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After HoLEP they stop all the medication
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What medicines can achieve
Dutasteride and finasteride can reduce prostate size and, in selected patients, the long-term risk of urinary retention or surgery. Therefore, “none of the pills solves the problem” should not be understood to mean that medicines are ineffective.
Taking several medicines does not by itself determine the need for surgery: response, adverse effects, symptoms and complications are assessed with the urologist.
- Roehrborn et al. The Effects of Combination Therapy with Dutasteride and Tamsulosin on Clinical Outcomes in Men with Symptomatic Benign Prostatic Hyperplasia: 4-Year Results from the CombAT Study. European Urology. 2010;57(1):123–131.
- European Association of Urology. Management of Non-neurogenic Male LUTS: Disease Management.
Editorial clarification based on the cited sources. It does not establish a new medical review of the video.
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enucleation, definitively removes the obstructive prostate tissue with very low risk. After surgery, most of my patients stop taking all the prostate medication they were on. All of it. They no longer need alpha blockers, antimuscarinics, or 5-alpha reductase inhibitors.
And that, in the long term, not only improves their quality of life, but also avoids the cumulative risks of years of medication.