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Is it safe to use Finasteride four weeks before TURP?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I will be having prostate TURP surgery in five weeks. My Urologist has recommended daily Finasteride four weeks before to reduce bleeding during the surgery then stop. I am worried that Finasteride has been linked to prostate cancer. Is this true? Is there an alternative medication to reduce blood loss? I know the Finasteride is just for four weeks, but I am still concerned. Is there any research on short term use?

Answered by Dr. Gajanan Shirpad Bhat

Education:

MCh Urology

Professional Bio:

Dr. Gajanan Shirpad Bhat is a General Surgeon with 14 years of clinical experience, specializing as a consultant Urologist, Andrologist, and expert in Sexual Medicine. He completed his MS in General Surgery and MCh in Urology, bringing comprehensive expertise to patient care.      

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

Before I begin, let me assure you that there is no evidence that Finasteride causes malignancy when used for short term such as four weeks. As such, both Finasteride and Dutasteride can be used for reducing the vascularity of the prostate. Dutasteride is a good alternative. But Finasteride has better action in reducing vascularity in the short term. In short, let me assure you, there is hardly any chance of malignancy by using either Finasteride or Dutasteride. Do not worry, be positive and wish you a very uneventful and successful recovery, post-surgery.

Medically reviewed by Dr. Nithila. A
Published At June 27, 2019
Reviewed At May 9, 2024

Education:

MCh Urology

Professional Bio:

Dr. Gajanan Shirpad Bhat is a General Surgeon with 14 years of clinical experience, specializing as a consultant Urologist, Andrologist, and expert in Sexual Medicine. He completed his MS in General Surgery and MCh in Urology, bringing comprehensive expertise to patient care.      

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. Nithila A is a Dental Surgeon specializing in providing comprehensive oral healthcare. She focuses on preventive care, routine dental treatments, and patient education to maintain optimal oral health. Known for her compassionate and patient-centered approach, she ensures comfortable and effective dental care tailored to the individual needs of each patient.

This doctor is not available for online consultations on the platform anymore.

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Education:

MCh Urology

Professional Bio:

Dr. Gajanan Shirpad Bhat is a General Surgeon with 14 years of clinical experience, specializing as a consultant Urologist, Andrologist, and expert in Sexual Medicine. He completed his MS in General Surgery and MCh in Urology, bringing comprehensive expertise to patient care.      

This doctor is not available for online consultations on the platform anymore.

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