Chronic Retention of Urine - Enlarged Prostate

Are you considering the gentler modern alternatives to TURP?.... Green Light PVP, HoLep, Thulium Laser.

hi derek i dont know if they perform the other alternatives at dumfries when i spoke to the urologist on 2/10/14 he said that they do turp at dumfries he did not mention any other proceedures regards francis

 

Good news ( the Turp I mean ) I hope all goes well for you.

kind regards

Howard.

Each Hospital seems to have their own preferences ( my Hospital does Turp ). and no other.

They tend not to mention what they don't do.

You can Google prostatescotland for area information that should say which procedures are done.

You can ask to be referred elsewhere but you may lose your urgent placing.

Edinburgh's Western General  did not do PVP in 2004 so I insisted on being referred to the Freeman in Newcastle who were one of the first doing it.

Edinburgh much later started to do it. At that time Dundee and Ayr were doing other foms of prostate laser surgery.

Scotland was very late to the laser scene. Even Turkish hospital were doing it years before them. 

They do what they know and are comfortable with and probably do not get funding for new fangled expensive equipment.

Hi all, TURP (trans urethral resection of prostate) is the route of access for surgery and not the type of surgery that you will have. It's probable that if you asked specificaly which surgery you will undergo, it may well be laser. I was told by my consultant that he would finally decide after he'd viewed the extent of the distention of my prostate and went for laser. It's all on the HNS info site so please look at it before you get upset by seemingly being denied alternatives that aren't mentioned, as the consutant may well be opting for laser but using the generic term TURP.

Ben

I agree; I thought TURP was the older-style surgical knife (and I do think many surgeons themselves use it this way). But my uro found it odd when I quizzed him about having TURP rather than HoLEP - he said HoLEP is TURP.

Hi Frank,

Sorry to hear you went through all this pain and agony.

Hopefully you are now in better form and you won't have to wait too long for your operation.

Kind Regards

Barry

They all tend to say that and some say what's the difference it's all just boring opening up a channel. As we know to the patient it is very different in terms of recovery.

Hi Frank,

Sorry to hear you went through all this pain and agony.

Hopefully you are now in better form and you won't have to wait too long for your operation.

Kind Regards

Barry

Hi Frank,

Sorry about the same e-mail twice.

Regards

Hi Frank, You may be re-assured by my post below. TURP (trans urethral resection of prostate) is a generic term which defines the route of the procedure, not how the prostate is operated on. The "old fashioned" method (cautery) is he same method that is used for females who have a D&C. They too now have the laser option. Cost is often quoted as being the reason for not using laser but costs are saved, as the shorter recovery time and fewer post surgery problems balances this out. It's also less traumatic on the bladder. Don't be disheartened by the term TURP. Ask which method they are going to use to actually remove the prostate tissue. I hope this helps, Ben

This is what they told me my Turp would be .

RE: TURP

.Before the procedure

You will usually be asked to stop eating and drinking around six hours before surgery. Depending on the results of your pre-assessment, you may be given compression stockings or blood-thinning medication to help prevent blood clots.

A TURP is performed using anaesthetic, so you will not feel any pain during the procedure. The type of anaesthetic used may be either:

a general anaesthetic - where you will be unconscious throughout the procedure

a spinal or epidural anaesthetic - where you will be awake during the procedure, but not able to feel anything below your waist

Surgery

A TURP is usually carried out using a device called a resectoscope. A resectoscope is a thin metal tube that contains:

a light

a camera

a loop of wire

The surgeon will insert the resectoscope into your urethra (the tube that carries urine from your bladder to your penis) before guiding it to the site of your prostate with the help of the light and the camera.

An electric current is used to heat the loop of wire, and the heated wire is used to cut away the section of your prostate that is causing your symptoms. After the procedure, a catheter (a thin, flexible tube) is used to pump saline water into the bladder and flush away pieces of prostate that have been removed.

A TURP can take up to an hour to perform, depending on how much of your prostate needs to be removed.

Once the procedure has been completed, you will be moved back to your hospital ward so you can recover.

 

also the prostate would be " cored out like an apple just leaving a shell"

the uroligists words, and that it would be done by the heated wire method.

kind regards

Howard

Watch one on YouTube

I put a link up to one derek but was told it was not allowed ( can't wait to get my feet in those stirups.

I've watched several on Youtube including one done by the surgeon who did my Thulium Laser last year who was demonstrating it to a German hospital. When I commented on it to him he said that was a small one (45Grms) yours will be a challenge. When he came to see me the next day he said that I had ruined his back and he was in great pain after crouching between my legs for over three hours! I dunno what he was doing for all that time as he said that the lasing time was about 29 minutes.

The company who make the PVP laser equipment sent me a DVD.

A Spanish Dr Sanchez has an interesting site.

I've got a Question for you have you ever known for prostate pain to happen at a certain time of day?.

The last few days I've managed to keep the pain under control pretty much

untill about 4.30pm then it gets worst up until 7pm and just stays there no matter what meds I take. until I finaly get to sleep at about 1am in the morning.

kind regards

Howard.

Hi Howard, the method described is the original "mechanical" method which is exactly as it says on the tin. I had an epidural but went to sleep as they gave me an extra pre-anasethetic. In my case they decided which method only after they had a good look at the prostate and went for laser. The extra medication was a precaution. It may also have been because the surgeon knew that I'd spent many years working in an operating theatre in my youth. My pal was awake during his surgery and chatting to the staff. Recovery is relatively quick but don't be upset if your pee contains debris from the surgery, as the flushing doesn't always remove everything. Along with it you have a decreasing amount of bleeding. Surprisingly, peeing isn't as painful as you might expect. You will be pleasantly surprised (and a little elated) by the fact that you can pee "on demand". If you read my blog on prostatitis you will see how I coped and many of the entries can apply to post-TURP. No acidic fruits or drinks, no caffeine, no alcohol or spicey foods, as they can all become residues in your urine and could iritate any inflamed or damaged tissue in your bladder or urethra. I hope all goes well. Ben

Thank you Ben, I know it may seem strange to look forward to pain ( but I want it done ASAP )

kind regards

Howard.

With me always worse when in bed or sitting for a long time. I don't take painkillers as they don't help. Sleep?? Whats that?

Quote "  Depending on the results of your pre-assessment, you may be given compression stockings or blood-thinning medication to help prevent blood clots"

I was told to stop taking Warfarin two days before my last laser surgery and that produces a lot less blood than what my last GP called  'Bloody TURP'

I did wear compression stockings for a few days.