VIDEO ANSWER
Cialis for the prostate? It's not a mistake
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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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inhibitors. The best known is tadalafil. Yes, the same active ingredient as Cialis, and from the Viagra family. Many patients are surprised when it's prescribed for the prostate. Doctor, you're prescribing me an erection pill.
Actually, low-dose tadalafil, 5 mg a day, is approved to treat lower urinary tract symptoms associated with benign prostatic hyperplasia. How does it work? It relaxes the smooth muscle of the prostate, the bladder neck, and the blood vessels in the pelvic area.
The result is a modest improvement in urinary symptoms, similar to tamsulosin, with the added benefit that it also helps with the quality of erections. If [music] there's erectile dysfunction, it's the only drug that treats both problems at once, the prostate and the quality of the erection.