Here, you are talking about 2 different problems:
1- Enlargement of the prostate: this is simply having a big prostate. Sometimes, this big prostate could squeeze on the urethra (the passage from the bladder to outside the body), generating urinary symptoms. The development of symptoms is not only due to the size of the prostate, as you can have a big prostate and not having any symptoms.
If you have bothersome symptoms, Omnic could help you a lot. But this drug could cause the passage of the ejaculation back to the bladder. If you have this problem and it bothers you, you can ask your doctor to change the drug for you.
If you have a large prostate, adding another drug to Omnic could further improve your symptoms if you still bothered.
2- The second problem is high PSA: the value of 10 is high relative to your age. If you have done 3 biopsies and were negative, you might benefit from additional tests.
There are many new tests that are now available in Lebanon to help us differentiate if the high PSA is caused by malignancy or not.
I encourage you to visit your urologist so that he can prescribe those tests for you.
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