DEAR DR. ROACH: I am 71 and began having urinary issues due to benign prostatic hyperplasia (BPH) many years ago. I took alpha blockers (Flomax, double Flomax and tadalifil), which didn’t provide any improvement. I was never offered finasteride or dutasteride. I managed my urinary issues well by double-voiding before leaving the house and not drinking fluids after 8 p.m. (Too well, I guess.)

I recently changed urologists, and he performed a post-void residual (PVR) ultrasound and cystoscope, and he determined that my bladder was very enlarged. He also stated that my PVR urine retention was way too much, at 450 mL. He was very concerned about my condition worsening into acute urinary retention (AUR) or even damaging my kidneys.

I had green-light laser ablation surgery performed on my pro

See Full Page