2 Plasma Oval Buttons within 9 months very poor results

Posted , 6 users are following.

I am most frustrated with the results of this procedure. After the first one about 9 months ago I started having problems about 3 months with poor flow, burning, not emptying all the way.

Doctor did another scope and said I needed another procedure as their was narrowing at the top where the bladder empties from scar tissue. I had that same Oval button procedure January 3rd. I went back in six weeks and still wasn't emptying leaving about 180ccs. He gave me a prescription for oxybutynin 15mg daily. to help with bladder spasm. I stopped taking it because it dried my mouth out so bad.

I am peeing probably 20 times a day. Never emptying completely. At night, I get up 3 or 4 times, just drippling almost off. I am most frustrated. not sure what to do. I went up last week to have Urine test for infection. it came back negative. About 12 years ago I had green light laser procedure with a different doctor up North from my home area. it went great! I left out patient without a bag and everything was fine until last year.

I now live in Florida. I like the doctor here, but I am losing faith in him or the procedure. I am thinking about driving 1200 miles to see my old doctor to get his opinion.

Any suggestions are much appreciated. From reading in this forum it sounds like everyone is having great success except me.

I'm gonna try the Oxybutynin again, but I don't think it helps the terrible flow at night. is it possible that there is scar tissue again.

0 likes, 11 replies

Report / Delete

11 Replies

  • Posted

    Frank, I am sorry to hear about your experience. After suffering from BPH for years and doing a good deal of research, I found that the HoLEP procedure seemed the best fit for a person with my profile. I am 77 years old with a 150 g prostate and a long term history of heart problems. I walked away from 3 different urologists each of whom offered their own opinion as to what they thought the best way to treat me. One wanted to do a TURP, another Rezume and the 3rd a TURP.

    After learning about the HoLEP, it took me a while to find the only doc in the entire state of Colorado that performed the procedure. I changed my insurance provider because that Doc didn't accept the insurer I have been with for years.

    I was operated on in late January and spent one night in the hospital. The Doc removed the Foley catheter late in the afternoon the day after he did the procedure and a few hours later I was sent home.

    I experienced some stinging from my penis for several days, but was immediately in a much place than I had been in years. I got up once a night instead of the 3-4 times I experienced before the operation. I was able to vacate my bladder and had WAY less pain doing so. I am 2.5 months out from the operation and I get better and better each day and think I might have reached my "new normal". My quality of life is vastly improved and I thank that Doc and the HoLEP itself numerous times a day.

    I don't know if this operation is for you or if it is what kind of access you might have available to you. Based on my experience, I highly recommend that you look into it to see if it makes sense for you. I wish you the best of luck in resolving your issues and hope you find a the way that is most appropriate for you to get there.

    Report / Delete Reply
  • Posted

    nope you are not the only one

    i have had a foley cath for 5 months now and in feb had turp and still cannot pee

    now due to covid 19 i cant say when they will have another go with another turp

    Report / Delete Reply
  • Posted

    nope you are not the only one

    i have had a foley cath for 5 months now and in feb had turp and still cannot pee

    now due to covid 19 i cant say when they will have another go with another turp

    Report / Delete Reply
  • Edited

    I had to get scope today as my urination is almost shutting off in the morning for the last two days.  I just sort dribble and squirt when it does come out.  Later in the day it picks up, but far from normal.
    I was holding 470 urine, and the doctor was very concerned.  He said he wanted to do a scope.  He said that there is a narrowing at the base of the bladder.  He wanted to send me home with a bag, but I said I would self Cath.  He said it was so narrow that I wouldn't be able to get the cath in.

    So instead he used wires to open it up enough to get me to surgery this Tuesday. He started with a 16, then asked for wire, then a 14, and wire, 12, and a wire, and I think he did a 10 too. It was rather painful.

    He said that should open it up enough to get me through the weekend, and he scheduled me for surgery on Tuesday April 28th. He said I'll need to wear a bag for 3 to 5 days, then he said he wants me to self cath for a while after that so to help not let the scar tissue no form again.

    This will make my 3rd Plasma Oval Button in about 9 months.

    I am upset that I have to do this again. I am thinking maybe I should get a 2nd opinion. But, I don't have much time as the surgery is scheduled for this coming Tuesday.

    I wonder if others have had this kind of scaring problem at the base of the bladder where it empties into the Uretha.

    Any responses much appreciated.

    Thank you~

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up