I am due TURP surgery for BPH by the NHS (UK) - likely position on the table?

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I would like to know from any guys who have had this procedure as to what position I am likely to be placed on the table (flat or with stirrups etc). I have been told that I will be awake but numbed from the waist down. If stirrups are used will I have to position my legs before I have the injection or will the nurses place them in the stirrups for me after the injection. Not sure which is more embarrassing!

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13 Replies

  • Posted

    I was put to sleep throughout the complete process. you may want to check the possibilities with opposed to partial one.

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  • Posted

    Michael

    There is absolutely no problem. They give you the spinal injection while you are sitting up, in a room adjacent to the operating theatre. Then you lie down. They wait until they are sure it has taken effect, put a sheet over you and then wheel you into the theatre. You don't have to do anything else. I wasn't really aware of my legs at all. It is not embarrassing in any way.

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  • Posted

    the last thing you'll be worried about is people seeing your junk.

    if you are at the point of surgery i'd think you'd had cysto, flow, urodynamics, testing etc., all which strip away modesty... not to mention Colonoscopy if you are over 50

    it'll be fine they see man parts all day every day

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    • Posted

      Anyone who's had a urodynamics study done should be forever cured of modesty. Mine was done by a female nurse/technician who was great. She had done abdominal ultrasounds on me before so I felt comfortable with her. Only thing unexpected was they asked me if an intern could observe to learn how the test is done on a male. I said sure, no problem before thinking about it. So the intern, a young female, just stood there and watched everything for the whole hour. Show time!

      I'll add that I also was not expecting the discomfort when she inserted the catheter past my prostate. I'd never had any kind of catheter put in while I was conscious. Ouch!

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  • Posted

    I'm not familiar with protocol in the UK but every video I've seen of a BPH procedure other than PAE and possibly FLA shows it being done in the lithotomy position (on back with your butt at the end of the table, legs flexed at 90 degrees and abducted 30 degrees and feet in stirrups with knees bent 70-90 degrees). Prior to being put under for the rigid cystoscopies and UroLift procedures I've had the last things I remember are being asked to slide from the bed I was rolled in there on to the table, to slide down and position by butt at the edge and to make sure I'm not lying on my gown. Apparently they waited until I was out to position my legs. Until you're draped down there you'll be exposed but it's not like more that one or two people will see it.

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  • Posted

    hi, yes numb from the waist down......i had a group of trainee Dr`s and nurses watching as well...the nurses look after you, you wont feel a thing, so it wont matter!! i dropped off and had a nap whilst it all happened, i was snoring according to the anethetist!!!!!had to wake me up!!

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  • Posted

    Depends on your doctor of course but usually flat on your back in stirrups. You doctor that is going to perform the procedure might be the best person to ask that question. Each doctor has his/her way.

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  • Posted

    Hi michael17174,

    I had TURP at the Lister Hospital, Stevenage in February 2019. Everything took place in one room. I was asked to sit on the side of the op bed, was given a spinal block then asked to swivel round and lie down. When my legs went numb they were put into stirrups, Flowtrons were put around my legs and my naughty bits were swabbed down by a nurse. That's all I remember because I was sedated at that point. Here's an excerpt from the letter my GP received from the surgeon.

    "This gentleman underwent the above procedure (TURP) today under spinal anaesthetic in the lithotomy position with Gentamycin antibiotic prophylaxis wearing TED stockings and Flowtrons. TURP happened from the bladder neck to the verumontanum with care not to injure ureteric orifices or external utereric sphincter. After haemostasis, a 22-French 3-way catheter was inserted and irrigation was done"

    The only painful part for me was the catheter. 22-French refers to the size of the catheter, 22mm in circumference, 7.1mm in diameter. It eventually stretched my frenulum to the extent that when the catheter was removed I couldn't touch the old feller for a week.

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    • Posted

      Hi Micheal, you've said you had the turp operation this year.Can you tell me what side effects you've had .I'm looking into my problem and I am anticipating I'll be offered this surgery.I was offered it once before but I shyed away given the side effects .

      It seems to me the surgery causes more problems than it solves .Incontinence, bleeding , retrograde ejaculation etc .

      Plus the need to pee more often .On the face of of it , it seems a pointless exercise.

      Did you suffer any side effects .Has it solved your problem ?

      I'd appreciate your opinion mate.

      Thanks

      Andy.

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    • Posted

      Hi,

      The only side-effect of TURP for me is retrograde ejaculation. However, as I had been on Tamsulosin for so long that I had RE anyway so I'm not bothered. I don't have incontinence and bleeding only occurred for three weeks after the procedure.

      I had the TURP 9:30am on a Monday morning, irrigation was cut down to a slow drip Tuesday morning. The catheter was spigoted, cutting off the irrigation, at 6pm Tuesday and the catheter was removed 6am Wednesday. I had to drink a litre of water every four hours after the catheter was removed and was allowed to travel home 5pm Wednesday. My quality of life has improved immensely. No more having to get up for a pee at night. No standing over (or sitting on) the loo waiting for the flow to start. I wish I had had TURP a few years earlier, it changed my life for the better so much.

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    • Posted

      Hi Grunthos

      Thanks for your reply earlier and glad you are doing so well. The main side effect of TURP that worries me is retrograde ejaculation. I have been on Tamsulosin for four years and only experienced RE five times - I did not like that so I now prepare by missing a dose or two and everything is marvelous. The quantity of semen is a lot less but I am 78 so could be expected. I am also on Finasteride (12 months) and my night time visits reduced from 4-6 down to 1-3 and day time visits from 16 down to 10 -12. My average night time voids are 300mls and daytime 150 mls.

      My biggest inconveniences are urge incontinence and day time frequency for the last two years (free Tena Pads helps for leaking) and a weak stream which means I haven't been able to pee standing at the toilet or urinal for 20 years. I am used to sitting now. I use a condom catheter (free) when on long walks or trips etc. My urology team here in West Sussex have mentioned RE and say it is not harmful but when I said I had experienced it and did not like it they were silent! They also said that 1-3 times a night is normal for my age. No mention of incontinence. However, the nurses at the Bowel and Bladder Service (NHS) have said that so many of their patients who had had TURP still come to them for incontinence help and supplies. Basically I have had no side effects from Finasteride. Did you have frequency and sudden urges with leakage before TURP?

      Regards, Michael

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    • Posted

      Hi Michael,

      My main problem prior to TURP was having to get up in the night five or six times for a pee, known as nocturia. The time it took for me to start to pee and the flow rate was also a problem. I was eventually diagnosed with nocturnal polyuria which causes nocturia. I still produce a lot of urine at night, as if my body clock is out by eight hours, but it doesn't bother me half as much as it did prior to TURP. I had TURP at the age of 68.

      I did take Finasteride for a while but it gave me palpitations and I was referred to a cardiologist who told me to stop taking it.

      The only time I've had urgency and leakage was for about a month after TURP.

      I hope this is reassuring but, as you know, everyone is different.

      Have you looked into the possibility of having Rezum or HoLep? Both are available on the NHS but it seems to be a postcode lottery as to what is available.

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    • Posted

      Thanks for that - my prostate is not large enough to qualify to have HoLep (42 gms) and Rezum or Urolift is not on offer in this area unless you go private or move to another County! .Before I started on Finasteride my total night time volume was 40% or more of the daytime volume but now (12 months later) it has dropped to 25% or lower. Last night it was only 11% (a record) as I only got up once. I suppose we should be thankful that at our age medication and whatever surgery is available, is free. Best regards, Michael.

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