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Long story…but I will try to be concise. On January 10, 2022 I went into the hospital to have my chronic appendix and hyperactive gallbladder removed, and that went OK. But three days latter I was back with constipation and 100% urinary blockage. I was diagnosed with BPH likely accelerated by the anesthesia, opioids and gas introduced for the laparoscopic procedures. I have had a catheter in for 90 days and have had 4 UTI’s and finally had my consult with my Urologist yesterday. My prostate is 160+ cc (HUGE per the doc) with a median lobe. I am 63 years old at 6ft and 190lbs and active and otherwise mostly healthy (previous heart issue), and thankfully no signs of cancer, MRI and cystoscopy were done and no lesions. MY PSA is 7.4 and steadily rising over the years. SO TWO QUESTIONS BELOW;
My doctor said I have only two surgical options (TURP is not recommended) and I am way beyond using meds to help. I can have either Robot Assisted Simple Prostatectomy (RASP) done my doctor (he has done over 4k) or HoLEP done by his colleague (103 so far). Since my prostate is HUGE and my doc has done many of the RASP procedure, I am inclined to have that done. The doctor said I must decide. I like the idea of not having the penis/urethra involved. I am on anticoagulant (Eliquis) and realize that HoLEP is better in that regard for bleeding but I would have to wait months for that surgery, where I can get the RASP done in a few weeks. Has anyone else made this decision? If so, how did the RASP recovery and how is the quality of life afterwards?
Also, at this time I have some hip and right flank increasing discomfort/pain, from below the right-side rib cage to the groin area, but only on the right side. I asked if this is consistent with having a huge prostate and have gotten some mixed input that is shouldn’t be associated with my HUGE prostate and some input that it might be. Have other guys had this discomfort/pain and gotten relief after the prostate reduction?
My new mantra - You gotta be a tough guy to age gracefully!
HAPPY EASTER and THANK YOU in advance for sharing your experiences!!!
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