Huge prostate impedes bowels

Hi Mike, I do feel for you that's a difficult challenge to have to live with, here is my suggestion, 1-find out exactly what area of the prostate is causing the issue, 2- if there is a safe way to remove the urolift clips when the time is right then coordinate the timing of that with FLA, why I suggest that is FLA can successfully remove prostate tissue from large prostates without removing the important functions as it is done through the rectum by means of a very small fibre optic laser under live mri and extremely precise although its expensive and may not be covered by insurance as it is the latest technology, the goal will be to end up with a much smaller prostate but have all the prostate remaining fully functional with no damage to any of the important prostate parts so every thing still works well- that is what they can do today! that is what Dr Karamanian did for me, he will be only to happy to help you, I traveled from New Zealand to Houston Texas to get him to do FLA for me as I had an enlarged median lobe of my prostate which he fixed with FLA, there was no pain both during or after surgery!, everything works well, everything in my prostate remains unharmed and untouched that is how precise and brilliant FLA is, I am convinced it is the future for many prostate problems and although expensive due to the high cost of the latest mri machines it is the least invasive option that leaves you with all your prostate parts and removes only the troublesome tissue, kind regards Brian PS many men on this forum are convinced they have better options as you will see by their replies to my post but it wont do you any harm to talk with Dr Karamanian you can find him by google under his name at the prostate laser center, he will be one of if not the best in the world at FLA and you will find him to be equally pleasant in his personality, he is the real deal. 

If its impacting your bowels you should consider something that reduces the size - sooner than later. Rezum, FLA, PAE and Holep are all options - find a doc at a big hospital that performs all of them. FLA and PAE are done by interventional radiologists and Rezum/Holep are done by urologists. There are advantages to each and some are better candidates than others for every procedure. Don't get a TURP - its overkill.

I doubt that Aquablation is your best option. For one, its not FDA approved yet and according to my urologist, recovery is longer than any other procedure - even TURP. If your bowels become fully obstructed you will be in serious trouble. Why not try something like Rezum or Holep first? Lots of docs do both of them - I'm not sure if Rezum could solve your problem but it might and if so, you'd be fully recovered long before you ever even got in for Aquablation. If you aren't a candidate for Rezum, Holep is a good option. Longer recovery, but most do really well with it and you've got something that could get really bad really fast IMO.

Mike, I just had my 263 gram prostate cored out about 12 days age. I have had for about 2 years now pretty bad constipation problems. It seems that I find it very difficult pooping without straining. Sometimes when I pee I feel the need to poop wether or not there is any poop there. If there is no poop the feeling to have to poop goes away in a few minutes. SURGERY DID NOTHING TO CHANGE THIS FOR ME. The prostate "shell" is still there but you would think with not much "meat" inside it would not have the same force on the rectum.