Green Light Laser did not work

Posted , 13 users are following.

My husband had the green light laser treatment for the second time and it did not work. He gets up 8 - 12 times every night to use the bathroom. His urologist is telling us that he will have to live with it. Where do we go from here?

0 likes, 31 replies

Report / Delete

31 Replies

Next
  • Posted

    Get to see another urologist - best at some big hospital with a reputation for good urological procedures (someone here may be able to recommend one if you let us know where you are based).
    Report / Delete Reply
  • Posted

    Change urologist.
    Report / Delete Reply
  • Posted

    Hi Katy,

    As an interim step, I suggest strongly that he learn CIC (Clean Intermittent Cathing).  If he uses a catheter before bedtime, he can empty his bladder, and likely reduce the number of times he has to get up.  I've been cathing for over two years (awaiting better solutions!), and 2/3 of the nights, I sleep through the night!  Yes, sleep through the night!

    Report / Delete Reply
  • Posted

    That's during the night. How much is he passing each time and how is he during the day.

    Report / Delete Reply
  • Posted

    You need to find out the cause of his frequency first. This will require evaluating both his pre and post Green Light symptons. 

    Do you know what his symptons were before the surgery? What testing was done pre-surgery? Did they test for PVR (post void residual)? Did they do a urodynamic study?

    What is his frequency now during the day and any other symptons? Do you know what his post void residual (PVR) is? That's the amount of urine left in his bladder after he urinates. You can find it easily with a bladder scan at the urologists office. I would have one taken both at an early morning appointment and at an afternoon appointment as the values may differ. 

    Depending on what they find you go from there.

    Jim

    Report / Delete Reply
    • Posted

      I would also suggest a very simple urine log for at least a day or two. Just get a simple plastic beaker from the supermarket that has "oz" on one side and "ml" on the other. Have him urinate into it and write down the time and amount of urine that comes out.

      Jim

      Report / Delete Reply
  • Posted

    Hi Katy

    From what I can get from this forum

    FLA is highly recommended but no insurance company will not pay the 20,000 .Im schedule for HOLEP in July at Mayo Phoenix. I Was Looking at Green light and heard it doesn't always work. I Would get 2 or 3 opinion. I went to 4 URL before deciding on Mayo Phoenix,

    Report / Delete Reply
    • Posted

      Paul,

      Why do you think FLA would help if Green Light didn't? IHer husband really needs a proper diagnosis and evaluation of his GL before considering any surgery or procedure.

      Good luck with HOLEP. From what I've heard it's an excellent procedure, especially for large prostates, the caveat is that it requires more training, so you want to make sure whoever does the GL has done many cases. There is a certain incidence of retro ejaculation but I assume you've factored that in.

      Jim

      Report / Delete Reply
    • Posted

      Paul - Holep usually works but it is a major surgery. Long recoveries are not uncommon nor are 1-3 months of incontinence until things get back to normal. And Retro ejaculation is almost guaranteed.

      There are less invasive procedures that work for a lot of men with no anesthesia, much lower incidence of RE and much shorter, less messy recoveries. And most will allow you to do something like Holep if they don't work. You might want to look into those (PAE, Urolift, Rezum) before jumping into Holep.

      Report / Delete Reply
    • Posted

      Paul,

      Paul, I agree with O.B. Even though HOLEP is an excellent procedure if you need it, you should explore the less invasive surgical options first and see if you are a good candidate. 

      I read you failed uroloift? Did they figure out why? What kind of retention and symptons did you have going into urolift and what are your symptons now? Have you had urodynamic testing?

      If you failed one procedure, very important to find out exactly why before going into another procedure.

      Jim

      Report / Delete Reply
    • Posted

      Paul  I agree with Jim and OB.  Why have something that you don't need.  There are so many others that you can do that don't have a long healing time and side effects and other problem.  Did you ever check with the doctor that did your UROLIFT and see if they can put in more implant.  Sometimes they don't put in enough.  Or did the other tell you that it will not work and the Holep is what you need.  He may just be telling you that to get you to have the surgery.  Take control of your body and tell them no this is not what I want.  Please cancel while you still have your prostate.  Also look into Rezum or PAE.  Yor prostate may not even be the problem.  Look at Katy's husband.  He has 2 GL surgerys and they did not work.  And now he has more problems.  If you can't pee do CIC  Jim can help you with that he is great.  All I have to say is cancel while you still have time.  Try something else.  You can allways go back  Take care  Ken   

      Report / Delete Reply
    • Posted

      Laser procedures are hardly major surgery, it is very similar to GL and recovery should be anout the same.

      You have been posting here for a very long time when are you going to take the plunge an get somehing done about yours?  

      Report / Delete Reply
    • Posted

      Holep is a longer recovery than GL - that's pretty easy to verify. In fact, Gl was, prior to Rezum and Urolift, the Urolgists less invasive answer to TURP and Holep.

      I had Rezum done in March of '16. My bladder isn't perfect but the relief was considerable, I no longer live my life around the bathroom and I'm happy with the results.

      Report / Delete Reply
    • Posted

      Thanks

      The Mayo doctor scheduled me for appointments before the HOLEP to check out for himself, he said he had to look for himself, first, he looked at my record from the other urologist and made some comments in notes didn't make sense. The way they do it at Mayo Phoenix is they put you on schedule and you have appointments before to verify other doctors dionoses, He did say there may be other options, I need to keep a ledger so I can ask him some of these questions.

      Report / Delete Reply
    • Posted

      Hi,

         I'm glad that you had it done but I had not noticed your post about it.

      The Uro team who did my (rapid recovery) GL in 2004 now do Holep. They say that it takes more skill and time than GL but it was a split decision to change over.

      How different is the result from the steam treatment of Rezum from the now seldom used microwave TUMT procedure.

      Report / Delete Reply
    • Posted

      That is good take another option.  At least he said you have other options.  But it seam like they are planning to do the surgery  I would cancel and go from there.  He may just look at you at the appointment and say well it scheduled lets just do it.  No way would I let them put me on any schedule for any surgery.  Cancel and find something else.  I feel they are going to push you into something your not ready for.  The side effect may be more they you can handle Ken   PS Once it done it done and no going back 
      Report / Delete Reply
    • Posted

      what do you make of the urolift Dr saying that since he's going to put me under we should do the Greenlight. should I find another doctor who will do the urolift while I'm under sedation,

      Report / Delete Reply
    • Posted

      I agree with Kenneth. Don't let the doctor decide what you need, make your own decision. If you think there's still a possiblity for Urolifit, find a doctor who will do the appropriate tests and imaging to see if you qualify. Sounds like your doc will do whatever is easiest for him.

      Jim

      Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up