This is Dr. David
that is good you don't have to get up at night time to urinate.
it sounds like you have been treated for BPH or benign prostate hypertrophy or enlargement.
finasteride can help over time shrink the prostate gland somewhat.
what do you mean that your urine flow is 50%?
are you able to have a good urine stream?
if you have a good urine stream and don't get up at night times to urinate, you most likely don't need a TURP or transurethral resection of prostate tissue surgery to help improve the urine flow.
i was told about the flow
how do you feel about your urine flow?
are you urinating standing up or sitting down?
both sitting down has slightly better flow than standing
yes, I agree. sitting down can help improve your urine flow.
if you are not happy with your urine flow, you might be able to increase the doses of your medications possibly
but if the doses can't be increased, the next step is surgery to open a wider channel for your urine to come out.
you might be able to improve your bladder control and urine flow by doing kegel exercises as well.
kegel exercises squeeze that muscle in your pelvic floor which helps you stop and start urination.
do you have other questions?
what is kegal exercise
if i go for surgerey how risky it is
currently sperms not coming out
kegel exercises is a squeezing and relaxing of the lower pelvic muscles which are used to stop and start urination.
with time, sqeezing and relaxing these muscles can help improve their strength
surgery is not risky to help open up a larger channel for your urine to come out.
ejaculation of sperm and semen is complex
are you able to have erections?
are you sexually active at this point?
your testosterone could be low at your age which can make erections and ejaculations difficult.
how long it takes surgery to take place and side effects
yes i m sexually active
surgery has the urology doctor go inside of the penis with a thin scope and cut out tissue blocking urine flow inside of the prostate gland.
usually patients can have some mild blood with urination for a few days but this clears up.
this surgery is called a TURP or transurethral resection of prostate tissue.
that is good you are having erections
at your age, your prostate gland could be drying up and not making much fluid for semen to come out.
is it long surgery
no, it is not a long surgery.
let me know if you have other questions .
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