QUESTION: I have bph and take Flomax I  urinate 13 times a day with good stream/think takind 4 zertec tablets a week is safefhw40

ANSWER: Howard

It should be OK. Do a voiding diary where you record the time and amount yo350 ccu void for 24 hours. If the amounts are high, some of your problem could be a volume issue; if too low, then could be badder overactivity its. Average normal volume is around 250-350 cc. 24 hour total about 1500cc.

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QUESTION: my urologist who knows I have bph said its ok to take zyrtec for hives.is it true that there is no product warning that zyrtec is counterindicated for large prostate.had urine test 2 weeks ago normal.is urinating every hour sign of infection

ANSWER: Howard:

You've asked me this question before.  Urinating every hour is a sign of frequency but the cause is undetermined.  If the volume of each void is high, then it indicates polyuria (making too much urine), if the volume is low, then overactivity is suggested.  The cause of the overactivity could be an infection or BPH or caffeine overload, etc.

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QUESTION: I read over and over that prostate cancer wont kill them.so in men over 75 is it rare for prostate cancer tospread to spine.is it under 10 %


Prostate cancer if untreated will eventually spread to bones about 80% of the time. The older the patient, the more likely they are to have prostate cancer, but it is also more likely to be of lower grade and take longer to spread.

We do not recommend routine screenings in men 75 and older because finding and treating newly discovered localized disease typically causes more harm than just leaving it alone. The vast majority of such patients will have a normal life expectancy and never suffer from or even know they ever had prostate cancer.


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Stephen W. Leslie, MD


Questions concerning erectile dysfunction, kidney stones and prostate disorders including prostate cancer. I have a special interest in kidney stone disease prevention.


Full time practicing urologist with 30 years experience. Associate Professor of Surgery and Chief of Urology at Creighton University Medical Center. Editor in Chief of eMedicine Urology internet textbook. Author of only NIH approved book written for patients by a urologist on the subject of kidney stones "The Kidney Stones Handbook". Inventor of the "Parachute" and "Escape" kidney stone baskets and the "Calculus" stone prevention analysis computer program.

American Urological Association, Ohio State Medical Association, Sexual Medicine Society

Men's Health, Journal of Urology, Urology, Healthwatch Magazine, Emergency Medicine Monthly, eMedicine, "The Kidney Stones Handbook", and numerous articles in various newspapers. He is also the editor of the Urology Board Review by McGraw-Hill used by urologists to study for their Board Certification Examinations.

Graduate of New York Medical College with residencies completed at Metropolitan Hospital New York, Albany Medical Center and University of Wisconsin-Madison.

Awards and Honors
Thirlby Award of the American Urological Association. Rated as one the country's Best Urologists by the Independent Consumer's Research Institute

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