Flow study and & Post- void residual do they tell a lot in BPH condition
Posted , 8 users are following.
I'm trying to figure out if symptoms I have warrant immediate TURP procedure. That is the only procedure that the urologist I saw is offering.
A Flow study I had a month ago revealed a 14ml/sec Max flow rate.
I voided 120ml and the post void residual was 190ml
I never experience Full retention and urinate frequently. At home the flow seems very strong.
( how ever it was done just before a cystoscopy at 7 am)
0 likes, 12 replies
lester90053 johnny90372
Posted
richp21 johnny90372
Posted
Oh, I don't know which course of treatment, if any, would be appropriate for you, but please don't choose something just because that's the only thing this particular uro doc is offering. There are many other treatments, and they all have significant pros and cons. It's a very important choice, and it's clear that you shouldn't leave it up to this particular doc. Do your research. This forum can be a great help.
Off the top of my head, other possibilities include only meds, PAE, Urolift, Rezum, Holep, Itind. And there are others.
Rich
johnny90372 richp21
Posted
Hi Rich, I have the B pH symptoms, they are not really bothering me that much. The urologist surgeon is making it sound urgent to get the TUR P done. However I'm not sure by waiting and trying to manage it for one to 2 years would cause damage to the bladder prostate or renal system as what the urologist is suggesting.
richp21 johnny90372
Posted
Your PVR does sound high to me, but other men on the forum have more knowledge about that than I do. Perhaps some action would be advisable, but as I have said, there are many choices besides TURP. I don't remember, have you tried Tamsulosin or Cialis?
johnny90372 richp21
Posted
I guess the bottom line is I don't want to rush into the surgery right now. Everything I've read in assessed says that retro ejaculation is 90% with a Turp procedure.
When I try to cancel because the Fertility issues he will probably not be able to guarantee 100% that I will not have RE. That is why I am trying to assess through my flowchart stats etc., that I can deal with this with nonsurgical methods for a while.
uncklefester johnny90372
Posted
jimjames johnny90372
Posted
A lot of men here probably don't have 14ml/sec even after surgery. Your total bladder volume seems OK based on that single measure which means you may not have much in the way of bladder stretching. A bladder/kidney ultrasound would help answer that. It will also tell you if your PVR is impacting your kidneys or not. Your PVR isn't normal but not terrible. Have you tried something like Tamusolin or Daily 5mg Cialis? That might be all you need. Then there's also self cathing which I answered more completely when you posted in the self cath thread.
But to your question if you symptons "warrant" a TURP. Absolutely not. They do warrant further testing including a bladder/kidney scan and urodynamics and a trial of say FLomax or Daily 5 mg Cialis. If that doesn't work, then you might consider one of the less invasive procedures that will protect your ejaculations. If they're not available in Canada then you will have to go elsewhere if that's what you want.
You say your doc gave you "5 minutes" so don't expect much of a back and forth discussion of your options. Remember this is your body not his. Your job is not to convince your doctor of anything, it's to convince yourself.
Jim
johnny90372 jimjames
Posted
I'm reading that post TURP- retro ejaculation happens about 90% of the time. It's virtually impossible to work on a prostate median lobe without creating retro ejaculation?
I'm confused because other people including the doctors administrative assistant said that retro ejaculation is not likely.
justin_1212 johnny90372
Posted
DO NOT DO IT!!!
My condition is WORSE than before the procedure. Now my new Urologist says I am faced with laser surgery to correct but i will have to self catherize DAILY for the REST of my life or scar tissue will reform.
DO NOT DO IT !!!
SAY NO TO UROLIFT
tom86211 johnny90372
Posted
Johnny,
Your flow of 14ml/sec is great!! Mine is 3.5ml/sec. So, if your flow is great the issue of 190 PVR might not be a prostate issue, but a bladder issue. You need some answers about why you are retaining so much urine with such a initial strong flow. My PVR is in the 170's, so I have to go to the bathroom about every hour and a half, even at night, so I never get a good night's sleep.
A TURP is your last resort, as it is a very aggressive procedure and can have significant side effects. Do a lot of research before deciding what to do. PAE is the least aggressive treatment. You should investigate that first. Also research Urolift, Greenlight laser, REZUM, and FLA.
Considerations are: are you covered by your insurance for any of these procedures? Can they be done locally? What is the recovery time and side effects?
Lots of questions to answer.
Tom
dan55298 tom86211
Posted
yes, TURP is a last resort... Friend of a friend had it and had to completely relearn how to hold his bladder. using different muscles now. took quite a while. I just had Urolift last week and am doing at least as well now, without Flomax as I was before with Flomax a couple years back? Actually, I know I am better, when they tested me, I was at 2 ml/sec. I know I am at probably better the 10 or more just guessing now. Don't have that "dribble" any more!
uncklefester johnny90372
Posted
If you feel you have the time try finasteride or a similar drug wait it out. I've been on finasteride for about two years. I test my flowrate at home with a graduated beaker. I flow about 20ml/sec some days it's as high as 25. Night time can be slow but I'm pretty sure its dietary. I don't know what my flow rate was prior to finasteride. It did take about 6 months for it to work.