Had Green Light Couple Ago - Months Later Blood in Urine

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Hi all, I have enlarged prostate, leakage and frequency for several months I tried Flomax, Tamsulosin and Avodart. I got some relief but not completely so I tried the GL procedure. In the end of June 2015 I had a GL procedure everything went pretty good going thru post op. My urine was clear within 3 weeks and was strong. About 2 months after GL I started to get burning when urination for about a week. About a double of days after I notice slight blood when urinating. Within aprx. 2 dayslater more blood appeared with a couple of piece’s of scabs that came out after urinating. I find this odd since all was well for 2 months and now all of a sudden I feel like I’m right back to day one of post op. Like to know if anyone went thru this experience is this normal to have ti long.

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  • Posted

    Hi John,

    I had a turp ( not GL ) november 2014 and had scabs in urine up to 3 months on and off, I would think it depend on the person and how much tissue was removed.

    I hope you get well soon.

    regards

    Howard.

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  • Posted

    I was told that can happen in the first six months.
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  • Posted

    Yes, it took me almost a year to fully recover from GL. Now after 3 years the symptoms of retention has recurred and I am back with a catheter. Now my urologists tell me that tissue has reappeared and they want do TURP on me. Any type of laser has a short span and few urologists recommend GL any more. PAE and HoLEP also involve laser. As for TURP I don't know if I will be able to survive recovery as I am over 85 years of age.
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    • Posted

      The Uro who did my GL in 2005 said he treated a patient in his 90's with a 100gram prostate. It is a very gentle operation he said. I would never have a TURP (I'm 81). If I need a third procedure, I had Holmium laser in 2013 I would opt for HoLep. 
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    • Posted

      Thxs for the input...So I gather your last prodeure was a GL. If so are you still having complications? Also reading up on a TURP vs HOLep it seems like HOLep has lower complications.
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    • Posted

      No, GL was 2005. Holmium 2013. I had no complications from GL life was back to normal on day three. My problem is that my prostate keeps on growing. 75 gr in 2005, 130gr in 2013 and now 50gr. Only problem now is a slow flow but there is no obstruction, retention or urgency.

      I asume that the ones offering TURP are not the ones who did the GL and are Traditionalists who only do TURP?

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    • Posted

      As I understand it, PAE does NOT involve a laser.

      You have a CAT scan with contrast to map out the blood vessels to your prostate. Then a very small tube is threaded through your blood vessels, starting at your wrist or groin, to your prostate. Then major blood vessels on the left and right side of your prostate are embolized (plugged with microbeads) to decrease blood flow to the prostate and cause it to shrink. There is no laser involved in any part of the process, and nothing "goes up" your urethra. It is a much less dramatic or troublesome procedure than a TURP, GL, or Holop. I would certainly consider the PAE, particularly if you are frail. I am having one in December. If necessary, you can always have one of those other more invasive procedures later if you feel that you need it.

      Neal

      Remember that it is done by an interventional radiologist, not a urologist. Urologists make no money on a PAE, and seldom recommend it.

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  • Posted

     My  TURP was done  about  60 hours ago, and as expected I have blood and some small clots in the bag, but that's the usual outcome. I am looking forward to saying good bye to the catheter which I have had in place since July 14th. Its a long time and it felt like a ball and chain, so keep your fingers crossed for me.  I will keep you posted on what goes on from here on out, but I had a great surgeon and he said I was in a special group called the Century Group, because my prostate was over 100 grams, not the 30 that is the normal size of a prostate. I'm a healthy 69 year old and am/was/will be again,  as soon as I can get back in the gym. 90% of men will have issues with the "wild weed" called the prostate, its just a fact of life. At one time I took all the herbal remedies, but there is a thought that they are just a placebo and have done no better outcome in easing the growth in that area. We are all so different so we will react differently to drugs. I will admit that the proscar and flowmax combined helped but at 100 grams it was only a matter of time, when surgery was necessary. So the decision was made to fix this thing and move on.  I will have the catheter out this Tuesday and have to say i'm looking forward to that, yes I know that there will likely be some issues that I have to contend with, but quite prepared for them. I was told to stop talking all the drugs, Proscar and flowmax etc from here on out, that will certainly be a change after years of taking them.

    I was also told by the surgeon to expect blood and burning, and scabs some time after the surgery, the body is trying to heal itself and that is a 'by-product' from what its been thru.

    I also went thru TUR syndrome which is rare, 2 in 100 men may experience it, and I don't do well with anathestic at all, and I think that was part of the problem. I spent 9 hours in recovery instead of 2 hours. I won't forget that experience.

    However, I'm on the mend and glad I have had the TURP done, now its just a matter of healing.

    Mike

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