BPH treatments.

As you say if you get the wrong Guy or the procedure not best for you may have to live with the outcome. TURP obviously is less precise procedure than laser. After my successful GL I cannot understand some of the reports I read here. I had minimal bleeding after it, no urgency, minimal retention, no RE and  my PSA was halved. My only complaint was that my flow was not as good as I expected. Possibly because it was a bladder neck sparing procedure. At my follow up another of his patients said the same thing, delighted but not peeing like a racehorse. 

I have a lot more confidence in UK salaried NHS doctors than their American counterparts who don't want miss the chance of some Bucks. They are much more likely to push the procedure that gives them the better return without telling patients of procedures done elsewhere.

  

Don't US docs offer a wider variety of procedures?

Yes - and they like to pay for the least extensive and expensive ones.

It would seem not. Are many not trying to be Jack of all trades rather than specialists. You do though have an easier time getting second or third opinions. Mostly we have 'patients choice' of picking a hospital but usually people want one that is convenient to travel to particularly when elderly. Then you need to research the procedures they do and their waiting time that can be months.

I waited 54 weeks for my heart valve replacement but my friend I Baltimore had his done in three weeks.

Someone I have off Forum contact with has been told his HoLep has a six month waiting list.

Good point. Perhaps the answer is a replacement prostate or an artificial one :-)

 As dogs have a prostate perhaps theirs could be used ! Though looking at how often they c**k their legs they are probably all having problems. Fancy having a dog that had to go out six times during the night. 

I love how the system edited that word and yet it does not have a spell checker to help us as it initially had when I started using the site. 

Having a DRE at a check up three years ago stimulated my Vagus nerve and put me back into permanent  atrial fibrillation after having had two successful cardioversions.

Saved me from my scheduled TURP procedure as well!  Thank you to all those that contribute and answer our questions & concerns.

Tom

Another cure that will not last as your prostate will keep on growing. One day you wont be able to get the catheter in due to its growth or if it has swollen due to prostatitis. I had prostatitis at the time I was going for heart valve surgery. Thinking that they may not want to operate due to that I advised them but they said it was OK. In the theatre they could not get a catheter in and had to use a suprapubic one.

@Derek: One day you wont be able to get the catheter in due to its growth or if it has swollen due to prostatitis.

--------------------------

Possible but not likely. Many in the SCI community self cath their entire life and a percentage of them no doubt have bph.

Jim

Well the hospital theatre could not get one past my prostate

Was that a Foley or a straight cath using smaller catheter like the ones we use for CIC? Not saying everyone can self cath or that things could go south, but we don't hear that a lot from those who do this routinely. In any event, not a reason not to as you have suggested in the past, any more than prostate growth isn't a reason not to have any other prostate reduction surgery.

BTW I had my tongue partly in cheek in my first post. Like you infer, there is no perfect choice and CIC also has limitations, but for me and some others, those are the ones we prefer.

Jim

I don't know as I had been sedated by then and the operation notes did not say.