Retry Urolift?

Posted , 8 users are following.

Has anyone had Urolift repeated and was it successful?

Had a Urolift done in March (2018), some initial success but it didn't last. I'm catheterizing less and peeing better when I take Rapaflow now, but if I stop it only takes a few days for the prostate to shut down the flow. No noticeable side effects.

My prostate size is about 49. I had high retention, unknown to me, and have been catheterizing for over a year and a half.

I had another cystoscopy and my Urologist thinks adding more pins might help. 

He said his success rate is about 75% when he repeats it. I had 6 pins placed initially which is all the insurance allowed, but he thinks adding a few more might do the trick (my insurance allows repeats).

I asked him about Rezum and he doesn't recommend it. He tried doing it for a while and didn't like the results. He mentioned he had talked to a Urologist recently that does them and he doesn't have the first follow up until four months.

I follow this forum regularly and have looked into the different procedures. I chose Urolift initially because it's covered by my insurance and seemed like the least invasive and least side effects. Not interested in a TURP or anything that causes RE. FLA too costly and seems not always successful. My prostate is about 49 so don't think PAE is a good option and not done anywhere near me. Seems like HOLEP needs someone with a lot of experience.

I asked him about aquablation, he said a hospital he works with is trying to get one and I might be a good candidate, but of course there is still no insurance code for them yet.

We also have a gentlemen's disagreement on catheterizing. He thinks I should try to do it as little as I can (maybe once a day or so), I'm still doing it 3 x day when I take Rapaflow, 3 or 4 the days I don't. I want to keep the bladder emptied regularly so hopefully it may keep healing. He thinks it's healed as much as it's going to and I shouldn't have it interfere with my life so much.

A brief summary of my Urolift experience below for anyone interested:

- 6 pins placed, very uncomfortable to say the least with the rigid scope/placement tool. Feels like a prostate biopsy needle for anyone who's had one, but through the urethra (ouch!) 

- Filled me up with about 600 ml at the end of the procedure and I peed most of it out, the Urologist was very happy and so was I.

- Stopped catheterizing and continued taking Rapaflow, had a lot of urgency and pushed out a lot of clots for the first week.

- Stopped taking the Rapaflow after a week at the Urologist recommendation and by the time I saw him for the two week follow-up was retaining 300 ml. Very discouraging.

- Started taking Afaluzin for less side effects and continued with the no catheterizing. Didn't seem to work as good as the Rapaflow and when I went in a month later retaining about 300 ml still and had a UTI for the first time.

- Started catheterizing again, hard starting again after a 6 week break.

- Tried various things with taking days off with the Rapaflow because of the RE and other side effects and am now taking it a few days on few days off, day on day off, more or less depending what's going on at work and in life. I can pee better and catheterize less when I do the Rapaflow now but still not emptying and I don't like the side effects. If I did the Urolift again and could get to only catheterizing once or twice a day (or less) without any medications I would consider it a success at this point, but of course would like not to do either.

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  • Posted

    I've got five clips and am getting a few more in a few weeks (my experience sounds a lot like yours). I'll be really interested in hearing from anyone who's had the additional clips, too.  Sounds miserable to have it done without general anesthesia.  It was "milk of amnesia" (propophol) for me and I never felt a thing. My uro said that he could only give me valium and a local if I had it done at his office, and I told him to point me the way to the surgery center.

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    • Posted

      Actually, a huge improvement, but only for about six weeks.  For a while there I felt like I could help out if anyone in the neighborhood had a fire that needed extinguishing.  Then over a period of 2-3 weeks it slowly started being hard to go again.  I had blood in the urine the entire time, and the uro said after doing another cysto that the clip placement wasn't "optimal," which I took to mean he'd goofed it up a bit.  I changed uros for the new clips. My new uro says there's still narrowing at the outlet, and I expect that's where he's going to try to open things up with the new clips.

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  • Posted

    U said u didn't want any procedure that caused RE.

    aquabkation has 10% chance of RE. Now it has a CPT code. My insurance covers it.

    likewise HoLEP has 70-8 chance of RE.

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  • Posted

    70-8 means 70-80%
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  • Posted

    When my Urolift procedure failed, retention and flow my Dr checked with a Center of Excellence site and he recommended against and I checked with the company and they had no data on repeat procedure success rate.  I opted for Greenlight and much better surgical experience, catheter overnight, no hospital stay, and no RE.  Find an expert with GL.  

    Good Luck!

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    • Posted

      Sorry that your Urolift did not work but you were just luck that you did not get Retro with you Green light.  Retro is about 67 %.  I had my urolift over 3 1/2 years ago.  At 9 month's I had to go for a repair.  One of the clips let loose because prostate got smaller.  Never felt it at all.  I had the new clip put in and the other 3 tighten.  And it all was paid for.  Repeat Urolift procedures is less then 2% But we do what is right for us.I would never have a procedure that has any chance of retro.  At 63 I like it just the way it is.  God bless you all  Ken

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  • Posted

    Hey buddy.  How many more clips did you have put in.  You said you had 6 put in.  How many more .  Glad it helping you now Ken 
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