Prostate cancer

Author
Discussion

Piginapoke

4,767 posts

185 months

Saturday 16th March
quotequote all
I was told nighttime as well, because it’s very fast acting and helps get through the night

rovermorris999

5,202 posts

189 months

Sunday 17th March
quotequote all
I've just read the leaflet. It says 'as directed by your doctor or at breakfast or after the first meal of the day'. They're prolonged release capsules although over what period that is I don't know. My understanding is that it builds up in your body over a few days so I would have thought it wouldn't make much difference when they were taken. Interesting that advice varies which suggests it makes no odds.

mark387mw

2,179 posts

267 months

Sunday 17th March
quotequote all
My prescription says to take at night with a large glass of water.
When I do have a large glass of water, it helps on the occasion I need to go during the night as I have something to pee.

rovermorris999

5,202 posts

189 months

Sunday 17th March
quotequote all
This is like a 'what type of oil should I use' thread. smile

52classic

2,529 posts

210 months

Sunday 17th March
quotequote all
I didn't have any particular instruction on the time of day for taking Tamsulosin and I don't notice any difference by varying it.

At the start, I asked what it was intended to do - I was told that it 'softens y'er pipes up!' - What more description does a bloke need?

Anyone else noticed that it makes your hair grow? Head only btw but quite noticeable.

westberks

942 posts

135 months

Sunday 17th March
quotequote all
CharlesdeGaulle said:
Ref the time of day for taking Tamsulosin, both my GP and the Urologist were insistent that it should be taken at night. Not sure why though.
some people experience dizziness with it so they figure its better to sleep through the initial hit. I take it in the morning as I will remember then and luckily no dizziness. A friend was really bad with it so nigh time was the only option

westberks

942 posts

135 months

Wednesday 20th March
quotequote all
visit to new consultant yesterday after my local hospital passed me on as my prostate is too big for them.

new chap was pretty laid back and i suppose knowing I've been under review for several years didn't need to go through the basics.

gist of it is that a combination of the size of prostate (232 instead of approximately 40) and my age (56) means they are quite restricted as to options. Lots of the surgery routes have limitations on size ranging from TURPS (approx 100) through to water ablation (180) and he's reluctant to try a couple of others due to possible side effects (incontinence, ED) for my age......... still with me on this happy post?

no cancer, which is still the really good piece of news.

he's suggesting the PAE

https://www.royalfree.nhs.uk/patients-and-visitors...

where they isolate and cut off the blood supply to the prostate which in turn will shrink in size. They can then either monitor it or even go back for one of the other surgical options once the size is reduced later on.

all feels very temporary and also relies on the CT scan identifying a suitable route to the vein, as long as it doesn't connect to the supply to the rest of my nether regions, in which case they can't do it & back to the drawing board.

feeling pretty low about the whole process today.

Hereward

4,185 posts

230 months

Wednesday 20th March
quotequote all
"New prostate treatment is life changing" - iTIND procedure:
https://www.bbc.co.uk/news/articles/c84n45z4el0o

I have BPH and have been on Tamsulosin for about 9 months but I still need to get up at least once in the night for a pee. I have asked my urologist for his thoughts on this procedure.

Mr Pointy

11,225 posts

159 months

Wednesday 20th March
quotequote all
Hereward said:
"New prostate treatment is life changing" - iTIND procedure:
https://www.bbc.co.uk/news/articles/c84n45z4el0o

I have BPH and have been on Tamsulosin for about 9 months but I still need to get up at least once in the night for a pee. I have asked my urologist for his thoughts on this procedure.
.
https://prostatematters.co.uk/treatments-for-bph-a...

A review of the options:
https://prostatematters.co.uk/wp-content/uploads/2...

Hereward

4,185 posts

230 months

Wednesday 20th March
quotequote all
Many thanks, very useful links. I didn't realise iTIND has been around for a while.

MXRod

2,749 posts

147 months

Friday 22nd March
quotequote all
PSA 0.95 woohoo
Now got to find out the need for frequent need to pee

westberks

942 posts

135 months

Saturday 23rd March
quotequote all
MXRod said:
PSA 0.95 woohoo
Now got to find out the need for frequent need to pee
congrats on that; good luck with resolving the peeing cause

Dewi 2

1,315 posts

65 months

Sunday 24th March
quotequote all

omniflow said:
All in all I am extremely happy with the treatment I received from the NHS - I can't really imagine how they could realistically improve it.

You are able to say that because Tamsulosin worked for you.

The NHS fails when Tamsulisin treatment is not successful and you need a TURP.
Months waiting while they string out various tests, deal with catheter related UTIs and various other unpleasant occurrences.
Eventually you realise, that the only solution is to reach for the cheque book and then the top consultant, at the hospital you have been attending, will resolve all your problems in a couple of weeks.

Sheepshanks

32,783 posts

119 months

Tuesday 26th March
quotequote all
Somewhat alarming (to me) increase in my PSA reading from yesterday's 6mth check - was 6.59.

Reading a year ago was 5.26, which triggered ll the usual tests but no action.

Then 6mths ago it was 4.84, which seemed good news. The reversal now, with a chunky jump, is unwelcome.

AstonZagato

12,704 posts

210 months

Tuesday 26th March
quotequote all
Perhaps not too worrying. I believe it can be affected by many factors (sex, cycling, etc). What is your consultant saying?

Viper201

7,869 posts

143 months

Tuesday 26th March
quotequote all
That's a bit of a rollercoaster with those readings. Have they said if they are concerned or are they watching and waiting?

Sheepshanks

32,783 posts

119 months

Tuesday 26th March
quotequote all
AstonZagato said:
Perhaps not too worrying. I believe it can be affected by many factors (sex, cycling, etc). What is your consultant saying?
He said, at the conclusion of the tests / scan / biopsy when all this kicked off a year ago, that he didn’t want to see me again unless / until it was over 7.5.

Edited by Sheepshanks on Tuesday 26th March 16:36

rovermorris999

5,202 posts

189 months

Tuesday 26th March
quotequote all
Sheepshanks said:
AstonZagato said:
Perhaps not too worrying. I believe it can be affected by many factors (sex, cycling, etc). What is your consultant saying?
He said, at the conclusion of the test when all this kicked off a year ago, that he didn’t want to see me again unless / until it was over 7.5.
I don't think the tests are all that precise. How hydrated you are, what exercise you've done etc.etc. can all have an effect hence the consultant's advice.

Gas1883

273 posts

48 months

Tuesday 26th March
quotequote all
Sheepshanks said:
Somewhat alarming (to me) increase in my PSA reading from yesterday's 6mth check - was 6.59.

Reading a year ago was 5.26, which triggered ll the usual tests but no action.

Then 6mths ago it was 4.84, which seemed good news. The reversal now, with a chunky jump, is unwelcome.
I’ve had increase in psa over last 3 tests , if I remember correctly 9/12 /13.4 , my regular consultant ( Lincoln ) said it was down to infections , on reviewing my notes ( leicester) said in 35 % of cases it can be the cancer becoming more aggressive so requested another biopsy , which showed no change in nodule / lesion/ lump & still same amount of cores .
Leicester said there going to revisit it after kidney op to understand why my psa is rising with no obvious reason why


Gas1883

273 posts

48 months

Tuesday 26th March
quotequote all
I’d add if it’s infections causing my psa to rise I’ve no symptoms I believe , and haven’t take any medication