Median Lobe Prostate Bladder Blockage Options?!?

Had median lobe problems, too. Not eligable for the urolift!

Chip,

  What did you decide what to do?  I also have an median lobe problem but I only have a 40 cc prostate.  It is too bad that somehow the urologist could go inside the bladder and snip off the ball valve with doing a TURP.  Snip of the median lobe to do away with ball valve problem without removing the lobe and portions of the bladder.

Hi....wondering how each of you with median lobe pushing ito bladder have got on as I have the same problem, I have discovered TURP resection actually means carving away the bladder neck (which usually means sperm going into bladder)and rendering the upper sphincter valve useless which leaves only the lower sphincter valve operational to prevent incontinence! (with no guarantee) -seems crasy to do away with the main preventative of incontinence just to open up a pathway to pee!

also TURP leaves the prostate full of urine 24/7!, but tumt and tuna appear not favorable for median lobe unless times have changed?, does urolift for the median lobe mean the upper sphincter valve is still fully operational?or is it just the lower sphinter valve the one working? and is the upper sphincter valve damaged by urolift so that it cannot be reversed?,I welcome any thoughts as I need help ASAP!

I would suggest you find a doctor that has done the Button Turp procedure many times.  I used Doctor Lance Walsh in Rancho Mirage.  The procedure took all of an hour and I was out the hospital door two hours later with no problems in 18 months other then two small blood clots came out in the first few hours.  Never had any pain or side effects. I was 78 years old when I had it done.  The retrograde ejaculation I had from years on Flomax disappeared immediately and sex resumed in a week.  A lot of doctors don't do the Buttom Turp as they don't want to take a month off while they learn the procedure from the manufacture. The Button Turp basically plasma cuts a 3/8" hole through your prostate. You can see the procedure on YouTube.

two promising developments.

the rezum steam procedure is out and available and is perfect for median lobe problems,  and the Urolift should be cleared in the next 6 months for median lobe issues.

I would not touch any laser or wire treatment...stoneage in my book and can be used if the two I listed don't work.

Hi to anyone with a median lobe growing up against the bladder causing urine restriction, I had the same and the short answer is FLA focal laser ablation, my reason is I visited a few urologists who after said you want to avoid turp even though that is what they are trained to do as surgeons and so they first try drugs on you but the reality is drugs are not the answer for a median lobe and in the long run will cause you much harm, I studied all the options and wanted to avoid surgical damage and chose FLA with Dr Karamanian in Houston who is very good.

the problem with turp in the case of a median lobe is they cut a cone shape portion of your bladder neck away which will prevent it from functioning as a valve to hold urine in your bladder! leaving only your prostate lower valve to do the job which they cannot not guarantee will to succeed! many who have trusted urologists that they will not be incontinent have become incontinent so don't trust them, along with that are other damages such as sperm now going into your bladder so that you have to pee it out, urologists say its no big deal but many men regret that they trusted the urologists, also turp will shell out probably half of your prostate leaving it permanently full of urine when it is not designed for that as they remove the prostate urethra and once again urologists will tell you there is no difference but use simple logic if urine somehow manages to gradually seep through the so called seal urologists produce by means of the chosen form of tissue removal urine will seep into the remaining tissue which it is not designed for and may cause urine infection which can be ongoing and lead to all sorts of horrible results, not to mention they slice up your penis urethra to fit in all the tooling as they hope this will reduce urethra  damage compared to not cutting, but if it does not heal up without damage you may well have to have more ongoing surgery to try to fix the urethra damage, additionally there may well be ejaculation duct damage and there will be a lot of pain but I can honestly say FLA gave me no pain at all and no side affects at all, which is why I am telling you and going to the trouble of trying to save you !