Huge prostate impedes bowels

Posted , 15 users are following.

My prostate was <80cc when I had two urolift procedures.  The latest MRI scan last year showed a 123cc prostate. In addition to the 'usual' peeing problems, I now have difficulty passing motions.  

?It seems my bowel is empty possibly because solids cannot get past the enormous prostate pushing into bowels.

?Anyone any helpful comments please

 

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  • Posted

    Try a laxative. Get a scan done.
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  • Posted

    When was  Urolift procedure  done ?  Stan
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    • Posted

      Well done Derek!!

      ?Things have moved on a lot since then.  I paid for another one later where they put more clips in.  I thought I put something on this site about that but can't find it.

      ?I have been muddling along and am now on a long waiting list for Aquablation trial

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    • Posted

      Thank you so much.  In general  I  think  UROLIFT is not good solution at all.  Urolift  oftenly has poor results. Even when has  relief  effects...in time  the prostate is growing and growing  ....  sometimes  the new  tissue  overgrow the clips or  jumping to bowel area ( as described above ) .

      The only solution is to decrease  prostate volume . By  meds  ( alpha blockers , or 5 -alpha reductase  inhibitor ) .  If is still not sufficient there is plenty of invasive ,or low invasive  surgery  methods.

      OP ( open prostatectomy ) as most barbaric way,  TURP - still barbaric ,  less  invasive laser HOLEP, or GL , etc........up to REZUM  .

      And 2 methods used by IR ( Interventional radiologist )  PAE and FLA.  You can read about  all of mentioned    methods  on this forum ,or just google or consult with several  doctors.  Within  your final  solution you can use CIC ( self cathing ) .  Of course you need same main  examins : PSA to avoid cancer, PVR ( post void residual ) to avoid kidney and bladder damage. And moist importantr is to  have 3T MRI scans  and  experienced   Dr.  who can read it and state perfect diagnosis and suggest  optimal  solution.  Stan     

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    • Posted

      Totally agree with you Stan regarding urolift. It seems like a stop gap measure because no tissue is removed. It's just compressed. I wonder if the urolift clips will cause problems for mike during the aquablation procedure

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    • Posted

      the same question i put to myself many times.  How to  take out Urolift clips.  Small metal bars with sharp tips. TURP , HOLEP ?...probably technically impossible.  Sure method is OP( open prostatectomy ) ,but how drastic.  Maybe  the best is robotic  Da Vinci prostatectomy .

      Its neccessary to ask some experienced Uro Dr. with large knowledge portfolio .

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    • Posted

      Hi Stan

      You say "sometimes  the new  tissue  overgrow the clips or  jumping to bowel area ?".  Please can you tell me where you got this information from

      ?Thanks Mike

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    • Posted

      I red somewhere on prostate forum  about  overgrowing of prostate above the tags.  As I remember this was case of rapidly growing  prostate .  Will try to find this information. 

      /Regarding  sweeping away the tags  by  ablation/laser/turp  its good  information for you . Stan  

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    • Posted

      Yes, Open is barbaric...but sometimes when you have a gigantic prostate with I gigantic median lobe you don't have many options. Also, when you go the barbaric route, you don't have to readdress the issue ever again. NONE of the complications happened to me thank goodness. 

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