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I had an FLA procedure in February 2017. It worked great for 6-8 months, but has gradually been regressing back towards my pre procedure state, but not nearly that bad. I’m just worried it will continue to get worse, which was always the concern with a new procedure like FLA. I have been reluctant to post anything, as I didn’t want to jinx myself, and I seem to have good days and bad days, but the bad days are increasing.
I have been in contact with Dr K, who has followed up with me continually since he was aware things were going downhill. He has been great at following up with me and offering solutions.
I recently had a second MRI to see what might be going on. I think he said my prostate was reduced by 30% over what it was, but said the areas that were ablated now have a fluid in them, which is causing the blockage. So instead of tissue blocking the urethra, it is now fluid. I’m surprised by this.
Dr suggested I now have a Mini TURP (TUIP) to cut open the areas of the urethra where the fluid is, and this should dramatically open things up. This is supposedly a much less invasive procedure than traditional TURP, but the thought of this is not exciting, and why I sought out the FLA I. The first place. He has already spoken with my URO about this, and I will see the URO in a weeks time.
I know the Uro suggested I may need something like a bladder neck incision as well, but I have not heard this first hand.
So I am hoping someone may have gone through this who can chime in with some advice. Dr K thought it might be 3 cuts to open up the urethra, but once they are in there, who knows?
I have looked at videos, and they don’t excite me too much. I’m not prepared for another recovery, unless it is pretty minor.
I’m hoping to just manage my symptoms for a while, but not so hopeful.
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