Had TURP 2 years ago

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Had TURP two years ago, recovery took about three months.  Everything including sex was good till a couple of months ago.  Started with having trouble peeing at times and getting up more at night (AGAIN).  Doctor put me back on Tamsulosin and I can pee again getting up only once a night and feel like I do empty my bladder.  Sex is just OK but coming up dry just like the first go round with this drug.  All this feels like da-ja-vu.  This entire situation has me pretty confused.  In time I will be exploring what options there are.  I don't want to go under the knife again.  I'm 71 yrs old, at least with this drug for now I can pee.

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  • Posted

    Doc can scoop. See if your prostate closed back down on you
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  • Posted

    Ask your doc to put you on Alfusozin. Its also an alpha blocker but with much less likelihood of side effects like RE and for most it works as well as Tamsulosin. Your prostate probably is growing back and you may need another procedure down the road. There are lots of threads on the less invasive ones - Rezum/FLA/PAE/Urolift. All have a much shorter recovery, less debilitating recovery, little to no chance of permanent side effects and all can be done without anesthesia. 
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    • Posted

      I have a 90 day supply of the Tamsulosin, when it's time for a refill I will ask about Alfusozin.  Not in any hurry for another TURP go round and will inquire about other procedures that are mentioned on this forum.  As long as meds are working I'll stick with them.  Before the TURP surgery I had been on Tamsulosin and Finasteride for a couple of years.  I hope I can go at least another year or more without another procedure.  Also before I had the TURP procedure my PSA was 14.  They did a 12 point biopsy, no cancer at that time.

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    • Posted

      Sounds like a plan. no need for surgery if the meds are working. And the longer you wait, the more they will develop new procedures and improve the existing ones
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    • Posted

      When new procedures come along few here want to be first in line. It usually takes three to five years for FDA in America or NICE in the UK to validate them.
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  • Posted

    Joe, Sorry to hear of your problems, and just over 2 years ago I had a TURP and had the same problems as you. At 74 it appears your Prostate is one of the few things in your body that continues to grow, therefore like me things are blocking up again. My Drs wanted to do another TURP and I have refused and am having my Prostate removed, which in my case can be justified as I have Cancer in it anyway although it remains static.
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    • Posted

      I would reconsider having your prostate removed. You may well go from not being able to pee to not being able to not pee. Prostate removal has a way too high incidence of incontinence to be worth the risk for simple BPH. And I don't know if its important to you, but say good bye to sex forever if you do it.

      You are a perfect candidate for FLA, which was developed to treat smaller prostate cancers and they found it relieved BPH symptoms at the same time. Your cancer probably will never harm you, but if you want it out, FLA is a much better way to go IMO.

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    • Posted

      There are a number of reasons why I want it removed, Prostatitis, Urine infections that are becoming impossible to find A/B's for ( 56 Days last year going to Hospital for IV's),  Months of self cathing and Foleys, Weeks of Hospital stays including Dec & Jan for my TURP two years ago, Not wanting another TURP or Biopsy as had Sepsis last time involving High Dependency unit and an hour from death as everything shut down, and lastly my static Cancer.

      Something I have just learned from a Urology Specialist Nurse is that they believe some Incontinence and E/D stemming from a TURP may be from Spinal Anaesthetics touching nerves in the spine, and not all down to the procedure. Further research is being done.

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  • Posted

    hi Joe i am waiting for an operation on my prostate ,I hav done a lot of research over the last 2 weeks ,I have actually looked at green light laser surgery,but most recently Eurolift,i had never heard about it before but believe me I do now and all thanks to these forums,I had a conversation with Kenneth1955 on here this gentleman has had Eurolift operation 3 yrs ago ,he lives in the USA and he told me all about it ,its now what I want I live in south Wales UK it is only offered in 1 hospital in the south and 1 in North Wales, if I cant get it done on the NHS as I will probably have to be referred   to that hospital which is 45 mins from where I live I will go and and have it done privately in Spire Bristol,but I am hoping that i can have the op on the NHS,but I will let you know how I get on, I have been on Tamsalosin for about 16 or 17 yrs,and it destroys your love life. I have a prostate size of 110 mm,its large,I am now on a drug Dutasteride in the hope that it will shrink it so that I can have the euro op.because at the mo its to big ,the only laser treatment that i could possibly have at present is HoLEP ,I certainly dont want TURP,i will let guys on here how i get on,because I am passionate about the prostae because men dont talk about their problems, why I dont know because the more men talk about it and the problems with medication the more that men will know.
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    • Posted

      NICE set a limit of 100 grms for urolift so take advice from your Uro on that and your median lobe.

      I had GL in 2004 at Newcastle and it went well for my 75 grm prostate. When it regrew to 135grms I had Thulium/Holmium laser that is similar to HoLep in that it saves tissue for histology.

      You can go to the NICE website and check on all the options available.

      This is an extract from their initial Urolift conclusions.

      In 2019 NICE is due to commence the review of this guidance.

      NICE has developed medical technology guidance on the UroLift system.

      NICE medical technologies guidance addresses specific technologies notified to NICE by companies. The ‘case for adoption’ recommendations are based on the claimed advantages of introducing the specific technology compared with current management of the condition. This ‘case’ is reviewed against the evidence submitted and expert advice. If the case for adopting the technology is supported, then the technology has been found to offer advantages to patients and the NHS. The specific recommendations on individual technologies are not intended to limit use of other relevant technologies which may offer similar advantages.

      NICE has said that the UroLift system relieves lower urinary tract symptoms while avoiding the risk to sexual function associated with surgical options. Using the system reduces the length of a person’s stay in hospital. It can also be used in a day surgery unit.

      The UroLift system should be considered as an alternative to current surgical procedures for men aged 50 years and older with lower urinary tract symptoms of benign prostatic hyperplasia, who have a prostate of less than 100 ml without an obstructing middle lobe.

       

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    • Posted

      John, the first time I had surgery, was the greenlight laser.  I was around 55 years old.  It worked for around 2 years, and the prostate grew back and so I had the turp done. after several years, the prostate grew back and so I had a second turp done. At present I am doing CIC.  It's the best thing of the greenlight and turp. My bladder empties out completely and I don'thave to take anykind of medication.  I read all kinds of reports how medication, with its side-effects, can be harmful to the body.  Good luck with your choice of surgery.

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    • Posted

      I am 70 years old and had urolyft procedure about 2 1/2 years ago.  It was relatively new at the time and there was a paucity of literature.  Subsequently I spoke to my urologist (Kaiser, San Diego, Ca.) who, on request, provided me with a journal article that,based upon Canadian studies, the procedure had an 80+% improval and maintained that level over three years.  (That was the length of time the study implicated.  I posted to this group the citation to the Journal so you may be able to find it under my posting. My procedure resulted in my release from the hospital on the same date as the surgery but I had a catheter, which I hate because it causes me great pain.  Once the catheter was removed it was about a week before I was feeling up to speed.  Subsequently I've noticed some return of ejaculate (which from 15 years of meds and prostate enlargement had dried up completely) and a substantially better flow, both starting and continuing once started.  I'd prefer this procedure over TURP or any other direct prostate surgery given the possible sexual side effects.  I was diagnosed with BPH (had evidence of bladder cancer which was removed 25+ years ago which was discovered during a cystoscopic procedure -no return).  

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    • Posted

      yes, once a year.  In fact my next appointment is next week.  New urologist.  My former uro, moved to the mainland, where he is originally from.  He was a very good surgeon, in my opinion.
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    • Posted

      thanks for your input,i have had BPH for about 16 ,17 yrs I initially had prostatitis  back in 98 ,99 I was hospitalised at the UHW Ilive in Cardiff,I did not know what had hit me, I am under a Consultant at uhw but I used to see him privately,when I seen him last November he said you need the operation but he never gave me any options,so I started to do my research ,then I realised I do not want TURP, looks positively medieval I then looked at greenlight laser,found a surgeon in Bridgend who said that laser was available at UHW but its HoLEP,then I seen that Eurolift is available in Neath Port Talbot, when I see my consultant Iam going to ask if its possible for me to have this operation there if not I am having green laser done in Bridgend but hoping for the Euro,will post on here when I know more Ihad a long chat with Kenneth 1955 about this Euro he had it done 2 1/2 yrs ago but he lives in USA ,according to what I read Nice want every man in the UK that suffers from BPH to have the Euro operation,for the cost benefits to the NHS.
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