New BPH treatment

I had the TURP and it was the biggest mistake Ive made in my life and if you tell a urologist that the climax is not the same he will just tell you that he never heard of that before. I would definitely not do it if I knew what it do to youre sex life. For my urologist an erection is all you need to have sex and for that he will give a patient Viagra and testosterone. My problem was that the viagra and testosterone couldn't bring back the enjoyment.

My practice specializes in Rezum therapy.

The largest prostate we have successfully treated was a bit over 150g I believe.

It is not "non-invasive", however, and the first few weeks after treatment many men have significant urinary urgency and frequency; most men are happy after 1-3 months.

All the procedures are invasive and what I have been researching is the odds of having to make a trip to the emergency room, need for hospitalization due to a problem with the procedure, and the likelihood of incontinence for the remainder of my life.

UroLift has resulted in trips to the emergency room, need for transfusions, and hospital stays. Rezume has long recovery time of 6-8 weeks with the probable need for self catheterization and it may be related to people taking prednisone (which shuts down the immune system) a higher incidence of UTI. PAE as it shrinks the prostrate over months, much like taking a 5a-reductase inhibitor such as Avodart, and with some people it is only a temporary fix as it is likely that new blood supplies are created by the body to again supply the prostrate and cause it to grow again. The iTind procedure is too new to know how long its effect lasts though there is a physician in Toronto performing this procedure. The side effects of Greenlight and TURP eliminate them from my consideration. So I am left with FLA or HoLEP. HoLEP has its own issues in terms of possible damage to the prostrate capsule and so I have it lower on my list.

FLA is currently at the top of my list and I need to get a MRI of my prostrate so that the physician can verify that I do not have any cancer cells before accepting me as a patient. It would seem that removing as much of the prostrate as possible is going to provide longer term improvement and possibly a reduction in the risk of developing a cancer of the prostrate.

What is unsettling to me is that I have found 11 surgical options and a couple of chemical options and there is no place to go that provides an overview of the cost, efficacy, recovery issues, and the long term success for them. Worse yet is that any given urologist or intervention radiologist is only going to have hands on experience with one or two procedures and so they will ignore other options and downplay their efficacy and tend to exaggerate any problems.

It is a horror story, no doubt about it.   Each man responds differently.   I had green light 16 days ago and  because of blood thinner hemorrhaged after returning home and ended up in ICU for 4 days. .   Got a good report at followup on Friday and healing is on schedule.   I know the story isn't ended but at 85 y/o little willie didn't work to full capacity before surgery so anything better than that is icing on the cake.

I've done the same exhaustive research and have decided on the urolift. It's the only procedure that doesn't mess with your sexual function. It doesn't preclude you from having any other procedure in the future. Most uro's say the success rate is nearly 90 per cent out two years. It's only been done in the US for two years. However, UK literature says the procedure is durable to five years. Good luck on whatever you choose.