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I've learned a lot from the sharing of posters here about their successful and unsuccessful experiences with various BPH treatments. So having had a TURP on July 23rd of 2019, I wanted to share my diary about the good and bad for whatever it might have to offer others.
I'm in my late 50's, and have had escalating BPH symptoms for a decade or so. In fact, I was already getting up every night once or twice to urinate while still in my 30's. Until this week I was on both Alfuzosin and 5 mg. Cialis, which were no longer effective even in combination. I'm one of the guys with a relatively small prostate volume (under 100 g.) but serious obstruction. While my symptoms were no doubt aggravated by my use of caffeine and ADD stimulants, a recent cytoscopy revealed that my prostatic urethra and bladder neck were both badly obstructed. My bladder also showed the riblike appearance that comes from forcing urine out against backpressure. I saw this myself on the video monitor. (During my last cytoscopy 10 years ago, the inside of my bladder looked smooth.)
Why did I choose TURP? If money and insurance coverage were no object, I would probably have had a HoLep. but that was not an option unless I paid for it entirely out of pocket. As a practical matter, my choices were TURP or Urolift, and I wanted a decisive resolution. My uro said, "You qualify for Urolift, because you have a small prostate and no median lobe. But I think you'd be better served by a TURP -- the TURP is one and done. I'd spent enough time on this forum to know that while Urolift recovery is (usually) a lot less difficult, it usually comes with less dramatic results, especially when it comes to retention. Retention has been a major issue for me, with my retention between 400 and 800cc depending on the time of measurement. I didn't want to have to revisit the issue at 70 or 80.
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