Informations and Facts
Posted , 12 users are following.
To all my fellow Men. I'm a persons that likes to have all the information and facts before anything happens. I like to be prepared and I don't like surprises. I have information on anything I have had done and have looked up thing for many men on here. Also got information from my Urologist. This post is on Bladder Stones. Did you know if you have bladder stones. They will remove them with a procedure called Transurethral Cystolitholalapaxy where they go into the bladder and break them up but do you also know that if you have this done they will do a turp on you. I found this out looking up information on a trail that they were doing. The youngest man was 36 and the oldest man was 93. I'm very sorry but what man at any age want to get retro or incontinece. To me it seam like the doctors are treating one problem and then giving you other problems. Which will cost you more money. If I end up with bladder stones I would go for Suprapubic Cystolitholapaxy or a Open Cystolitholapaxy. It may be more invasive but my prostate will not be touch. I know it may be a little out there but I at 61 I still enjoy sex and all of it fumctions. Some men can deal with the side effects but some men can't and give up sex all together. That is not fare to us men. I think that urologist forget that they are men and what they doing to other men in some of these procedures. Also I found some facts. With Turps or any of the procedures that cut away at the prostate there is a 25% chance of Erectile Dysfunction plus if you are on medication like Doxazosin you add 3% additional and with Finasteride you add 22% additional. So if you are considering a Turp when you add all this up it is a 50% chance of having a problem with having Erectile Dysfunction. So gentlemen before you have any thing done make sure you get all the informaion you can either on the internet or by your doctor and if he does not want to answer you question . It's time to get another doctor that will. Also talk with a buddy. Years ago men never talk about male problem. I am very up front with my sons and my friends I have 1 friend that is 50 he made the wrong decision and now he has to deal with it. He is so depressed that he whats to die. We talk alot. If they have a question I will answer it. If I don't know it I will find it for them. Life is to short to add more problem with evething else in this world. Let's enjoy it and have fun. Good Bless you all.......Ken
1 like, 33 replies
dennis47445 kenneth1955
Posted
Ken, I had bladder stones around three years ago. How I found that out was that I was urinating blood. That was a scare in itself! My uro, went in and removed the stones, by breaking it up with a laser, I presume then sucking it out. He asked me if I wanted to also do a turp, since he was in there, and I told him, not at that time. He didn't automatically do it...he asked permission first.
kenneth1955 dennis47445
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stewarta kenneth1955
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kenneth1955 stewarta
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stebrunner kenneth1955
Posted
Hi, Ken,
Thanks for starting this thread. As you may remember I have bladder stones, and I opted to go with PAE for my BPH. My radiologist wanted the stones removed before he did the PAE.
When I talked to my urologist about removing the stones, he expressed concern about my large median lobe pressing into the wall of my bladder. He said that could cause complications when he pushes his equipment in to remove the stones. He said there could be excessive bleeding, and if there was, he would do an emergency partial TURP.
I wasn't comfortable with that possibility so I talked it over with my radiologist. We decided to do the PAE first, thinking that my prostate will shrink and pull away from my bladder, making stone extraction easier. I'm now about 9 weeks out from my PAE, and the PAE has been working. I can now urinate some on my own--I'm peeing weak streams with greater frequency. Four uros told me I'd never pee on my own again and discouraged me from PAE.
When I'm 4 months out from my PAE, I will need to take action on my bladder stones--at 4 months most of my prostate shrinkage will have occured. I certainly don't want a urologist messing up the progress I've made with PAE! I will be seeking opinions from other urologists about this--and reading this forum!
Stebrunner
garyh1954 kenneth1955
Posted
Hey Kenneth,
Thanks for the information. Before I had my P.A.E. in June of this year, I was on both Finesteride and Tamsulosin. My doctor told me nothing about these drugs in advance of thaking them and acted as if it was like taking asprin. As a result of the Tamsulosin, I now have retro-grade ejaculation, two months after my P.A.E. I've changed Urologists and the new guy tells me the retro should be gone in another month or so. So that's four months with retro and, again, there are no guarantees.
In you'r studies, have you any definitive information regarding this 'fun' part of BPH/PAE? I've been doing reading on the sujbect but not getting anywhere.
Thanks again for your input. All the best
anthony2858 kenneth1955
Posted
Also with Chuck if he had 8 implants, how long has he had them in and if he is still satisfied with the results?
And just food for thought, I wonder if self cathing can be detrimental to the implants?
kenneth1955 anthony2858
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I had them in for 8 month's before there was that one problem. He did the repair in Feburary of this year. I just had them checked which is 7 month and he told me they were in the same place. If they would have been imbedded he would have told me. I know that chuck is very happy and still is going well after the secound set of 4 were put in. I don't think is causes a problem to CIC Talk later
kenneth1955 anthony2858
Posted
Anthony I don't remember if I told you why I had to have the repair done. I had a Prostate infection was on Cisproflex 1000g for a month. My prostate got smaller and 1 of the implants got loose he had to tighten the other 3. I don't feel them at all All is great Ken
cartoonman kenneth1955
Posted
I've never heard of any problems with Urolift and CIC--- the implants are pulled into the prostate and keep out of the way of the catheter ends! Been cathing 100s of times, since December 2015 Urolift, and no problems...
kenneth1955 cartoonman
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nktoronto cartoonman
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cartoonman nktoronto
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No, my bladder is permanently stretched out, due to years of being not fully imptied. I'm hoping that a second round with Urolift implants this week will free up the eurethra enough to allow easier emptying naturally, and a reduced need for the cathing...
anthony2858 cartoonman
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I have been considering doing the same.
Pretty much the same situation here as well.
Will be watching for your post.
Anthony.
cartoonman anthony2858
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I regret to report my Urolift has been postponed. A UTI I had did not resond to Cipro I was on, and I will have to go to the "big guns" anitbiotics to kill of the bug. The Urolift will have to be rescheduled for a later date. Stay tuned! :-/
Meanwhile, someone here proposed a counter-intuitive solution (maybe he'll read this and comment at length), saying that he just over-cathed (6 times a day, I think he said) and after two years of that, his bladder had shrunk back to normal...
cartoonman
Posted
WAIT! WAIT! I found the post from JimJames, which was so interesting, I saved it.
jimjames aliL •
"In terms of emptying the bladder and protecting the kidneys, self cathing does what Tamslosin was designed to do but does it much better in that self cathing completely empties the bladder any time you want. As far as "retraining" the bladder, I would go for an agressive self cathing program as discussed in the self cathing threads. Also, self cathing can be "passive" or "active". In other words, you can just put the catheter in and let it drain or you can help the process by pushing the urine out with the detrussor muscles. I believe the latter is a better idea in that it will help excercise them.
To your specific question, as another poster said, "it depends". While not really necessary there may be scenarios where your husband wants to decrease his cathing intervals by increasing his natural urination. More lifestyle choice I think,then what is good or not good for the bladder. But of course there are the side effects to contend with as well.
Personally I rehabilitated my bladder over the course of a couple of years to the point where I could almost stop. So then I introduced Daily Cialis to see if it could get me to the pont where I could stop self cathing completely. It almost did, but not quite, so I stopped taking it seeing no real benefit.
Got to experient with these things, we're all different. But right now, with your husband new to self cathing, best to just concentrate on the basics. Have him measure his urine output with a 500ml plastic cooking cup noting how much comes out naturally and how much comes out through the catheter.
If more than 400ml comes out through the catheter at any one time then he has to increase the number of times he catherizes each day.
Later on, you might want to get more agressive and try and keep the total bladder volume under 400m which would be the sum of his natural void and the catherized void."