Rezum or HOLEP in the UK

Retaining ejactulatory function would be great but not absolutely essential if HOLEP is more effective.

What do you consider as 'retaining ejaculatory function' ? With Holep, you still can ejaculate, just not much coming out because semen goes into the bladder instead. In a way, retro ejaculation is proof that the procedure or medication did its job: opening up the bladder neck.

One poster recently posted that his uro would suggest a redo of a Greenlight procedure if it did not result in RE. 😀

Re effectiveness and durability, there is no comparisons to Holep, except for TURP, if you're willing to accept RE. However, if your symptoms are mild, you might get by with less invasive, yet less effective procedures.

Hank

Hello

To me that I would consider a failure if I had a procedure and ended up with retro. To me it's just as important.

We should not have to give up anything just because we want to pee better.

But we do what we have to do.Ken

PS. All you need is to take the pressure of the bladder neck. If you damage it you will end up with more then retro.. I can't see leaking and wearing pads for the rest of my life. No way........................Ken

John, why do you say that?

rezum didn't work for me. looking at bipolar turp to just get the job done. I'll go crazy of i try urolift and it also doesn't work!

plus plus the resume was very unpleasant after the procedure for the first few weeks right after I couldn't move urine at all

John

Think very hard before you do anything. Do not let your symptoms dictate what you have done. Try the Urolift it will open you up and relieve the pressure of the bladder Have it done using a general that is the way I had mine. Had a catheter for 2 days. Was good to go in 2 weeks.

John just have to put this question out there. What are you going to do if you have the bipolar Turp and you still are not able to pee????

Good luck with what ever you do.......Ken

the turp is gold standard. he removes significant portion of the gland. if you can't pee after a turp..... then something is very wrong....

John,

Have you been scoped to see why Rezum didnt work?

not not yet, I'm assuming the cystoscope will just show the same that it did before the procedure.

Strongly disagree on TURP being the "gold standard" because the data in the literature says Holep and GLEP are. Enucleation procedures produce the best efficacy and long term results in terms of being able to pee normally.. One drawback is the certain retro ejac..

Turp has a higher retreatment ratio, and also has a worse safety profile compared to Enucleation procedures. However, one needs a surgeon who is VERY skilled and experienced in Enucleation, and not a newbie at it!

As far as effectiveness and durability, TURP and HolEp are way way above the rest. Both have high risk of retro ejaculation. Original TURP is too bloody and requires long recovery time. It is why HolEp is preferable. Button TURP, an improvement, is less bloody and with quicker recovery than original TURP. Hank

John, I agree with you. If one can't pee after a TURP, it's unlikely that any other procedures would help. Hank

. Hank, that's a good summary. I agree