TREATMENT STUDIES OF MEN WITH BPH: IMMEDIATE COMPLICATIONS

The highly conservative numbers in the second row derived from treatment studies of men with BPH, encompass every health problem the men reported—including problems that were not actually due to the BPH treatments. So, with that in mind, look at the figures: In most cases, complications do not occur. And even when they do, most complications are not serious. Some of them are—particularly bleeding that requires transfusion, a risk of surgery. Among the most common complications is retrograde ejaculation. This may occur in as many as 70 percent of men after TUB-, and in a few—about 7 out of 100—men on alpha blocker drugs. Some men taking alpha blockers report dizziness, tiredness and headaches. About 5 percent of men taking finasteride report some kind of sexual problem, such as a diminished sexual drive, a decrease in the amount of semen they make, or trouble achieving or maintaining an erection. Note: Although watchful waiting doesn’t carry any immediate complications, over time, symptoms may get worse or new symptoms may develop as the disease progresses and the urethral obstruction becomes more severe. Only TUR clearly reduces the risk of future problems with obstruction.

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