What You Need to Know about Flomax (Tamsulosin) Treatment for Enlarged Prostate Symptoms in Men

by Alex Shteynshlyuger MD


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  

We offer affordable prices with or without insurance.  Same-day virtual video appointments and in-person appointments are available.


Flomax is an Effective Treatment for BPH Symptoms

Flomax (generic name tamsulosin) is an effective medication that treats symptoms of enlarged prostate in men.  Flomax has been used by millions of men.  It has a good safety profile with usually minor side effects in some men.  Flomax is a type of medication called alpha-blocker because it blocks the alpha receptors, which causes the muscle of the prostate to relax. 

Flomax can Improve the Slow Urine Stream.

Tamsulosin is effective in improving the slow urine stream. Tamsulosin also decreases the need to wake up at night to urinate and decrease urinary urgency in men with an enlarged prostate.

Flomax Helps Not To Wake Up at Night to Urinate

Urination at night is a common symptom in men with an enlarged prostate. Some men may need to wake up once or twice a night but others have an urge to pee up to 6-8 times a night.  Medications such as Flomax can often help men to sleep through the night and to get a good night’s rest without waking up multiple times with the urge to urinate.

Cost of Tamsulosin (Flomax)

Tamsulosin or Flomax is available as a generic medication.  Flomax is fairly inexpensive, with a monthly cost of under $20-$30.  Small private pharmacies and Costco pharmacy, as well as Walmart pharmacy, tend to have good prices.  Chain pharmacies such as CVS and Walgreens tend to be more expensive.

Tamsulosin (Flomax) Side Effects and What to do If You Get Them

Every medication has side effects, but not every patient gets side effects.  In general, tamsulosin has mild side effects. 

The most bothersome side effect that men experience is dizziness, which typically resolves within 2-3 days.  For this reason, Flomax is usually taken at night before going to sleep so that dizziness, if it occurs, happens during sleep. Some people feel groggy or tired in the morning – if it persists, see a doctor.  The other bothersome symptom that some men experience is a lack of ejaculation.  Lack of ejaculation or unejaculation is not dangerous and reversible once a patient stops Flomax.  Men who experience unejaculation can orgasm. Ejaculation and orgasm are two separate functions that tend to occur together.

Alternatives to Flomax: Treatment Options for Enlarged Prostate if You Have Side Effects or if Tamsulosin Does Not Help

For men who experienced side effects from Flomax, trying a different medication such as Uroxatral (alfuzosin), terazosin, or Rapaflo often works well. Usually, they often do not experience side effects from the alternative medication. 

If Flomax does not help or if a patient experiences side effects to replacement medication such as alfuzosin or Rapaflo, other treatment options include Urolift procedure, REZUM, and laser prostate enucleation. Bipolar TURP and Greenlight laser of the prostate are also effective.

Finasteride or Proscar is another medication that is often helpful in men with urinary symptoms caused by enlarged prostate and BPH.  Typically, Proscar is taken together with Flomax as a combination provides more benefit than either medication alone.

Medications used for overactive bladder treatment are often helpful in combination with Flomax to alleviate the symptoms of frequent urination in men, urgency, and urge incontinence.  These medications include oxybutynin, Vesicare, Myrbetriq, and Detrol.

How Effective His Flomax For Men With Symptoms Closed By Enlarged Prostate?

Flomax, in general, is a very effective treatment for men with symptoms of an enlarged prostate. Tamsulosin can help with symptoms such as the need to urinate often, slow urine stream, need to push to empty the bladder, and to wake up at night to urinate.

In some men, the prostate grows too large, and Flomax does not provide adequate benefit.  In men who have an enlarged median lobe of the prostate that blocks urine flow, medications typically do not help.  When medications stop working, surgical treatment provides the most effective relief of symptoms.

Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP.  He performs over 100 prostate procedures a year.

Cost of Enlarged Prostate Treatment without Insurance

At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.  Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.

At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure.  The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. 

Cost of Treatment and Insurance

Inexpensive Urologist Visit CostAt New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs. 

We accept many health insurance plans.  We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage.  Financing options and credit options are available to help you pay for medical care.

Where to Get Prostate Treatment in NYC?

At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men.  Same-day virtual video appointments and in-person appointments are available.

Call/text today: 1-646-663-4044 or make an appointment online.  

We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office.  We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting.  We treat urinary and erection problems. We offer confidential appointments.

Our appointment costs are affordable with or without insurance.  We offer free insurance verification.

Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists

We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries.  Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.

Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?

  • All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
  • We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
  • We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.  
  • Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.  
  • We also offer laser surgery for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
  • We offer diagnostic testing in our office, which avoids hospital costs.
  • Confidential and Understanding Care. We understand that most of our patients desire privacy.  We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
  • We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.

What do Prostate Problems Look Like?

You can find images of uroflow as well as before and after treatment images in our image gallery.

Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.  We offer weekday, weekend, and evening office hours.

Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men.  He is one of the few urologists who offers a full range of treatment options for BPH (enlarged prostate).  He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence.  He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.


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Urinary Problems Are Treatable in Nearly Every Man and Woman

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At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men.  We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem.  We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.

Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we can offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems.  We offer medical and surgical treatment for men’s prostate problems.

We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.

We Treat Some of the Most Complex Men’s Health Problems Including:

Schedule an Appointment with Dr. Shteynshlyuger:

Call/text today: 1-646-663-4044 or make an appointment online

Dr. Alex Shteynshlyuger is a fellowship-trained, board-certified urologist with expertise in the evaluation and treatment of urinary problems in men.  He uses modern, effective, and proven treatment methods, including Botox for OAB, Interstim neuromodulation, Rezum for BPH, prostate enucleation for enlarged prostate, and Urolift procedure.  

He has successfully treated hundreds of men with BPH with symptoms of frequent urination during the day and excessive urination at night.

He is highly recommended by top primary care physicians in the New York area. If you or someone you know has been experiencing urological symptoms, make an appointment to take advantage of Dr. Shteynshlyuger’s expert advice. Please feel free to contact us with any questions.


If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.

We have excellent reviews from patients and their partners.  Information for out-of-state and international patients.  Find out our office hours or directions to our office

We offer affordable appointment prices with or without insurance.