best treatment option for bph /urinary frequency?

Hi,

I can't tell you about any of the procedures you describe but I did just want to warn you about taking Cipro - it's a fluoroquinolone antibiotic. It's often prescribed for prostate or pelvic pain, sometimes for 4 weeks or more.  Don't take it, say you are allergic to it and all the other fluoroquinolones.  Its side effects can be damaging and devastating.  I'm not exaggerating when I say people have been permanently disabled after taking these antibiotics (which are also used as chemo drugs!).

Check out the discussions on here under the fluoroquinolone antibiotic heading to get an idea of what I'm talking about.

I hope you get your problem solved soon, and safely  - take care!

Look at GL & Holep laser procedures.

I am glad you are addressing this problem...You must remember...a lot depends on the Size and Shape of the prostate...your age...if their is PCa involved....do you have an ongoing UTI.Once these are answered then look into an approach that will address your personal situation. I know it is not an easy thing but lets say your prostate is very small...then maybe you would NOT want to use a more invasive technique at this time.

Good luck & take care

Don't forget to add Prostate Artery Embolisation (PAE) to your list to evaluate.

I would suggest you also look at Rezum. A relatively minor 10 minute procedure that does not cause impotence, nor incontinence. I think it only is appropriate when your medium lobe is not enlarged, but check with your urologist.

I landed a TUNA about 11 years ago.  I think that they have generally abandoned that treatment - seen at the time as a milder alternative to TURP.  It is not as prevalent as 12 years ago because the men like me saw that something needed to be done because their BPH problem (mostly nocturia) had recurred.  So, as this forum notes, there are brand new things to try.  Talk to as many men that you know who have had one of them.  Find a good urologist.  Read up all you can.  ASK QUESTIONS.  Good luck.  (By the way, if you are in the USA, and over 65 most likely you will be encouraged to try pills first.  Didn't work for me (FLOMAX), but others...  Well, you can read up on that 2).

Hi, what you need to realize is as in my case even though you choose the least invasive option you may still have a frequent urge to urinate as although the option you had was successful and unblocked your flow your bladder may now need training to hold urine again, this will take time for it to respond and stop signaling you too early and too often, I had FLA(focal laser ablation done in Houston by Dr Karamanian it was great , no pain, and very sucessfull and no damage, I now have much better flow, can hold more fluid longer, get much better sleep and are now starting to train my bladder to do even better. 

I also suggest looking at HoLEP and GL. My HoLEP has been 100% successful. A lot depends on the size of your prostate etc and what an ultrasound scan shows. My prostate was very large and had a protusion that needed proper surgery. I would avoid traditional TURP as it often causes problems. Find a really good urologist and perhaps 2nd opinion before any surgery and ensure the right tests are done prior to your choice. Be prepared to pay for the right op.