Repeat TURPS

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Just wanted to contribute about not expecting the same recovery from repeated TURPS. Had my second in five years, six weeks ago and recovery is definitely slower and pain on urination and spasms are continuing though I see some gradual improvement. I guess we all compare what happened last time (pretty quick recovery, minimal symptoms) and if its different we look for some unidentified major complication. Every time will be different and ya just have to take the ride. Having said that, if youre worried about anything continue to pester your Urologist about it. Thats what you are paying for. They can do a cystoscopy in their surgery rooms these days to check anything untoward.

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  • Posted

    Hi Roboz;  I thought a good "turp" was suppose to last about 15 years.  Atleast thats what I have read numerous places.  Did you have the traditional turp or a button plasma turp???   Your post really should concern us guys that are considering the surgery.  I consider the surgery a "life changing event".  I have heard about the potential of impotence and reverse ejaculation.  Things that really depress us that are thinking about it.
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    • Posted

      Chuck, have you tried Prostasan?  It's a formulation of saw palmetto.  There are three research studies on it and the results are impressive.  I just started it today. 
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    • Posted

      Mike; "Please" keep me informed as to if it works for you.  I have never tried it but I have tried dozens and dozens of over the counter supplements over the years to "no avail".  Iam considering seriously a "plasma button turp" in August when I hit 65 and Medicare will pay the whole bill for me.  Lets keep in touch.  Iam interested to hear from you after 60 to 90 days on the "Prostasan". 
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    • Posted

      Will do! I'm also doing some Ayurveda stuff and German pumpkin see oil conccurrenlty because I'm impatient.  The Prostasan studies noted significant results within 8 weeks of use.

      Europe, especially Germany, is more advanced with respect to herbal medicines, which is why I'm using the pumpkin seed oil from Germany and Prostasan from Switzerland.

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    • Posted

      High ChuckP, Yeah, my first TURP was supposed to last 15 years but the prostate grew by 30 centimetres in five years. Now sitting at a hefty 98 centimetres. All biopsies have been clear so its just benign at this stage. I've been told it's all down to the individual as to the rate of continued growth. I cant remember the  the stats on repeat TURPS being required but my specialist doctor said she has done three repeats but thats on the low percentage range. I'm 59 and I've had the added complication of chronic prostatitis for many years so don't be put off by my experience too much. With regards retrograde ejeculation I didnt get it after the first TURP and I was getting early morning erections within ten days (didnt try sex for two months) . My urine flow was ok up until about six months ago. I went back on the Flomaxtra which helped to some extent but I began to bleed occasionally and I didnt want to get caught like I did the first time and be ten hours away from medical help.

      I had a pretty good four and a half years and you may get the full fifteen years benefit with no retrograde ejaculation. I dont regret having the first one but the first three weeks post op is pretty uncomfortable. But I'd go for it if I had the choice again ( which I did, Hah!). By the way, I checked out laser with some high profile professor at the time of the first TURP and he said laser had a high percentage chance of needing a repeat within two years.

      Look., youre looking at a pretty sensitve area of your anatomy and any surgery is going to muck you around for a while. There are risks involved and the best thing I can suggest is to google as much medical stats as to the range of outcomes. All the best.  

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    • Posted

      I forgot to answer your question about the types of turps i had. They were both the traditional 'gold standard' type turps that the specialists i talked are still very much in favour of. I know a guy who had a laser six months ago and he is very happy with the ouctome and had very little post op difficulties. Laser sounds like it has much less post op recovery. The doctors argue about the longevity of the success thats all.
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    • Posted

      As a very Anti TURP person I can say that my ever growing prostate has had two different laser procedures in the past ten years and may soon require another one.

      I refused a TURP for my 35 gram prostate in 1995 after researching it. I waited for PVP Green Light Laser to reach England and had it on my by then 75 gram prostate in 2005 with practically instant recovery. I Travelled to Scotland by train on the second day and on day three life was back to normal and I spent the day at the races.

      It quickly started to grow again and had reached 125 grams by 2013 when I  had Holmium laser surgery with a massive amount of tissue taken away. That recovery was slower as still passing blood they sent me home with a catheter and I got an infection.

      Now only two years later it has grown to 52 grams. I'm not too concerned as the only symptom is a slowish flow but it is possibly the cause of the UTI’s, prostatitis and more recently epididymitis that I get. I’ve recently had a flow test and a DRE and on Friday will be having a cystoscopy.     

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    • Posted

      No they didn't. No scarring from last procedure, no stricture and bladder neck opening OK. There is a small nodule on the prostate that they are not concerned about and said that they often form after laser surgery. When I said that my prostate is 50grams, he that is not all that big! Whereas in in 1995 when it was first discovered I was told that I needed a TURP as a matter of some urgency!

      After my 2013 procedure I asked the surgeon how much tissue he had taken away and he just replied lots. I asked after the cystoscopy that if my prostate was now 50grams from the pre op 130grams how much has it grown. He looked at the operation notes and said that 36 grams had been removed.

      I said 130 - 36 and now 50 how come?? I was told that some is lost by vaporisation. I am dubious about that amount being lost that way.

      No reason concluded for my often slow flow or very low small output. 

      He did suggest an alpha blocker to help the flow but I told him of previous problems with them. I had meant to ask about daily Cialis but forgot. I will ask my GP about that.

      Next appointment for another flow test in nine months. I told him no more DRE's as the stimulation of my vagus nerve during it caused my BP to drop and I went into atrial fibrillation and needed a week on a beta blocker to get back in sinus rhythm. The same thing happened after I had a colonoscopy in 2013. That time I needed a cardioversion to get back in sinus rhythm.

      He said that he had read of this happening but had not come across a case of it. I told him that the nurse at my GP practice said that it is quite common. He said that of course he tends not to see the patients again after DRE, TRUSS and cystoscopy as they then see the urologist.       

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