To TURP or not to TURP - advice needed!

Since joining this site I have found out it really depends on the doc. Some of us had very good results with TURP . Others have had bad results including RE and other side effects.

Please don't rush into a TURP - follow your gut feeling! The catheter is worth keeping in place while you consider all the available options - PAE or HoLEP definitely worth consideration, and this forum will suggest several others, depending on full examination of your prostate and bladder. I had a HoLEP a year ago and can highly recommend it. Remember it's radiologists for PAE advice, as urologists don't tend to mention this!  Best wishes - John.

I had a series of infections and retention episodes through 2015 and I saw a locum urologist while my usual consultant was away. (He had known me and monitored my pCa and PSA for several years). The locum seemed rather alarmed at my recurring infections and recommended TURP. I went along for all the pre-op checks but on surgery day my usual uro decided to do another retention check with handheld ultrasound. By this time my GP had prescribed prophylactic antibiotics and I had been free of infections for 3 months. Turns out I didn't have BPH, but the Locum had assumed this was my diagnosis. Had my usual uro gone ahead, I'd have had all the disadvantages of TURP and no benefit! The moral of the story says to me - check, test and examine thoroughly before going the surgical route!

If I were you, I would definitely find out more before undergoing a TURP. Has no one explained the vomiting episode? I don't see how that could be related to a prostate problem.window.post_1488127830630_23 = function(win,msg){

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3000ml is a lot of retention and uros usually do not recommend TURP (or any other ops) because it probably will not correct the problem, which is mostly a stretched (flaccid) bladder.

Learn how to self cath (CIC) so you can get rid of the Foley catheter. Are you on any prostate meds ? If not, try some alpha blockers. With CIC you can measure your retention daily to see if any thing helps.

Hank

The more you investigate and the more you research the more you will know. You do not seem to have an emergency to rush into anything. This forum will give you an idea what others have gone through but remember that your situation may be different from others, so use this forum as a guide and comparison.

I tend to fsavor the old carpenter's rule: measure twice, cut once.

I would ask for an MRI and a TRUS to check the exact size of my prostate. Then I would get second opinions from completely separate doctors who are not affilated with each other.

In my case I opted out of everything I was offered, even the drugs, and waited. Then I undrwent the iTind procedure which is very, very kind to my body compared to all of the other methods. It was very easy and very low trauma. For me it worked like a charm. Should symptoms return, I can always escalate trweatment to something more severe.

This is your body. You only gert one chance to get things right. To the doctor you are one of many cases this year. If he gets you wrong, well, he got many of the others right so he is still considered a good doctor.

Be safe, Be healthy.