Tamsulosin questions

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Are any other prostate cancer suffers using Tamsulosin? I find it helps me pee easily and without pain following my radiotherapy. Has anyone experienced any long term problems they associate with this drug? I wonder if it also has a laxative effect?

  • I don't use tamsulosin now, but I have previously used it.

    Started using it in Aug.2023, following an incident of acute urinary retention requiring short term (10 days) catheterisation.

    Stopped using it in Mar.2024, following a procedure (Aquablation) to address the BPH issue which caused my urinary issues, including retention.  Post-procedure analysis of the removed tissue identified the presence of Gleason 3+3, which put me on the cancer track.  

    Almost immediately after starting on tamsulosin, I experienced full (100% bone dry) retrograde ejaculation.  This is a common experience.  On the positive side, tamsulosin helped to some extent (I'd guess 15% or so) with my urine flow.

    After a few months, the ejaculation pattern changed to a mix of intermittent retrograde and antegrade (normal), although with low / very low volume of ejaculate.  With full RE, the quality of the sensation was a definite notch down from normal. 

    After the procedure itself, and ceasing tamsulosin, I landed in a bit of a grey zone, where ejaculation is mostly not completely dry, but the volume of ejaculate is minimal, i.e. only a few ml. However the overall sensation is good, and for me close enough to normal to be a satisfactory experience, so I have no complaints.  

    I suspect that this status is a result of the procedure (claimed incidence rate is 10%, although I suspect more), rather then being due to having taken tamsulosin for about 8 months.     

    Tamsulosin had no laxative or other known effect on me.

  • Hi MountPeter,

    I have been using Tamsulosin for about 15 months now, so not exactly long term, but may help give you an answer.  I was given it part way through my RT treatment to help with peeing overnight (slow starting & bladder not fully emptying so lots of interrupted sleep.  

    Initially I was taking it every night, but after a short while found that the benefits lasted long enough to only need to take it every 3rd night.  As I have a propensity to kidney stones, I have to drink water through the evening as well as throughout the day & also top up during the night, so my GP has continued with the tablets.

    How long ago did you finish RT, as the pain when peeing could be because you aren't in fact drinking enough water (seems counterintuitive I know).

    I haven't noticed any laxative effect from using them.  

    Best Wishes

    Brian

  • Hi

    I've been taking Tamulosin for 17 years and am still taking it. Its a well tolerated drug and I've not had any serious side effects.

    As it was originally developed for heart disease it can lower blood pressure so it can cause hypotension and dizziness.

    If I remember from the patient leaflet it can cause constipation I don't remember the opposite effect.

    If it helps you I wouldn't have any serious concerns about taking it.

    Sandberg

  •   Wow!! 17 years!!

    I've been on Tamsulosin for only just over 3 months and find it started working straight away.

    My Radiotherapy ended 3 years ago and the Radiologist tried to prescribe Tamsulosin back then, but I was on so many different types of medication I was unable to try it.

    I kept having issues when peeing (my stream dried up to a dribble).  After a couple of months the stream came back to some sort of normality.  After 3 months I could stand up to pee.

    My life over the past 3 years was go to work, back home, and repeat...

    Then in October 2023 my work made me redundant (my job was still there, but my disabilities were visible now, and I think that's why they wanted rid of me).

    Last year was the first time I started going out, since covid.  Whenever I went anywhere I had to plan where the public toilets were, as it was a case of "when I had to go, I had to go."

    Now, ever since I started the Tamsulosin I can hold it in and pee when I want to.

    A few men I know say that it sometimes makes them dizzy if they try to stand up too quickly.

        I hope you all continue smoothly with the Tamsulosin.

      I still have ED but I'm happy with the way things are going with the Tamsulosin.

    Steve (SteveCam)

  • Thanks to all who responded. Your experiences are enlightening. I will keep taking the medicine!

    MP

  • Hi

    I forgot to mention retrograde ejaculation as a side effect of this drug. This is when semen enters the bladder rather than being ejected.

    I've had this for so long I completely forgot about it.

    While this doesn't do any harm it may have an impact on the perceived quality of your sex life.

    Sandberg

  • What's a Sex life?  I'm just glad that the Tamsulosin is helping me.

    Steve (SteveCam)