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This is especially the case if you find yourself uninsured. The prinivil 20 mg cost tadalafil is also used to treat benign enlarged prostate and has been found to have fewer uncomfortable side effects than tamsulosin does. Additionally, tadalafil decreases the eventual need for surgery on the prostate, where tamsulosin does not directly affect the enlarged prostate. Tamsulosin is not going to decrease your need for surgery.