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Is anejaculation a side effect of Silodal?

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Is anejaculation a side effect of Silodal?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Gopinath

Medically reviewed by

iCliniq medical review team

Published At March 7, 2018
Reviewed AtJanuary 23, 2024

Patient's Query

Hello doctor,

I have enlarged prostate and some lesion on the prostate. The report has been attached. For the past four years, I have been suffering from urinary tract infections and kidney stones and my life is very much disturbed. I am attaching the files of my reports and the medicines which I am taking. I am recovering, but my nephrologist advised me to consult for the prostate lesion. I am having frequent urination and sometimes ejaculation does not happen after sex. I have hydronephrosis in left kidney which is by birth and was disturbed by kidney stones three years back. In the past, I had some homeopathy medicines. I am taking medicine Utforte (1-0-1), Silodal (0-0-1) and Soliten (0-0-1) for the past two months as prescribed. I just want know the concern about the lesion on my prostate.

Answered by Dr. Gopinath

Hi,

Welcome to icliniq.com.

You need to be examined clinically with per rectal examination. If clinical findings suggest a chronic prostatitis you need a prolonged treatment for it. Did you undergo uroflow test as suggested? It shows whether your urine flow is obstructed or not. Your PSA (prostate-specific antigen) level is normal. If your per rectal examination shows normal prostate, you need not worry about prostate lesion. For the left sided hydronephrosis, I suggest a DTPA scan to see whether it needs surgery or not. Since you are on Silodal tablets - Silodosin, anejaculation and dry ejaculation will occur as it is side effects which will not occur when stopped. In case of chronic prostatitis, I suggest tablet Bacstol 100 mg (Trimethoprim) twice a day and tablet Alfoo 10 mg (Alfuzosin) at night for one month. You may stop other tablets.

The Probable causes

Infection.

Investigations to be done

1. Per rectal examination by urologist. 2. Uroflow test. 3. DTPA scan (Diethylenetriamine pentaacetic acid scan) for pujo (pelvi-ureteric junction obstruction).

Differential diagnosis

CPPS (chronic pelvic pain syndrome).

Probable diagnosis

Chronic prostatitis.

Treatment plan

Antibiotics.

Regarding follow up

Revert back with the investigation reports to a urologist online.---> https://www.icliniq.com/ask-a-doctor-online/urologist

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Gopinath
Dr. Gopinath

Urology

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