Bi-Polar TURP at Stanford - second Post

Posted , 12 users are following.

...first Post is stuck in Moderator He!! due to an included link. I will delete the link and try again here.

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Okay here's the first update on my Bi-Polar TURP. Highly recommend Stanford University Medical Center Staff. They are very courteous, knowledgeable, well trained, and caring (to the point of pampering). *Proviso - I haven't gotten the Bill yet. 😉

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Scheduled for 10 am, went in to surgery about an hour and a half late. My procedure was set for 1 hour duration, but actually only took about 35 minutes. Uro later explained that not only did my procedure go very smoothly, he save 10-15 minutes because I had requested the Bladder Neck Sparring technique which means less time actually cutting away material. I spent the night (about 18 hours) with the Foley in with a constant irrigation of saline flushing my bladder. Didn't sleep until about 0300 and was awakened with "Morning Wood" about 0430 with a Pain rating of about 8-9 on the Pain Scale. Luckily that subsided rater quickly as I laid there tryin not to scream out in pain and wake up anyone within 2 blocks of the facility.

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They forced me to suffer with a 22 french Foley 3-way Catheter, saying that is the only size they use. If I had known that, I would have brought along a case of these 14 french, 3-way Foley Catheters. *Link had to be deleted to get this post past the Moderator.

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The damage and pain from the 22 french Foley was far worse than any of the other parts of my procedure. It has also left me with "Razor Blade" peeing, a Super "Fun" experience for those who have never had to pee through a ripped, chapped and injured Urethra.

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At any rate... I am now 3 days out, and seeing far less blood, lessening pain on urination, and was only forced to CIC "Self Cath" twice since the removal of the Foley catheter. Both times I managed to hold off until bed time.

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Will update at 30 days, 3 months, and one year.... if I remember. If not, just presume that I am doing well and went on with my Life. As always, I wish the very Best to anyone suffering from this (or other) dastardly afflictions.

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Good Luck Brothers,

Chuck

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  • Posted

    my doctor used a french 26 cath 3 way on me, had it in for several weeks afterwards too, along with a Superpubic.

    • Posted

      Kenneth,

      I swear that damned 22 Foley i suffered through ripped me up. I don't know how you could stand that 26 french Foley. Like Tom said, if it wasn't for the Foley catheter, the operation is not bad at all.

      Chuck

  • Posted

    I guess I'm surprised about having an option to select a bladder neck sparing procedure. Isn't that what a man would always want? Wouldn't every guy want to minimize the chance of incontinence?

    Since this seems obvious, there must be other issues at play. I think another poster alluded to an enlarged median lobe. Perhaps if a man has an enlarged median lobe, it is much more difficult to do a bladder neck sparing procedure. Any other issues that posters are aware of that would prevent a bladder neck sparing procedure.

  • Posted

    I'm fairly close to Stanford. If I might ask, did you consider the HoLep process before going with the TURP? I'm looking at both but after what you went thru........ I have not spoken with the Stanford folks yet and they may not offer TURP. Thanks.

    • Posted

      older-Dude,

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      Yes I considered both Holep and Aquablation. I decided against them for 2 basic reasons...

      First, I didn't find any Uro's in my travel distance that had what I figured was "enough experience" with those procedures that I was willing to chance them expanding their learning curve further on me. Second, my insurance didn't cover them, or at least not without a substantial co-pay from me.

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      I will give my 30 day update in about a week, but I am doing better each day. No more Razor Blade peeing since after the first 5-6 days. Mild burning, which is lessening, and flow/volume expelled are continuing to increase. Even at this point....

      Yes, I would do TURP with Bladder neck sparring technique again.

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      Chuck

  • Posted

    Okay as promised, here's my one month update...

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    Still peeing with better flow & volume, still have a burning sensation, but it's lessening. In the last week or so, I have had much bigger chunks of stuff (looks like small pieces of steak) plopping out periodically. Biggest was about 1/4 inch thick and 1/2 inch long. But thank God I haven't had any blockages, nor need to CIC / Self-cath any more. Scheduled for a post-op follow-up on the 19th. Doubt they'll say anything new, but will post if they do.

    Otherwise... will post again at 3 months and one year, if I remember. Otherwise, I'm still happy that I took control of this affliction which was ruining my quality of Life.

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    Best wishes for you All !

    Later Brothers,

    Chuck

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