Prostatitis
Posted , 7 users are following.
Hi Guys, just joined this site, wondered if theres any advice out there. Had urethral stricture back in 1996 and was in hospital for 1 week think it was passing kidney stone, everything was dandy for a few of years and then problems again with split / weak stream, had a urinary infection last year and cleared up with a 2nd course of antibiotics but now thought i had another but doc gave me a digital examination and turns out i have a enlarged prostate, had the usual bloods and urine test and bloods all fine with low PSA but infection in urine, now given another course of antibiotics ciprofloxaxin on my 4th day now and no improvement, pain passing urine especially at the begining, very weak stop start stream can take me 5 minutes to try and empty my bladder, although i can go through the night for about 5 hours or so without going to the bathroom. Doctor has referred me to local uriology dept but could be several weeks! help!
0 likes, 31 replies
michael80875 phil36449
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phil36449 michael80875
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michael80875 phil36449
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michael80875 phil36449
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howard50192 phil36449
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that helps a lot with the stream and the getting up in the night.
I hope you don't have to long a wait until you get sorted.
kind regards
Howard
bill20925 phil36449
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I would get to a urologist who performs HoLEP (travel if you have to, just do it) and let them assess and recommend what to do. If HoLEP is right for you (probably), it will take a while to get checked and scheduled. If you can cath yourself it might help a lot in the near term till you get taken care of. Just watch out for the cath causing infections.
I should add that I waited ~ 3 months, my surgery happened ~ 1 month sooner, and I wore a cath 2-3 months to get by. You can do it too. Good luck!
bill20925
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1) You may want to try to cath yourself if it is a fairly bad situation
2) If you do, no need to use a fley bag in day, just use the plug, and pop it when you need to urinate. But prob use the bag at nite.
3) Forget the doc you are going to and forget getting a referral from him. Call Lingemans office and that woman at Mayo and 1 other you can find and take the next appointment you can
4) They will prbably recommend HoLEP. Get it scheduled, and emphasize you want the first surgery cancellation slot should any open up.
Lastly, for everyone, I am hearing people say they cannot find HoLEP doctors out there. My dad who lives in Maine (not a major metropolitan medical center!) went to a urologist last month and the guy has done about 100 procedures. Lingeman who is the top guy in the US says any urologist who has done 30 or more should be over the learning curve. So look around, HoLEP doctors exist. Good luck!
RonTexan bill20925
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Bill20925 above has given you the best possible advice, assuming a simple enlarged prostate, Holep is the best solution if you can find a way to get the procedure done. It does not destroy your sex life as most of the surgical solutions may as the surgeon hollows out the prostate completely from the inside only, leaving the nerves on the outside intact. Since only the enclosure remains it will not regrow causing more surgery at a later date. Don't let anyone tell you that Holep is like any other laser technique, it's completely different from Green light for example.
At your age I expect your sex life is important to you. If so, Holep is the most likely to preserve that function and be a permanent solution.
I discovered Holep and began looking for a surgeon only last week and I will continue until I find one. I strongly reccommend that you do the same. If you have not taken any of the meds then you should be able to take them without permanent harm for a few months, long enough to find a Holep surgeon, meet the criteria, get on his list and have the procedure done. You are lucky, I'm not sure I can make it through the routine. I am going to try, though. .Best of luck and keep us posted.
phil36449 RonTexan
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derek76 RonTexan
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Google the long Mayo Clinic article on HoLep.
It says on retro:
Some studies have shown that patients who underwent HoLEP actually had improved erectile function after surgery, but almost all had retrograde ejaculation. All patients experience hematuria for one to two weeks after the procedure, but the need for blood transfusion is low, around 1 percent. Since normal saline irrigation is used for the procedure, there is no risk of hyponatremia, regardless of prostate size. Transient urinary incontinence is common, but permanent incontinence at one year after the procedure occurs in approximately 1 to 2 percent of patients, depending on the definition and type of incontinence.
derek76 phil36449
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RonTexan derek76
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RonTexan
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RonTexan bill20925
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bill20925 RonTexan
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bill20925 RonTexan
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It seems like a good note would be for all of us to post doctors and their locations who are experienced HoLEP practitioners.
bill20925 RonTexan
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RonTexan bill20925
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RonTexan
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RonTexan bill20925
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RonTexan bill20925
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