After my cystoscopy, He said he will perform a two-for-one operation. TURB & TURP
Posted , 7 users are following.
I'm 58, and had Progressive BPH symptoms for about are year. They have gotten worse in the last couple of months. I went to the hospital and had a cystoscopy by an experienced urologist. During the cystoscopy he found two small lesions in my bladder. Then looking at my prostate he said it was blocking and that was my problem. He said he will perform a two-for-one operation. One he will remove the bladder lesions TURB, then you will perform a TURP. I'm thinking I just need the TURB done and should wait on alternatives for the TURP.
0 likes, 61 replies
derek76 johnny90372
Posted
kenneth1955 johnny90372
Posted
That may be a good idea but I would not trust the doctor he may just do the TURP on you anyway. Once you sign for the surgery he can do anything he want. Get another doctor try the med's first before anything Ken
dai12345 johnny90372
Posted
Don't go along with standard TURP without considering all the other options. It's a major decision and if it doesn't work out right you often can't correct it. I had a HoLEP by a real expert and 100% happy after 3 years. Make sure you have the best urologist.
johnny90372 dai12345
Posted
my urologist is highly regarded. He said during theTURP his resident doctors will be learning and assisting him in the procedure. Isn't the longer I wait to get something done go to damage my bladder? I just started taking medication for BPH. Wouldn't it be wise to see if the medication works before going for the surgery?
kenneth1955 johnny90372
Posted
The more you are talking about what is going on is getting to me now. Your doctor whats to use you for training and a kinna pig. He needs help. Try the med's first before anything. A good doctor would have told you that Ken
brian34488 johnny90372
Posted
Hi Johnny, I just read that you said the resident doctors will be assisting him in the procedure, I strongly urge you not to allow any resident doctor to practice surgery on you as one mistake which a learner can easily make can leave you permanently regretting it for the rest of your very unhappy life, I know 100% that skilled surgeons themselves will never allow a resident doctor to do surgery on them, I realize they have to practice on someone but don't let it be you! as ken has said.
kenneth1955 brian34488
Posted
Good morning Brain. Only heard fro John a little pit. He is going to have the lesion done by the same doctor. I would not trust him. He is going to have to look at the papers he sign very close. There is only one letter off from each TURB and TURP, I am scared of what could happen but he will do what he want. Only time will tell. Let's hope it comes out ok and he does not do any damage to him where he has to have the turp done anyway. Ken
brian34488 kenneth1955
Posted
kenneth1955 brian34488
Posted
Yes thank you Brain That is true but I want them to make the right decision because they can't go back once it's done. Some Doctors do not tell us everything that will happen with a procedure. I know they are very busy but 5 minutes here or 10 minutes you can't get all your questions answered.. They just fly through We have to look things up. To take care of us. Take care Ken
johnny90372 brian34488
Posted
Thanks for warning me. thanks guys. I don't think they're allowed to perform the actual surgery in a big hospital because the consent form would be just for the surgeon doing the procedure. I imagine the patient would be required to sign a consent that would state the resident would actually be performing the Surgery act. I believe they are may be allowed to assist the surgeon only.
oldbuzzard johnny90372
Posted
kenneth1955 oldbuzzard
Posted
brian34488 johnny90372
Posted
derek76 brian34488
Posted
brian34488 derek76
Posted
FLA is done via the anus with a much smaller laser and done under live mri so they dont do any damage to anything important as they can see exactly where they are under live mri they can be extremely precise and its so easy just lie down in a non clostraphobic mri then go home the same day the only hassle is having a catheter for 7 days then you are as good as new! in my case although the FLA was brilliant my bladder having been unable to do its job for years now has to be retrained to hold more fluid longer and not signal me to pee so often its gradually improving now that the urine pathway is not restricted any more, I flew from New Zealand to Houston Texas to get Dr Karamanian to do the FLA as he is the best in my opinion and VERY helpful, so ou see FLA is actually not really invasive as all it does is remove unimportant tissue that has grown and blocked the urine pathway but with no damage to the important bits-GENIUS,BRILLIANT, AMAZINGLY SIMPLE!
brian34488 derek76
Posted
Hi Derek I should have added FLA keeps the prostate at a safe cool temperature by water cooling the prostate during the FLA and the computer tells them the water temperature, this technology is where we should be in 2018 the trouble is the urologists are not trained to use live mri and are not up to speed with FLA, they are aware of it but not trained or skilled in it so their natural instinct is that of self preservation with regard to their career, eg I visited a urologist who was a young robotic prostae surgeon I was shocked at his negative attitude toward FLA, knowing I was going to Dr Karamanian in Houston for FLA his exact words were " you wont come back any better off than before you left!"which reminds me I must tell him and all the urologists that were going to butcher me that FLA worked beautifully with no side affects and no damage!
kenneth1955 brian34488
Posted
kenneth1955 brian34488
Posted
johnny90372 kenneth1955
Posted
Hey Kenneth, I don't know if you know this. But when you sign a consent form in the hospital for treatment like a procedure, after you sign it where does the consent and up in the hospital? I'm asking this because I signed two consent forms for the so-called two for one operation. During the same operation they were planning on taking out two tiny bladder lesions in A TURB procedure. The other procedure was a full on TURP. I canceled the TURP with the doctors office. They told me I would possibly be signing another new consent for the one procedure. Now I and thinking I should track down where the consents are at the hospital department or office and have them both revoked. My fear is when I going to surgery they may do both procedures anyway. Unless I'm just being paranoid. The doctors administrative assistant said it's only one procedure and they canceled the other.
kenneth1955 johnny90372
Posted
John I am sorry but I would not trust that doctor going in me for anything. But if you insist . I would ask for a copy of the form and make sure that it said TURP canceled and the date it was conceled. . Also when you sign that other consent form for the TURB make sure that is all it say's. Also have them or you write on it no Turp for any reason. He can do anything to you he wants when your out. You have to take control because I'm sorry. I do not trust him. Also I know that this is a teaching hospital. I would tell them no one other then the doctor is aloud. Ken
brian34488 kenneth1955
Posted
With regard to dead prostate tissue most of the dead tissue is removed naturally by the body, some remains but evidently is not a concern as I have not herd anyone that has had FLA experiencing an issue in that regard and neither have I but you do have good questions and Dr K is the best one to answer them, I certainly have no regrets and happily remind myself daily how glad I am to have had FLA and Dr Karamanian be the one to do it, kind regards Brian.
derek76 brian34488
Posted
It is my understanding that FLA was developed to treat prostate cancer so is it not a bit OTT for BPH, You and others having it are more fortunate than most in being able to be able to cross the world at your own expense to have the treatment of your choice while the figures say that a phenomenal 150,000 TURPs are still being done a year in the USA.
derek76 brian34488
Posted
kenneth1955 derek76
Posted
derek76 brian34488
Posted
brian34488 derek76
Posted
kenneth1955 brian34488
Posted
Brain only time will tell. Dr. K is doing study's and he said by the end of the year. Let's hope all goes well and the cost goes down Ken