Posted , 12 users are following.
After consulting several doctors and getting very different opionions and recommendations, I am thinking that I would like to start by getting the least painful, least invasive treatment for my median lobe.
Any suggestions?
0 likes, 33 replies
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mike588 jjjj57989
Posted
randy_85492 mike588
Posted
Please follow the blog responses...PAE seems to be the "preferred treatment" by a majority of respondents..
jjjj57989
Posted
Sure Mike;
One urologist assured me that a bladder neck incision is the cure for my nocturia. Another urologist assured me that TURP is the right answer. A radiologist said I am perfect for PAE. And another urologist said that Urolift will be best for me.
And another urologist recommended a bipolar vaporization or 'button' turp.
In 2014 my prostate was 41.21ml
In 2015 it was 33.95ml.
In 2014 my residual urine was 40.61ml, more than 10% of the initial volume.
In 2015 it was 40% of the initial volume.
mike588 jjjj57989
Posted
Thanks, I don't understand the measurements for sure but looks like your prostate size is just fine, so I assume it's just the Median Lobe issue?
There is a thread here in patient.info, search for "Median Lobe Prostate Bladder Blockage Options?!?" - quite interesting and mentions other treatments including one from Germany.
jjjj57989 mike588
Posted
Thanks Mike, I hadn't seen that thread. It did give me a couple of good ideas.
I wish this forum had an editor.
Jeff
mike588 jjjj57989
Posted
you're welcome, I can add it seems that from other comments, and my own experience, that PAE is not effective for middle lobe but maybe surgeons are learning how to fix that. I will be discussing that with surgeon mid September. Surgeon told me latest study shows PAE 85% success rate, and those who have it repeated because it was not effective there is 60% success reate
jjjj57989 mike588
Posted
Have you ever heard of prostatic urethral lift (PUL)?
mike588 jjjj57989
Posted
Never heard of PUL - thanks I will look it up
mike588 jjjj57989
Posted
Oh yeh PUL is also called "Urolift" ? I actually spoke to a guy who had it done, he said it relieved his symptoms really nicely but his bladder was already damaged so he still had to go often.
The thing that scares me is that if the prostate continues to grow can the implants break lose?
jjjj57989 mike588
Posted
My first urologist recommended a bladder neck incision. It seemed like it was gruesome.
It might be the same as the p.u.l. I'm not sure.
http://www.issm.info/education-for-all/sexual-health-qa/what-is-a-prostatic-urethral-lift-procedure
randy_85492 jjjj57989
Posted
wally5 jjjj57989
Posted
Best thing you can do is to get a few opinions from doctors. I believed my urologist who told me that I wont even feel the difference after the operation. ""The sex will be excactly the same "I thought I am going to a specialist for specialist advice but believe me my sex life ia a total desaster after the TURP. All that he could do was to prescribe the maximum dosis of Levitra as well as testosterone injections to me . Well it didnt help at all and now the damage is done and he eventialy told me to get myself another urologist. I should have got another one before I went to him and the biggest mistake I made was to believe the man as I thought he is a specialist and that he at least would know better in his position. Of course if you are over 70 It could be ok but in my case I was 50 years old and I had a stunning life and an excelent sex life as well. Now Im a depressed angry person so dont just believe the first urologist. As somebody said "the TURP is just the gold standard for urologists "not for the patients.
randy_85492 wally5
Posted
I totally agree with your "last statement" re: TURP per those patients that have responded to our blog and those I've talkeddirectly to as well..
nealpros wally5
Posted
Neal
wally5 nealpros
Posted
nealpros wally5
Posted
I'm sorry to hear that. Just for information purposes, I am 74, and have a great sex life. Age is not a factor as long as you are otherwise healthy.
Don't sell the testosterone short. It may help over time. I use a testosterone gel that I apply each morning to my skin called Fortesta. You get it from an endocrinologist.
I hope you already have another urologist. Your old one should be hung by his nuts for a while. It would make him more sensitive.
Neal