Thanks for writing in. TURP is a surgical proccedure which is done to treat bening prostatic hyperplasia. Apart from surgical management, medical treatment has also gained importance these days. It is because of the side effects after TURP like retrograde ejaculation, blood in urine etc.
Also patients who do not wish to get surgery or who have contraindications for surgery, who want temporary relief from symptoms or ones who are having recurrent prostatic hyperplasia can opt for medical mangement.
Alpha blockers relax the muscles in the prostate and bladder neck, easing the flow of urine in about 70% of men with BPH. Doxazosin and terazosin both can lower the blood pressure. The newest alpha blockers , flomax, and alfuzosin, are less likely to affect the blood pressure. Unlike the alpha blockers, finasteride actually shrink the prostate gland. Unfortunately, they take many months to work and are likely to help only men with rather large glands.
Nocturia- night time urination is a common symptom of enlarged prostrate. I would advise you to get checked with your urologist for the prostrate.
Tylenol pm is a combination of acetaminophen and diphenhydramine. Acetaminophen is an analgesic and anti inflammatory drug, where as diphenhydramine is a sedative. Tylenol pm is a drug with very few side effects and is non- habit forming drug. Nocturia is not a result of the use of this drug.
Visit a urologist and discuss about the treatment options available.
All the best.