Post TURP Aftercare

Posted , 7 users are following.

Hi,

Has anyone had TURP on the NHS and needed aftercare? I'm 68 and scheduled for a TURP op but, as I live on my own and also have COPD, I'm worried that I won't be able to look after myself after the operation . I have no-one to help me back from hospital or help me round the house when I get back home. I might not even be able to go shopping as I gather I will be encouraged not to do any lifting for a while. Does the NHS provide assistance in this sort of case?

Thanks

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  • Posted

    in the US we have a level of care called skilled nursing facility or SNF. you can stay there until you're strong enough for home. ask you UK doc if they have something like that by you.

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  • Posted

    in the US we have a level of care called skilled nursing facility or SNF. you can stay there until you're strong enough for home. ask you UK doc if they have something like that by you.

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  • Posted

    Hello My Friend

    I do not know how they do things in England. But with you having Problem with your lungs. You can't be laying down all the time. A Turp is a very hard procedure you have to watch with the bleeding. Some men have no problem but there are others that it can take up to a year to heal.

    Was there any other procedure you can have or they told you that was all they can help you with. In the US most doctor call it the last resort procedure. But if that's what you have to have so be it.

    Check with your hospital How long are they going to kept you and is there anyway you can go to a rehab center for a couple of weeks so you can heal some.

    You may want to start stocking up on things and put them in you freezer to get ready if you have no one that can help you.

    I am sorry but if you were here in Orlando and had no one I would find a way to take you and help you out. I worked in the 80's in a nursing home for 5 years

    Maybe you need to check into a different procedure that is less evasive. Take care Ken

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  • Posted

    As Kenneth has said TURP is the last procedure you or anyone should be offered. Apart from your condition it is outdated and has a long recovery time. There are several newer laser procedures like GL PVP and HoLep that have better results, gentler, less stressful and quicker recovery. There is also non surgical Urolift. The latest one recently in the media that will be first choice for the NHS is non surgical Rezum.

    Google them or use search button at the top of the page after community. Once you are more informed go back to your GP to discuss the better options. Your GP knowing your situation should be getting Social Services involved in post procedure care. Which part of the country do you live in as much help and procedures are 'Post Code' related.

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  • Posted

    I see from one of your other posts that you have an enlarged median lobe. Sadly that is the area that creates problems with most procedures as it is in the bladder neck area where retrograde ejaculation is most likely caused.

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    • Posted

      Hi Derek76,

      I've been on Tamsulosin for so long I have retrograde ejaculation anyway. I'm not too concerned about that as long as I can still have a decent orgasm!

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    • Posted

      Grunthos

      Hey buddy. Just was sitting watching TV waiting for my sister and her family to come in. I don't know how the health care symptom is in England But you should be able to have any procedure you want. And not be force to take want they give you. Yes what you say is true you will have a problem with any procedure you have. But stay away from the TURP Procedure. Remember it is your body

      If you want the Holep procedure it is some what like a Turp but done with a laser and there is less bleeding and healing would be faster. You can still look up getting a home health care worker if you have them there. Keep bugging them. Go for the procedure that you feel would be better for you.

      Now being on Tamsulosin and your retro ejaculation how is it. Do you have the same feeling. I know when I was on Flomax & Rapaflo I had RETRO. And it sucked. There was no feeling at all. The built up was there but went flat when it hit. I don't know if your doctor told you anything about it. But some men have no change in there orgasm and some say they are better.

      But it also depends on how up front your doctor is. If you read some of the articles on any of the procedure that cause retro. Doctor will tell you that it can cause your orgasm to go to a 1/3 of what they were before.

      Please don't give up. Fight for the procedure you want. Good luck Ken

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    • Posted

      HI Ken

      unfortunately . I don't know how the health care symptom is in England But you should be able to have any procedure you want

      that is not often the case here in the Uk . I dont know our friend's situation but unless you are willing to travel some distance ,and wait a very very long time ( or pay for private treatment ) you will not automatically get a full range of options . The NHS offers free treatment from cradle to grave and is amazing with superb care but is behind the times on many new procedures . I know from personal homework that Urolift for example is not available on the NHS at any of my local hospitals . However there are several private hospitals within a 15 minite drive that offer it with one week notice . We dont have medical insurance so it depends on your situation whether you can opt for this . OR , you wait a very long time for your local NHS hospital to provide it .

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    • Posted

      Thank you for getting back to me. So I guest you can have anything you want but in the end you have to pay out of pocket. Which is wrong. Yes we don't know the whole sorry but it may be a simple fix. If his prostate is the problem. The Urolift would open him up and take the pressure off the bladder.

      I wish him luck but he needs to have something done that will not take so long to heal

      Ken

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    • Posted

      There is "Patient Choice" where you should be given NHS or even private hospitals and consultants to choose from. For some reason it is not always offered and I have never been sure why. It may be some Area Health Authorities don't do it or some do not want to accept patients from out with their area. In South East England there is even the option to go to French hospitals for NHS paid for treatment but you have to pay for your own travel expenses.

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    • Posted

      I think the Patient Choice is for new referrals. My GP has just referred me to ENT for a hearing aid and through the NHS e-Referral Service I was given the choice of four hospitals, one of them private. This wasn’t the case two years ago when I was referred to Urology. Then I had no choice at all.

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    • Posted

      HI Derek ,

      i agree with what you say but in practice things are not quite like that . For example you may be referred to a " private " hospital on the NHS but that private hospital will not offer you certain treatments on the the NHS . My first hand experience of that is the Springfield hospital in Essex . Yes you can choose that hospital for treatment through the NhS even though it is a private hospital . BUT, if you want a Urolift for example, the Springfield hospital only offer this procedure for private patients .not NHS patients .

      NHS is s bit of a lottery . I am type one diabetic and a new testing sensor has been approved by NICE, and it is life changing for type 1 diabetics and Teresa May even has one .

      Even though it is approved by NICE its available in only a handful of NHS authorities and not mine . All down to cost . I pay for mine out of my own pocket and it has transformed my diabetes control .

      My apologies for straying off topic everyone .

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    • Posted

      Ask him for a new referral. It does not seem consistent as we have had a mixture of Standard and Choice referrals over the past few years.

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