Greenlight prostate surgery

HI Dai12345, can you elaborate on your experience of Holep? Were there any side effects such as Retrograde Ejaculation? From my research I believe this to be the best cure for BPH overall.

Reading this I thought I would comment since I am 13 weeks post HoLEP. Re side effects I have experienced-- RE yes, ED no, still some leakage at the moment but getting better. This is by far the best approach that is currently available. The only thing that I would highly recommend is a skilled surgeon and by that I mean one that has performend this procedure hundreads of times because it requires considerable practice to become proficient. So ask "How many times have you done this?" 

I woud give the same recommendation.  Ask how many GL procedures he's done and how many in the last 6 months.  I wonder if my problem of incontinence is because my doctor was not higly experienced with the GL procedure, even though he's been doing surgery for a lot of years.

Basically what doc told me. I had a little incontinence . First day after cath was pulled I had alot. Couldn't hold it at all, period. About same day 2. But I had a clot stuck as well. Had to go back to docs get cathed to unplug me. He suspected scaring at first. Pasted a huge clot. Stream got better. Then bladder started to work better. Leaking and such for 2 or 3 weeks after. Not bad. Was told bladder.is a muscle. If it gets touched or messed with in any way. Makes it mad. Throws off the rhythem . Same happens with intestines. Plus anesthesia will mess with muscle moments.

Hi All,

This is a very interesting conversation for me. My situation is I had Acute retention a year ago and had to be cathed, I went home with indwelling Foley which was in for 3 weeks, then it was taken out and I just about peed ok without, stream was weak though to be honest. By the next day I felt rough and then by 6pm after 2 hours in bed with some paracetemol I got up and not not pee one drop; very frightening, spent 4 hours waiting in A&E was in agony as i clearly had some infection, eventually cathed, went home again with indwelling foley and anti-biotics and was bed ridden for a week, constipated and much pain and misery and fever! I was offered Green Light Laser but having read a lot on this Forum was not sure I wanted this and then discovered PAE (there is a lot on this Forum about it). Long story short I had this done at Oxford Churchill in Uk under a Nice funded trial in Feb this year and all was good until 2 days ago when I went out drinking for my birthday and overdid it, and ended up in retention yet again and now have Catheter yet again!!  It goes without saying that the diagnosis for me is BPH (Benign Prostate Hyperplasia) but now I am not convinced that the cause is just down to my prostate being enlarged. I think the prostate must flare up, perhaps due to the alcohol, or it could be just the bladder muscle as you say Waffalobill being affected by over doing the drinking. Might the volume of booze As i drank lots  of pints of beer and the bladder retains and then becomes over whelmed. I have not had the classic symptoms of BPH, ie slow flow, frequency, getting up at night, retention. and then suddenly wham I have AUR! What does anyone here think?

I forgot to mention the first episose of AUR was after a heavy nights drinking just like this time!

Jezz If what you are saying is true.  You need to limit your drinking.  It will effect your prostate.  Your going to have to stop or your going to have to have a surgery that you don't deen.  Please be careful.  After the catheter is out no drinking  Ken  

Yes I think I should curtail the drinking, I think I will do sober for October!

 

Good  Just relax and have some cranberry juice  Ken 

Hi Jezz,

I have the same problem. I get acute retention when I drink large volumns of liquid. And it doesn't matter if it's beer or water or wine. All are the same. It's overwhelming the bladder and I can't void at all. Or I can void a small amount every 5 minutes without emptying the bladder. Either way, it gets very uncomfortable. The first time ended with a very painful trip to the emergency room. And a brutal nurse shoving a gravel impregnated garden hose up me.

I'm taking Tamsulosin for BPH but I'm not sure if it's the prostate doing it or not. The Tamsulosin may or may not be helping. But I still have the problem.

I solved my problem by learning to self catheterize myself when I have this happen. It's very easy, painless, and I can still drink beer or wine when I want.

The rest of the time I really don't have any problems. My urologist told me if I am happy doing this, I don't need any surgery. So, of course, I'm happy with it. And happy I can still drink my beer when I want.

John

Wow, Jezzaman, very interesting to read that alcohol put you in acute retention. I thought I was the only one! This happened to me end of July - hadn't drank in four years then celebrated beginning retirement by drinking a large amount of vodka - woke up the next day in retention and required a trip to the ER. Since then, wore a foley for four weeks straight before I was able to pass a void test. One thing that might have helped was my uro doc doubling my .4mg dose of tamsolusin to .8mg after the second week. Of course, along with that drug working came 100% retrograde ejaculation! Oh, and following the last removal of the foley, I developed a nasty case of prostatitis, which required Bactrim. Unfortunately this caused a nasty all-over rash on day 8 from an allergic reaction. So now have switched to doxycycline. Uro doc says I need simple prostatectomy because I'm over 50g (100+ ml). I told him no way I'm having any surgery.

All this from one night of alcohol. Just glad to be able to pee on my own. Currently researching PAE - sounds like the way to go for me.

Would love to hear from others who went into acute retention following a night of drinking.

Doc told me drinking and smoking would be bad for prostate. Not to start. Never asked him why. Guess now I know. Glad your feeling better. Hope all goes well.

Hi Ptientx 

It might be worth starting a whole new thread on this very subject of drinking causing AUR. I also had acute prosatitis directly upon removal of the Foley!!!

Do not submit to the removal of your prostate, there are far better procedures to choose from. Look up PAE, Urolift, Rezum. FLA, Gat Goren. these as all non surgical. If you have to have a TURP consider Holep.  Good luck,

Hi John.

THis is very interesting. Because in your case it sounds like as you say the large volumes not the actual subtance you are drinking. How many times has this happened to you?  DId you get any infections? Have you got a diagnosis of the underlying cause? ie BPH etc?

Hi Jezz

I have this happen just about every time I over do the drinking. Last night I drink about 6 pints of beer and needed the cath before bed. I was voiding, but only about an oune or two at a time. I've never had an infection since I've been doing this for the past ten months or so. The urologist says it's BPH. I take tamulosin but it doesn't help when I take in to much liquid at one sitting. It's happened to me with beer, wine, vodka & soda, and water. I only drink about once a week if that, but when I do, it's usually a good amount.

John

Hey guys.  This is Ken  As you know I have not been commenting alot on the site.  Not a fan of any procedure that cuts away at the prostate and gives you more problems.  Whatever you pick is your problrm.    Now I want to talk about drinking:  Alot of men have been saying that there have a problem after they drink.  I looked it up and found some interesting things.  Here is something I found.  ALCOHOL is a diuretic, so it increases the amount of urine that enters your bladder.  Alcohol can directly cause the bladder neck to constrict, making urination more difficult and the bladder less efficient.  Alcohol also can hinder the ability of the prostate muscle to relax, further irritating the bladder and making benign prostatic hyperplasia ( BPH ) or enlarge prostate symptoms worse.  Finally, with an obstructed urinary tract, alcohol can trigger a complete blackage.  Who know a few drinks can cause so much problems.  Please men be aware of the problems you can have from a few drink.  There is alot of information on the internet about drinking and BPH and Cancer.  Have a good day  Ken

Forgot to mention: I stopped drinking 4 years ago. I miss the wine w.dinner, but found that there wasn't a problem that alcohol couldn't make worse. I'm not campaigning here - but give yourself every chance.