Benign prostatic hyperplasia (BPH) is a condition in which the prostate gland becomes enlarged. However, the actual size of the gland does not necessarily predict symptom severity. For men suffering with the symptoms of BPH, many physicians still recommend medication as a first line treatment.

At Pacific Coast Urology’s BPH Center of Excellence, we take a different approach. While medication may be appropriate for some patients, the overall results of treatment are less effective than with minimally invasive therapies.

To begin with, only 50% of patients usually respond to medications. Of that 50%, about ½ no longer experience improvement after 18 months.

For patients who do respond, the improvement in urinary symptoms is approximately ½ to 1/3 of what patients who have minimally invasive therapies experience.

Besides the potential significant cost of medications, many patients experience significant side effects. These include:

For Alpha Blocker Medications (known as Flomax, Uroxatral, Cardura, Rapaflo, Hytrin, Doxazosin, Terazosin, Alfuzosin, Tamsulosin)
The latest list of potential side effects now includes:
•         Abnormal ejaculation
•         Decreased libido
•         Decreased ejaculate volume
•         Dementia
•         Depression
•         Dizziness
•         ED
•         Fainting
•         Feeling tired
•         Floppy iris syndrome (eye problems)
•         Gynecomastia
•         Increased risk of diabetes
•         Low blood pressure
•         Stuffy nose
•         Suicidal ideation
•         Sore throat

For 5 Alpha Reductase Inhibitors (5 ARIs, known as Proscar, Avodart, Jalyn, Finasteride, Dutasteride)

  • An increased incidence of aggressive prostate cancer
  • Decreased sex drive
  • Decreased ejaculate volume
  • Erectile dysfunction
  • Breast tenderness or enlargement
  • Vision problems

For Cialis (Tadalafil)

  • Muscle aches
  • Back pain
  • Headaches
  • Cold symptoms
  • Facial flushing

So, while commercials advertising the benefits of medication may sound good, we advise our patients to be wise consumers. That’s why Dr. Robert Pugach will conduct  a thorough evaluation when you come in for your BPH consultation that includes a medical history and examination. He will discuss treatment options with you to arrive at a treatment plan that is customized for you.

If you’re suffering from BPH symptoms we can help! Call 888-735-4336 or email us via our Contact Us form for more information or to schedule your personal consultation.