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After 20 years with increasing BPH symptoms I had 4 pairs of Urolift clips placed 8 months ago. As a result I have had some relief. But the surgeon mentioned that I have a “long” prostate which later I learned he meant a long median lobe. The clips do not help much with the restriction of the median lobe on the bladder neck so I still have occasional bouts when it acts as a “ball valve” that infuriatingly blocks my flow, especially at night or if I have had to “hold back” too long.
The Uro now is talking about a TURP, but to me that is a barbaric procedure and I even doubt they can cut close enough to the problem area of the bladder neck without harming the sphincter. On the other hand I have read that the Rezum procedure can be quite specific and guided into the median lobe, successfully reducing the bladder neck blockage.
What do you guys think of going in the direction of a limited Rezum since the Urolift seems to have done the job with the other parts of the prostate?
Secondly, I am enthusiastic about Fexapotide or Topsalysis. As I understand it these proteins target only prostate cells and cause the gland to shrink with apoptosis. I wonder if a targeted injection into the top of the median lobe would reduce the “ball valve” effect without harming the bladder neck’s sphincter cells???
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