Mayo Clinic Urologist

Thanks. I've also read good things about the Cleveland Clinic. 

Whoa. Scratch Phoenix off my list. 

Maybe there is more than one Uro there - I don't remember his name, just that it began with Mc - I was about 56 at the time and BPH was not that terrible yet so I wash shocked at his "solution" - I don't see why the Mayo clinic would be better than seeing a good Urologist anywhere else. If you have other issues on the other hand I think they have a good system so you can see everyone in the same place.

I'm sure they do have more than one uro there, but any uro who would recommend a radical prostectomy to save money makes you wonder about the institution.

I have a uro--a very good one--but am looking for other opinions and viewpoints. One proceudure I'm curious about is HOlep. My uro has no direct expoerience with that procedure, and I believe some of the Mayo uros do.

Thanks!

My preference would be FLA. It's closer. Plus I'm thinking there must be a lot of big prostates down there!  

I plan to check Mayo's website, but thought I'd also ask around to see if anyone had a recommendation. I seem to recall one or two guys in this forum who were very pleased with Mayo.

Hi Don

Nice thing about FLA is you can do a Holap or HOLEP later at Mayo clinic.

I went to Mayo Phoenix and got a Holap which is a Type of Greenlight 2 weeks ago.Mayo doesn't offer FLA at this time.

I sleep up to 6 hours now and that's with a bottle of water at my bedside table.

Off medicine and I pee like a youngster.

Have to step back 2 steps and empty.

My insurance company will not pay for FLA. Or I would have done that first from what I've read on it, however I have heard it sometimes doesn't work but I suppose that's true of any procedure.

Had sex and still have wet ejaculation but not as much. Feeling like about half as much as before but only 2 weeks out .

Wish you luck.

Paul

Hi Paul,

Thanks for your post. By FLA, I meant Florida, not Focal Laser Ablation! FLA is a very new procedure, without much of a track record. Plus it's not covered by insurance and costs somewhere in the realm of 20K, I think. If I'm going to fork over that amount of money, I'm going to need to know more about what I'm getting into.

I am interested in Holep, however, and am happy to hear about your positive experience with Holap (which I understand is an earlier version of Holep). How would you compare it with traditional Greenlight, and why did you choose it over GL? And why Holap and not Holep (which I thought had replaced Holep)?

Thanks in advance for any info on Holep/Holap. Nice to hear from someone who is happy with their BPH procedure.

Don

 

HI Don.

Ive been on meds sense 94 .

Had to stop at every RR ,Lost job at Honeywell and insurance had Mayo in network so decided to do something about it after all these years.Insurance will end end of year so decided to get it done while I was still insured.At 62, dont know what insurance is in my future.

Holep is for larger prostates,Mind wasnt that large but plugged preety good.Was planning on Holep but due to only 38 doctor did Holap which uses Holium laser ,which is slower but less damage to other good tissue.

Got off meds and no more lookinhg for a RR all the time.

Hope this helps, got to go to lunch, Ill keep you filled in , only 2 weeks after Holap and doing good wore pad for 7 days but no longer need and no blood at all , even day of surgery urine like water, no  pain except sore throut from anestesha .Pretty pain free, did wet pad on walk in coconina forrest a little scary on day 6, but that was it.I uassaly walk 2 1/2 miles in mornimg .

 

You need to me careful.  Glad you did not lost your ejaculation.  i guess some is better then none.  Halop is most likely better then have the while prostate destory.  Rest and take it easy  Ken 

Sounds like you made the right choice for you, Paul. Thanks for all the info and best of luck to you.

Don

yes halop worked out for you.  You did not lose anything.  But I would not take that chance of losing my ejaculation just to pee better.  There is more to life to just going to the bathroom .  But I am happy you  Ken

Kenneth, 

Thanks for your thoughts and interest. I have a moderately enlarged prostate with moderate BPH symptoms that have been controlled for several years with Cialis and Finasteride (or, as I call it, Fi--NASTY--ride), and I recently underwent a PAE procedure in hopes of getting off the meds. The results have been mixed. I'm off Finasteride, which is good, but I still seem to need Cialis. About 70% of the time, I'm fine--6-7 on the IPSS scale, with nocturia contributiing 2-3 points--and 30-40% of the time, I'm not (with a 14-17 IPSS score).

I'm not planning on having another procedure any time soon, but I continue to be on the outlook for promising new developments. I'm curious about Urolift. I'm a little skittish about having pieces of steel and nylon implanted into my prostate. And I've heard some disturning stories about the procedure. But I take it that it has worked for you? 

Don

 

Thank you.  Yes it has.  I have 4 implants and I have never felt them at all.  It opened me up and that is all I needed.  I was off all med at the end of the week that I had it.  THere was just a 5 year study on Urolift and all men are doing great and not one had retro ejaculation or any other side effects.  I would do it again. Urolift does the same as any of the other  procedure.  Make a tunnel.  without cutting it out and causing more problems.  Have a great day  Ken

Glad to hear that the procedure worked for you. And thanks for letting me know about the study. I'll definitely check it out. 

Don