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Prostate treatment side effects and smoking denial clash
An 84 year old asks about alternatives to tamsulosin for urinary urgency due to reduced ejaculation. Dr Roach notes finasteride and dutasteride as possible options and mentions saw palmetto uncertain benefits. Also suggests trial off tamsulosin for a day to gauge impact. A separate case describes a spine stenosis patient facing surgery denial due to smoking and possible non surgical options plus advice on appealing.
MENTIONED IN THIS ARTICLE
Dr. Roach
P.S
Ant
Canada
U.K