Mini TURP or TUIP after FLA
Posted , 13 users are following.
Hello,
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.
0 likes, 38 replies
Motoman
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Tim-B Motoman
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Motoman Tim-B
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No my earlier MRI did not show this fluid collection.
I really thought one of the benefits of FLA was that the urethra was not penetrated. But if by not penetrating it, little “pockets or cavities” are left for fluid to gather, and continue to restrict the urethra, the laser should go right through to open things up.
uncklefester Motoman
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Motoman uncklefester
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I am just going on what the Dr told me. That fluid is part of our bodies, and will find its way into cavities over time.
derek76 Motoman
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Motoman derek76
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I have no idea why FLA would leave cavities. I would have assumed any space created by the ablation would have created more space for the urethra, and not be filled on by something else (fluid).
derek76 Motoman
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It must be rather difficult to create cavities inside the prostate when actually opening a passageway through it. Strange that in all the reports it has not come up before.
When I first heard of lasers for surgery in the early '60s. I wondered if you used two weak beams if where they met you could burn away a tumour at an exact spot!
Motoman derek76
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Bruno59 Motoman
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In one article it was referred as massaging it (through the anus).
What might also help is walking, jogging, swimming.
Riggs Motoman
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ktmxc-f Motoman
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Bernadette Greenwood helped invent the laser for Fla. She works on studies with Dr. Feller, She is very knowledgeable. If you are interested, message me for her contact information.
Motoman ktmxc-f
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I looked Bernadette up and found her email. I sent her an email, will see if she responds. Looks like they specialize in prostate cancer, but maybe they have some advice.
Thank you for the tip