Posted , 16 users are following.
i have frequency and urgency go about 10-15 x day .ihave been on just about all meds in the last 3 months with no help.i do not want to have turp done to many horror stories anybody got any ideas? If I leave it go and just live like this do I have a chance of ruining my bladder or kidneys? No burning no blood just keep on voiding. Anyone with the same symptoms? Help
0 likes, 32 replies
Dawnay Rayluca10
Posted
dennis47445 Rayluca10
Posted
I have had two turps and one greenlight laser in a 13 year span. If I knew what I know now, I would choose to self-cath until I feel more comfortable about choosing a method to help with my condition. With the self-cathing, your bladder will empty out till there is only a residue of urine left in the bladder. You will feel great, having an empty bladder! This way, according to many on this forum, your bladder will remain healthy and in condition, and not turn useless and without any strength, to push urine out of the body. So far, it's the best thing that I've done for my bladder! For more information, go and search for JimJames, on this forum, he has lots of experience with self-cathing.
dai12345 Rayluca10
Posted
Hi. First make sure you haven't got diabetes as high blood sugar will cause frequent voiding. Get a urologist to check the size and shape of your prostate. Mine did this in 10 minutes in his office with an ultrasound unit up the backside; easy. I left mine to long and had a bladder twice normal size so don't neglect it. There are various options but avoid standard TURP. I had HoLep which went very well. It does involve Retrograde Ejaculation. I'm in my 70s so not a problem. Look at the other threads on this subject including Green Light laser
sam19736 Rayluca10
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sandip1952 Rayluca10
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"Bloody" TURP, as I call it, can be messy for many, specially if your prostate is large. But TURP had had many refinements, including the laser guided, which should be better and if you search in this site you should get answers.
IMO, if you know a good HoLEP surgeon who has many surgeries to his credit, you may seriously consider that. It is not bloody, has fewer risks, fewer retrograde ejaculation cases (70%), no erectile disfunction usually, etc.. But you need to ask surgeons for clear answers.
kenneth1955 sandip1952
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It more they they are letting on. Most of the time they distroy the bladder neck. And you get retro. It's not worth it Ken
uncklefester sandip1952
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My HOLEP doc said said 85% chance of RE. I'm still going that route because there is little chance of needing a second surgery
kenneth1955 uncklefester
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johnguild Rayluca10
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Ray, My uro doc recently told me of a case were a patient bled to death due to a TURP. I did not have time to ask him for details of this incident. I'm sure this must be very very rare indeed. Nevertheless, the other possible side effects of a TURP seem more real to me therefore I will avoid having one. I agree with others above, if meds don’t work for you self cathing is the way to go until you decide on some type of procedure. At first I was put off by the idea of self cathing; but really, after you do it 3 or 4 times you'll find that is pretty easy ... and, it sure feels good to have an empty bladder. Really good!
kenneth1955 johnguild
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It's better they having a turp Ken
dennis47445 johnguild
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yes, I agree with Johnguild. It feel great to have an empty bladder!!! I"ve been self-cathing for around 44 days, and to have an empty bladder feels the best. I've been having prostate problems for around 13 years, and just in the last 44 days, I've never felt better. An emplty bladder, helps me from always thinking where is the next restroom. That feeling of not quite empty is gone! It feels really good as if I was back in my youth again. I would suggest anyone trying to decide whether to do it...try it, and I believe you will find it very satisfactory.
cartoonman dennis47445
Posted
Yes, and an additional benefit with self-cathing: SLEEPING HROUGH THE NIGHT! Before I started self-cathing, 2+ years ago, I was up 4-5 times a night; now I cath at bedtime, and don't get up until it's time to make the coffee!
paul20443 Rayluca10
Posted
Ray......I’ve been following this blog for about 9 months and have heard a lot about cathing, drugs, and the various BPH procedures including PAE, Rezum, Urolift, TURP, Green Light Laser and HoLEP. The following summarizes what I’ve read as best I can.
Bottom line: drugs may work for a while (for me it was about 3 years), but they are not a long term solution and can also result in damage the bladder from constantly being over extended/full. I used tamsulosin (Flomax) and dutasteride which did help, but eventually as the prostate continued to grow, the effect was lessened. Plus I realized later the drugs zapped my sex drive.
Some procedures seem to work for some but not all. Worse yet, some have reported total incontinence after their surgical procedures. It’s hard to tell if it was a botched job or not.
The best answer imho is surgery, specifically HoLEP. I did the research on all the procedures (except PAE….had not heard of it), and chose HoLEP. It is the best surgical procedure because; 1) less time in the hospital and a on catheter (less than 24 hours), 2) less bleeding, 3) very small chance of needing a repeat procedure, and 4) they remove prostate tissue (instead of burning or otherwise destroying it), so they can biopsy it for cancer. I have heard no reports of anyone having HoLEP and needing a second procedure or experiencing incontinence or needing to continue cathing. I’ve heard way too many horror stories on this blog about TURP & GL. My uro explained that they both burn the tissue out, and therefore leave scar tissue. That tends to shrink over time, and hence the need for a repeat procedure. With HoLEP, they cut the tissue away, grind it up with a ‘morcellator’, push it into the bladder, and then wash it back out.
Yes, you the have retro ejac, but sex drive returns, and since I don’t plan to have any more children (age 68), it’s not a problem for me. I was retaining close to 800ml, and my prostate was 85 grams, PSA 3.8. After it was 46 grams, PSA 0.2. I had my surgery in January, and after two to three months had no problems at all. I did have leakage for 3 or 4 weeks. Some in the UK report they were told to do Kegel exercises for a few months before surgery to avoid this.
I have heard varied reports on PAE which is done by interventional radiologists. It is an outpatient procedure and far less invasive. However, I don’t believe it’s covered by most insurance, and because of the iffy results, don’t think I’d try it.
Lastly, the experience & ability of the doc is critical, and often difficult to determine. Hospital ratings for various specialties can be found in the US News & World Report evaluations. Bios for docs may or may not be available. For example, the Mayo Clinic was rated best in the nation, and they have the education and publications of their docs listed…… very helpful. Best of luck!
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