Picking a Procedure

Posted , 10 users are following.

Well it's that time again.  All of you know my views on many of the older procedures.  There barbaric and no man should have to go through that just to pee better..................................................................................................... Over the last few weeks I have read posts from many men that are disappointed with the procedure that they picks.  Procedures from Turp, GL, Holep. Pae. Rezum, and Urolift that there doctor haves suggust that they have.  But in reality he does not know if it will work until it's done.  But that could be to late......................................................................... Many test should be perfromed before you summent your body under a knive.  There are so many side effects that you have to be prepared for not just retro but incontance, leaking not being able to have sex because you can't get a erection or kept it long enough.  It is very depressing not just for you but for your partner.................................................................  9 out of the top 10 procedure cause the side effects that I stated.  Urolift is the only one that will not cause retro and if you do get it it is the cause of the doctor not doing it right.  There is a bar that is put in and it has to me kept away from the bladder neck.  There was a 5 year study on the Urolift and there was not one case of retro in all of the cases because the doctor was trained right........................................................................... Jim and I have been looking at a new procedure.It is called Aqurablation.  To me it just looks like a new way to do a Turp. The trails are very hard to read and there is a 15 to 25% of retro.  That may change in time and more trails.The only other one that looks good if you feel that you don't want to deal with retro is FLA.  No retro and a very good outcome.  There are a few men on here that had it done and they had very good results.  It may be appoved buy the FDA soon but not soon enough.  Right now out of packet is about $20.000.  If you can wait and you are not looking for any surgery CIC is a good way to go.  Jim is the best if you need any help.  He can give you alot of information on it.  It has worked for him so why not you.....................................................................................         My main goal is that you research any procedure you are looking into and if you can get a second opinion.  Also if you are considering any procedure that will cause you retro get your doctor to give you a pill that will cause it so you can see what it is like.  Most doctors teell you that all will be the same but that is not true for all men.  In princeable all men have a orgasm but not all men have the same kind.  It may change or it may be the same but it is good to be prepared.  You don't need any surprizes.    Take care and good health to all and Good bless  Ken                

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  • Posted

    What good is a second opinion if all doctors share the same infomational opinion? If there is something out there that has been perfected and stood the test of time, all doctors in the field of urology would want to know about it and would want to practice it or see their practice falter.
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    • Posted

      Not sure I agree, Lester90053.  Most urologists do share the same basic knowledge.  I know it's anecdotal, but my own urologist is excellent.  However, by his own admission he knows absolutely nothing about some urological procedures.  "Some procedures are simply too new.  Give them time, and some will be archived into obsolescence,"  he says.  Take my opinion for what it's worth.  It's one thing to share the same information.  It's an entirely different matter as to what the urologist does with that information.  And therein lies an ethical conundrum. 

      Some of these doctors - especially the younger ones - are on the hook to the tune of hundreds of thousands of dollars for their medical school education.  Ethical doctors would, as you say, want to know about optimal procedures in their patients' best interests.  More duplicitous doctors will have a bias toward more expensive procedures.  Simple as that.

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  • Posted

    Thanks for your lengthy post.. all good advice and having had three invasive biopsies and a cystoscopy I am now going to refuse any surgical procedures. 15 years of tamsulosin destroyed my abilities with ED and RE but now off it and onto daily 5mg cialis my life is turned around. Less trips to the bathroom, healthy erections and at last, proper orgasms. I resent that some medics seem to think that someone like me in their seventies doesn't need those functions any more.. seeing my uroligist this week with a very recent PSA of 8.5 I will be informing him that a DRE is all he can do. All through the 15 years I have had BPH I have given a false positive PSA reading when there are less invasive procedures than surgical biopsies to rule out the sinsister.

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    • Posted

      Doctor feel that after 50 we don't need to ejaculate because we are not having kids.  Big deal. I'm 61 going to keep mine.  Glad your getting back on track.  Take care and enjoy your life  Ken

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    • Posted

      kenneth1955, some days ago I had an appointment with a very reputable and very expensive urologist, and when I told him I had PAE, he almost instantly and as if rehearsed a theather play told me: "actually PAE is never used anymore".

      When I told him I was not using tamsulosin because I´m afraid of floppy iris syndrome" and cited PUBMED studies, he laughed loudly and said to me: "Tamsulosin is the gold standard for BPH treatment, you´re suffering for nothing". That´s it. Now everybody knows how difficult is to find a good doctor.

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    • Posted

      Yes it is hard to find a good doctor.  I have had mine for over 3 years he's great.  He needs to go back to school or learn some new things.  Ken

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  • Posted

    Good points. I thnk if, like me, you are over 70 then Retro is not a big issue. For me the orgasm is very similar to before but I had very little semen before anyway. My prostate was very large and HoLep was the obvious solution. I was recommended by my first excellent urologist to an excellent and experienced HoLep urologist and this is key; choose the right urologist. My op 3 years ago has been 100% successful. The right urologist is surely the key.
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  • Posted

    Looks like there are trials being done for ejaculation preserving HOLEP which would be great if they can do it
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    • Posted

      I don't know if I read the same one you did but.  Speculating that leaving more of the adenoma tissue around the verumontanum and the apex of the prostate may improve ejaculation function.  NEXT   

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    • Posted

      In concluding message....Ejaculation preservation technique is in conflect with the value of Holep which is to completely enucleate prostatic adenoma.  Therefore. preservation of ejaculation function seem to harly be possible when performing a Holep.  It is going to take a while.  But who is going to be the ginny pig.  Not me  TAke it easy  ken
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    • Posted

      Ejaculation preservation technique is in conflect with the value of Holep which is to completely enucleate prostatic adenoma.  

      That was my thought also. Let's see what the trial brings . I'm not signing up either, thays for sure cry

       

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