I am a 74 year old male suffering from BPH symptoms for almost 20 years. Been taking finasteride and doxazosin for many years. Annual PSA never exceeds 2.5, and see my urologist twice a year. Recently my flow has sporadically lessened, and this past week I have an extremely weak stream when I first get up in the morning, and am unable to empty my bladder the first time I try. The weak stream can actually mean a slow drip. If I wait another 10-20 minutes however, the flow will increase, and I can usually empty the bladder, or get close to it. When I first get up, my penis is slightly engorged, but far from erect, which may be causing the problem. Becomes completely flaccid after the 10-20 minute wait, which could account for the better flow.
.
I don't appear to have any other UTI symptoms like burning or fever or even any discomfort. My real worry, of course, is prostate cancer, or a complete retention. which I don't want to experience again. Is this morning weak stream something to be concerned about, and is there a solution?
I have been fortunate in that my BPH symptoms are mild compared to others. I seldom have had the feeling of urgency, incomplete emptying, stopping and starting and the nocturia is usually only once per night. Any information or incite is appreciated