Da Vinci for Turp??

Posted , 14 users are following.

I just had a cystocopy and it seems like I am headed for a TURP.

My local urologist seems quite competent but I am wondering if I would do better with a large medical center perhaps equipped with robotic surgery like Da Vinci.

Advice will be greatly appreciated.

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  • Posted

    You will find that you can learn a lot more from the great support group on these posts because most doctors have not personally gone through what their patients have gone through. Therefore they will do what they have learned in medical schools, hospital internships, and from their peers.
  • Posted

    Hi jjjj57989,

    Argentina have had Da Vinci (cirugía robótica) since 2008.  They do prostate and bladder surgery.  For more information you should call Dr. Oscar H. Damia.  He is a highly regarded urologist, chief of urology and general coordinator of the Robotic Unit (Da Vinci) of Hospital Italiano.  The hospital address is Juan D. Peron 4190, C1181ACH Buenos Aires, Argentina.  The phone number is 54 11 4959-0200. 

    Good luck!

    James

  • Posted

    You guys have given me a real education about BPH treatments.   The number of bad outcomes is kinda scary.  

    Along with the other research I've done, it seems like Urolift is the only treatment that has pretty much only positive reviews. 

    But its new and I havent seen long term results.  

    I've seen it called a 'temporary' fix, and also seen questions raised about attaching a foreign body to the prostate ie:  once men have had them for awhile will scarring or rejection problems occur?  

    • Posted

      I don't know about the urolift. I do know about the TURP and the PAE.

      TURP was terrible for me both during and after the surgery, with terrible results.

      The PAE was a breeze and has worked great for me.

       

    • Posted

      SInce I had my Urolift only four months ago, I can't personally repot on long-term results.  The FDA reviewed European surgeries before okaying it for the US, which gave 3 years of good results.  No rejection of surgical steel implants or the surgical thread holding them, that I found.  It is the only reversible solution, meaning, if there's any reason it doesn't work, the implants can be removed.  Not so in any of the other options,
    • Posted

      JJ  I have talked to you before.  I had the urolift done a year ago.  My urologist has been doing it for going on 3 year.  There is a 7 year study on this procedure so far and all the men that have had it done are still doing great.  The down time is short No lifting for 2 weeks.  I was peeing great after 3 days  If you decide to have it done ask the doctor to put a catheter in.  Had the procedure done on a Monday the catheter came out on Wednesday morning. Some men have a problem going to the bathroom after surgery.  I don't pee on demand so it was best for me.  The turp distorys a mans body and the side effects are many.  Take care and if you have any questions just ask  Ken   
    • Posted

      Bill can I ask you a question.  Why did you first have a turp done did the doctor talk you into it.  That surgery has to many side effects and puts a toll on a mans body  Ken 

       

    • Posted

      Thanks Kenneth.  Thats good info.

      What do you mean you 'don't pee on demand'?

    • Posted

      It's that if a doctor or a lab ask me for a sample I can't pee.  2 years ago they force a catheter in me for a sample in the hospital because they told me I should have a out put with 4000cc of saline going in me.  I had sepsis in 2014 was very sick.  My doctor know I am like this I bring a sample with me when I go to see him Been like this for many years. Now no one does anything to me until I give them permission.  The only good thing about that was I found my urologist his great.  I was send to him to find out why they could not catheter me they try 3 times I even told them no the last time.  The nurse said she did not here me.  The first 2 times they did not even talk to me they just did it.  I pee a hour later on my own.  I don't like them but tell me before and why  Ken
    • Posted

      Hello Kenneth,

         No he did not talk me into it. And he did not talk to me about the possible side effects.  And he did absolutely no follow up on me, and he also did not prescribe any of the usual medications given after the procedure. In the end the "treatment" was poor and I had this done in Boston at Brighams and Womens Hospital. Suppose to be one of the best right?

      As I said before here. It didn't work for me and it was a terrible experience. I was peeing razor blades for nearly 3 months afterwards.

      When I called him 16 months later and told him that it didn't help he said he would do it again for me.

      At that point I had just heard about the PAE and so I asked him if he could do that. He said no so I went elswhere. Now I can pee almost normally.

    • Posted

      I am sorry you had the first one done. No man should have to go through that.  Glad your better.  Ken
  • Posted

    I just found out that my urologist does many sex change operations.  If things go really badly he can help me join the other team.
    • Posted

      Ha, ha, and, um, no, you don' want to think that way!  My cousin's wife is transgender, and she went through the lopping-off /rebuild procedure... I saw her the day after the surgery, and no, you don't wanna feel like she was feeling...  :-P  Just sayin'...  :-)

       

  • Posted

    Last night, armed with all the great info that I got from you guys, I went to discuss PAE and Urolift with my urologist.  

    As you predicted he stuck to  TURP as being the only good solutions.  

    His reason was that while my prostate was 'a little large' the real problem is that the neck of my bladder is to tight and I need a turp to open it.

    I've searched for information on bladder necks but found zero.  

    So I'm stumped. 

    I can consult with a PAE speciatlist nearby for second opinion.  

    Has anyone encounterred this situation?

     

    • Posted

      I suspect he is pushing TURP because that's all he knows!  I saw my uro-doc yesterday(follow-up, 4 months post-Urolift), and just for fun asked if he knew about PAE as an option.  He looked at me with the blankest of faces.  I suggested he Google it, to learn of other options.  And his is a well-rated practice!  If you haven't done so, check on whether Urolift or PAE will be right for you!
    • Posted

      You might look into Holep or ITind. I am working with a Dr that does both. I  have a problem with the bladder neck, and Holep was recommended as a good alternative. Also ITind, which I am having done, as it puts incisions in the bladder neck, which will supposedly help. 

      Not everyone is a candidate for PAE, I wasn't. 

    • Posted

      Hey buddy just read your post.  Don't do it tell him no.  I think the PAE will help because it will stop the prostate from growing.  I just read a artical on it and if you let him do it you will get retro and it said it will only help some In the artical some treatment is waiting and taking A-Blockers to relact the bladder.  Just watch which one you get because some will cause retro to  Try celis 20MG that will relax the bladder.  It is your body and don't let them core out your bladder and your bladder neck.  Go check out the PAE first. PLEASE  Ken  PS  I bet he down played retro.HE TOLD YOU EVEYTHING WILL BE THE SAME BUT ITS NOT SOME MEN THAT HAD IT ONE THE ORGASM IS VERY WEAK .  
    • Posted

      BUT THAT CAUSES THE SAME PROBLEM.  aLOT OF BLEEDING AND RETO KEN
    • Posted

      Thanks Kenneth.  You wrote "celis 20MG "  

      I couldnt find any reference to 'celis'  did you mean 'cialis'?

      Can I take that daily or a permanent basis?

      Yeah, he said retro was a piece of cake. 

    • Posted

      Yes, in my experience, urologists downplay the downside of TURP; I have read that the problems are greater than acknowledged, and once done, there's NO going back!

      Btw, it's one of the true advantages of Urolift: it is the ONLY option that is completely reversible, if need be.  

    • Posted

      Thanks Motorman.  Itind sounds linteresting.  Good luck. Please report back with good news.
    • Posted

      That is why I am electing to try ITind first. Because of potential bleeding and retro. But I can tell you I would take retro over not knowing if I can go to the bathroom or if I am going to need a catheter. 

      I do a lot of outdoors stuff with other people around. You ever done cathing with people standing around? It sucks, and is pretty embarrassing. So retro once in a while, (it's not like most are still getting it daily...) beats having to carry a cath on my activities, and whether I can sneak away or have to actually use the cath around other people. 

      I would do TURP if I knew it would eliminate the catheters...

    • Posted

      My Dr says he does a lot of patients from Argentina. I'm from the US, but didn't want to wait for the clinical trials.  Plus my insurance is crap, with a large out of pocket expense. So I was going to pay for this procedure no matter where it was done. 
    • Posted

      No one has mentioned TURP and incontinence here recently.  I''ve read that that is one of the additional possibilities.  Plus, the chance of the  inability to get an erection at all!  Yes, there ARE things worse than retro-ejaculation!  :-)

      When I forst had to use catheters (My prostate had totally closed off the urethra), I had just begun leading the renovation of an old derelict building to be my wife's new church (She's a minister.).  I became quite adapt at using those catheters around all those big tough guys!  :-)  I carried the softer hydrophilic ones with the little sacks that were fun to burst, but it was a hassle.  I switched to Speedicaths and they are terrific!  The Speedicaths slip nicely down or up the jeans (or pants), and then drop securely into the socks.  I always carried extra alcohol pads, as they sometimes opened to be dry.  

      I even developed a way that I could tend to the whole procedure without having to thoroughly wash my hands!  Not recommended, but a nifty way to do it, if the situation doesn't allow for it.  Humans are adaptive animals!  If you might need this method, provate message me and I'll share.  Warning!  Graphic language!  :-D

       

    • Posted

      No, I don't need instructions, but thanks. I've had my share of fun times. I use the Speedicath brand, including the Speedicath pocket, which I don't think you can buy in the states. I get them from Canada. And I do it in the woods without washing my hands. Last time I did, I got stung about 30 times by bees. I stood on a nest while going through the cathing procedure. I had all my motorcycle gear off, and it took awhile to get everything put away and get the hell out of there!
    • Posted

      OMG!  If we were having a "Worst Cathing Experience Ever" contest, you would SO be the winner!  OUCH, OUCH, OUCH!  :-(((((

      And by the by and not that it matters, those may have been wasps (e.g., yellow jackets), ehich are my nature humorless and nasty, rather than bees.  Although either will likely sting if you're standing on their nest!  :-D

      Btw, those "pocket caths" are available here in the States; at least,  I've been sent samples a couple of times.  But I find the regular model to be easier to haul around and use...

    • Posted

      No man want retro.  This is modern time.  There are so many other procedures they should get rid of the turp and laser it old and sometime that is all they know.  Yes that was what I ment.  You would take one a day and it will relax the bladder.  But do talk to them about PAE to make the prostate smaller. Don't be talked into anything you will be sorry for.  Later my friend  Ken
    • Posted

      Yes that is true.  Dr all ways say no problem and all will be the same.  It's not being done to them.  Your the one there going in to cut away at the tissue. and distroy your body.  Have a good day Ken
    • Posted

      But sometimes it does not work.  And they try to do another one on you.  I'm not a fan of catheters either and at 60 I may not get the action I did when I was younger but I still like to feel complete.  Had retro with a pill I was on before I had the urolift a year ago.  The orgasm was not has intease and they was a feeling of something missing.  Bladder retenting sucks went through it a month ago Had to be catheter and had surgery for blood clogs around my prostate because of the blood thinner I'm on.   Had to be flush out for 24 hours to clear out the blood clogs. Life goes on and all me are diffrent.  You have to do what you feel is right for you.  Ken.   
    • Posted

      Hi Motoman,

      I am 58 and have been on Tamsulosin and Finasteride for a year with all negative side effects, during last month. I declined TURP last week and The good notice is I'm now candidate for Urolift. ....but..... from my pocket.

      iTind seems as good as Urolift

      Do you know the cost for the iTind procedure ?  where ?

      Thanks

      P.S. I aplied for iTind Pivotal Study in course right now, but i have

      not answer ...yet !?

    • Posted

      Yes... only time I ever got my over-scheduled uro-doc to smile, when he was pushing TURP (hard!), and brushed off my pointing out all the possible outcomes, by saying, "Oh, the bad stuff only happens to 4 or 5% of the patients."  I looked at him and yes, "Yes.  And would YOU want to be one of those 4 or 5%???"  He smiled in an embarrassed way.

      Interestingly, a year later, he was in training to do the Urolift---which I scheduled elsewhere... with someone with experience...

    • Posted

      Thats good.  No doctor want to go through it.  Take care..Ken  And that is not ture It 4 or 5% are the lucky one the other 95% are left with the retro and the bleeding Thats crap  Ken
    • Posted

      Cost of ITind is roughly $3200 plus travel expenses. 

      I can message you where I am having it done. I don't know if it is allowed to post on here. 

      I had inquired about the clinical trial,  but it was in New York, and they wanted you to come back on a regular basis for follow up.i live too far away for that to be practical, plus they couldn't guarantee you would actually get the device and not a placebo.

      The ITind is not totally non invasive. It actually cuts into the prostate, there is some bleeding, etc.

      i didn't really look into the Urolift. I didn't like the idea of parts being left inside me, but it seems like good results.

    • Posted

      Motoman, from my experience on this site, it's okay to name names!  :-)  (about where to get procedures done).  What's not allowed is posting links.  So if it's useful or potentially useful to others, you're good to go, for posting Dr. So-and-So, in Any City, USA, or wherever...

      Btw, re Urolift and "parts left inside me,"I understand.  And actually, the metal implants are so tiny, they don't even set off the TSA scanners!  :-)

    • Posted

      I had my Urolift done a year ago.  4 implants don't even feel them. But they did set off the alarm when i went for Jury duty.  My doctor gave me card to carry.  Take care  Ken
    • Posted

      Hi Mot,

      I would like to know some more about the invasive part of iTind as well as the clinic info to try something for my. To decide between iTind and Urolift or another as you know is very important for us. Information and Advises are critical. I post a private message to you. Thank you very much for your answer. Vic

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