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Prostate surgery

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grant75607
grant75607

Hi after reading many posts on here i would like some adveice i have had weak stream stop start etc for years now they first offered me Turp 15 years ago now i have been to a urologist who estimated by the dre test about 30grms and benign even though my psa had gone up to 5 and offered Turp again, now my psa went down to 2,8 so they say that is ok?

I went to another urologist far from me to ask about Holep they did a simple flow test and said i was only retaining about 10mls but i was told to just go outside and have a drink they did not measure the amount i took in, i have tried tamsulosin but no effect, so i have no idea of median lobes or actually how big my prostate is should i insist on this before going ahead? this is nhs uk also of course here a foreign dr who was not very interested.

0 likes, 12 replies

12 Replies

  • Pepasan
    Pepasan grant75607

    Posted

    Have you been advised about stopping tea and coffee drinking? My urologist has asked me to keep these to a minimum, whether or not decaffeinated. Following this advice does seem slowly to be improving things for me.
    • grant75607
      grant75607 Pepasan

      Posted

      yes i was advised to stop coffe and tea as apparently this can lead to retention.
  • derek76
    derek76 grant75607

    Posted

    The latest NICE advice widely reported in the press last month is that GL (greenlight laser) is now the preferred option instead of TURP.
    • grant75607
      grant75607 derek76

      Posted

      Yes but from the comments on Here Holep seems to be the preffered procedure and of course PAE sounds interesting but £9000 in the uk.

    • derek76
      derek76 grant75607

      Posted

      The hospital who did my GL PVP in 2005 switched to Holep about three years ago but said it was a very close call after much discussion between the team.
  • BobbyT
    BobbyT grant75607

    Posted

    Have you considered ithe iTind device from Meditate. It is minimally invasive, temporary, and far less of an ordeal for the patient with very low risk of incontinence or sexual dysfunction. It seems to have worked in 95% of the patients, but this depends upon the patient's condition.

    You did not mention havibg an ultrasound to assess the size of your prostate. Then again it might be your bladder and bladder neck that is the obstruction or the sphincter and not really the prostate.

    Also you did not mention your age in relation to your PSA. PSA is notoriously unreliable by itself. In the USA a PSA of 0 - 4.0 is considered acceptable for a man of 60 with an enlarged prostate.

    • grant75607
      grant75607 BobbyT

      Posted

      Im 60 but have had this problem for many years,i had a flow test then they gave me an ultrasound to look at the amount i was retaining but it was very quick and did not tell me anything about the size etc and none of the urologists i have seen has ever mentioned about median lobes.

      I will look up about the itend device thanks.

    • lester90053
      lester90053 BobbyT

      Posted

      Have you had iTind? Do you know who and where it is done? Does it really exist?
  • mcgillvn
    mcgillvn grant75607

    Posted

    You're doing the right thing here, reaching out for others' experiences.  There are several different treatments and technologies available now.  The drugs usually get the first recommendation, but I found them ineffective and the side effects unacceptable--feeling like nearly dry ejaculations, very unpleasant.  If it's available where you are, check out urolift, the company is neotract.  I'm just past one month following the procedure, and my weak stream symptoms are gone.  There was minor discomfort for a day or two, and after 10 days or so that disappeared, leaving me with normal function, for both ejaculation and urination.  As you browse others' experiences, you'll see that everybody's different, and responses vary.  Best wishes.

    • grant75607
      grant75607 mcgillvn

      Posted

      Yes i was looking at urolift and pae both not available on the nhs but i think better to pay then have Turp or even Holep maybe.
  • kenneth1955
    kenneth1955 grant75607

    Posted

    If they did a test to see what was left and it was 10mls that is not much Why tell you to go have another drink.  To me it's seam like they were trying to make a problem that you don't have.  My urologist did a ultrasound in his office and I had 60mls left he told me that was fine.  There are other meds out there to try and herbs that may help you relax.  Get the information before you do anything  Ken

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