Given his history of heart bypass surgery, borderline kidney function, and use of Ecosprin, continuing with Rapilif (silodosin) is a very reasonable and safer immediate path. Surgery like TURP carries higher risks for him due to his heart and kidney conditions. As long as he is urinating well and his kidney function remains stable under his doctor's close monitoring, you can safely continue his medication for now. Please consult his urologist and cardiologist together to carefully weigh these risks before making any final surgical decisions.

Yes, Rapilif (which contains silodosin) can cause you to not release semen during ejaculation. This is a very common and completely harmless side effect called retrograde ejaculation, where semen temporarily enters the bladder instead of exiting. It is not dangerous and does not affect your physical pleasure. Once you finish or stop the medication under your doctor's guidance, your normal ejaculation will fully return. You can safely continue your treatment, but please mention this to your prescribing doctor at your next visit for peace of mind.

Since he is doing well on Rapilif (silodosin) and has important health factors like heart bypass history and borderline kidney function, continuing with his medication is currently a very safe and reasonable approach. Surgery like TURP carries increased bleeding and anesthesia risks, especially while taking blood thinners like Ecosprin (aspirin). As long as he urinates easily, has no urinary infections, and his kidney function remains stable, surgery is likely not necessary right now. Please continue his daily medication and have his urologist regularly monitor his kidney function to keep him safe and comfortable.

Your random blood sugar of 126 mg/dL is quite normal and unlikely to cause this frequent urination. Rapilif (silodosin) is actually prescribed to help you urinate more easily, so a sudden need to go every 10 to 15 minutes is not a typical reaction. Instead, this sudden frequency is often caused by a urinary tract infection or bladder irritation. I gently recommend contacting your doctor soon for a simple urine test.