
or a TURP surgery procedure to help widen the urethra channel to allow urine to flow out easier.
let me know if you have questions.