I too suffer from BPH. I take both daily Cialis and Alfuzosin and both help greatly, sometimes, to much. If you have BPH, you know how painful it can be to try and pee, how long it takes, only to have to go pee again , sometimes within minutes. The BPH medicine helps with the flow. However, I find that when you have to go, I have to go almost immediately or run the risk of pissing myself. I learned this the hard way while on a flight having to wait in line for the bathroom with like eight people in front of me. I had to go so badly that I was trying to cross my legs, I was holding close my piss slit through my jeans. I get to the bathroom door, I started to piss myself, enough that it was visible on my jeans. My Urologist calls this “latchkey incontinence”, trying to get to the bathroom as quickly as possible and can’t get the door open fast enough. Lol. If I am traveling long distances or at stadium events, I now wear a pull up diaper, just in case I can’t get to the bathroom fast enough. That said, I would rather wear a pull up and pee, than taking 20 minutes to pee only to have to go again in a few more minutes.
My PSA has been all over the map. From the 2’s, all the way up to 7.1. That figure triggered a MRI and no cancer was determined. But again, it greatly fluctuates. It is very true about ejaculating within 24 hours of the PSA that can affect the score.
I was originally prescribed tamsulosin, but I suffered the rare side effect of “retrograde ejaculation”. There would be no ejaculate when you came, it was sent back to the bladder. It was fun the first couple of times not having to clean up anything, but the release was not as strong and I liked the feeling, optics and taste better when I could cum, so the Urologist put me on Alfuzosin. All good now.