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Is anejaculation a side effect of Silodal?

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

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

Education:

MBBS

Professional Bio:

Dr. Gopinath is an experienced Urologist with advanced training in urological health. His expertise includes the management of kidney stones, prostate disorders, and urinary tract conditions, and he is skilled in performing both minimally invasive and advanced urological procedures to provide exceptional patient care.

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

Hi,

Welcome to icliniq.com.

You need to be examined clinically with per rectal examination. If clinical findings suggest chronic prostatitis, you need a prolonged treatment for it. Did you undergo a 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 a 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
Answered by Dr. Gopinath
Medically reviewed by iCliniq medical review team
Published At March 7, 2018
Reviewed At June 8, 2026

Education:

MBBS

Professional Bio:

Dr. Gopinath is an experienced Urologist with advanced training in urological health. His expertise includes the management of kidney stones, prostate disorders, and urinary tract conditions, and he is skilled in performing both minimally invasive and advanced urological procedures to provide exceptional patient care.

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

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Education:

MBBS

Professional Bio:

Dr. Gopinath is an experienced Urologist with advanced training in urological health. His expertise includes the management of kidney stones, prostate disorders, and urinary tract conditions, and he is skilled in performing both minimally invasive and advanced urological procedures to provide exceptional patient care.

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

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