Second TURP

Yes I do agree.  Putting your body through that is hell.  Alot of the newer doctor don't do them anymore and they offer the new procedures.  My urologist is a god sent.  We talk alot and He answeres my question. Has told me that he does not do has many of the older procedure because men are more in tune with there bodys.  What gets me is if you had a turp done and it did not work why have another one.  There is nothing left to cut or burn out. Maybe it was not your prostate and it was something else.  Just my opinion Ken  

Hello Ken:

I had a visit with my new potential Uro Doc. This was a meet and greet, since I'm dumping my Doc I have seen now for 8 years. This new Doc explained that ANY procedure done will not keep the Prostrate from growing back over the years. That was news to me. My further research on that comment shows he is correct. One could have a couple or serveral procedures throughout your lifetime.

Just to play devil's advocate here, I agree that TURP would probably be the last procedure I would have, starting from scratch. That said, Bill has already had a TURP, and I assume has therefore ended up with the usual side effects such as retro ejaculation. That cannot be reversed. So, in this case, another TURP to clean up things could be a reasonable option. Still, getting a second (or third) opinion to explore other options is quite reasonable. 

Jim

My Dad's urologist recently told me that he "guaranteed" the prostate would not grow back IF he did the open prostatectomy. It sounds like this is not the case? (sorry, still getting up to speed on things)

I believe an "open prostatectomy" removes the entire prostate. Therefore nothing to grow back. The procedures talked about here -- Green Light, TURP, etc -- only remove part of the prostate, so it apparently can grow back. Two different things.

Jim

It would not grow back after an prostatectomy as he would probably remove all of the gland. That is drastic for BPH and as it says 'open' surgery with a longer recovery time and inherent dangers.

The urologist who did my PVP many years ago said that he did a PVP on a 92 year old with a massive prostate as it is a gentle procedure.

Hello Thank you. I do know your prostate stiil grows but my point is that with the older procedure ( turp laser and helop ) They core out the prostate and leave the shall what grows back. There is no tissue left  Do you grow a new prostate???? You see what I'm saying. How does it grow back  I see my urologist next month going to have to ask him that one.  Talk later  Good health  Ken 

The OP my Dad's urologist wants to perform is partial. "Suprapubic open prostatectomy". We did ask if he could just remove the whole thing, but he said that is only done in cases where cancer is present. 

He said he guaranteed that the the partial OP would not grow back and that my Dad would "p*ss like a horse". Perhaps he is banking on my Dad's advanced age being more detrimental than the prostate's growth rate?

Kenneth,

While TURP for example has been compared to a Roto Rooter, it is not the same as removing the prostate. Some tissue is left and this tissue can grow. So, after "x" years, it's not uncommon that a repeat operation is needed.

Jim

I don't think that many just leave a shell or take away more than needed. Mine was 135grms before and about 50grms after.

Simple open prostatectomy does not remove the entire prostate. This procedure used when prostate is too large for TURP.

Thanks for the information  Ken

It can if the surgeon wants to and is the generally acepted meaning.. Google the words.

We are all learning...no worries..yes. "Open" is pretty much a removal. gone.

Hey Ken. Good to make contact again. Yes. As I am told, even "coring" leaves some tissue. That tissue will continue to grow. Here's a small piece on it about 1/2 way down,

http://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/expert-answers/prostate-cancer/faq-20058463

Hey Derek.  I'm just going by what I read and saw the video.  On the Helop  The doctor or the person that was talking said that all that is left is the shall of the prostate.  It just alot to take in.  Glad I had the urolift done.  After a year doing fine and my prostate got smaller.  My urologist done know why.  I guest thats good for me.  Less of a problem.  Take care everyone and good health  Ken Just read a post for mayo clinic.on Holep.  It said...Complete excision of the obstructing prostate tissue down to the prostates encapsulating structures resulting in a re treatment rate of less they 2% So they can go down to the shall I guess... 

That would be true.   I would see another doctor and get some answers and I would ask my doctor you told me this would work why did it not work Ask question before you go under the knife again.  Ken

I think the key word here is "simple" the prostate is not "gone". If you Google simple open prostatectomy you will get the full story.

The shell that's left must be very delicate.

Umamimommy (who started this) didn't say "simple open prostectomy". He said "open prostatectomy". At least according to the Mayo web site, 

"open prosctatectomy" can be either "simple" or "radical". If simple, then yes, the prostate could conceivable grow back but much less of a chance than with let's day a TURP. But if it's a radical open prostectomy, then everything comes out so nothing to grow back. Hope I got that right!

Jim

Right.

The first uro I saw when my BPH first became a problem in 1994 said that he would never do a prostatectomy for BPH. Whether he meant simple or radical he did not say and I ran a mile when he wanted to do a TURP. At that time TUR syndrome was a problem after the operation and also with possibe cardiac problems in the future. That is not a problem now as they use a different irrigating solution in place of Glycine. 

Definitely a TURP some fifteen years ago but the Prostate has unfortunately grown again which in not as uncommon as I thought. That's the reason it needs to be done a second time.

Yes, I apologize. The doctor did use the term "open prostatectomy" but I should have added the "simple", as that was his meaning in the conversation. 

Apologies to peter30970 - I did not intend to hijack your post with my own inquiry...was just initially alarmed when trying to reconcile what I was reading here vs. what the uro said (that the prostate would not grow back with a (simple) open prostatectomy). It sounds like that is an incorrect statement...all the more reason to seek a second opinion.

Sorry you are having to go through this again. I am less than 2 weeks into reasearching this for my Dad and am amazed on the lack of advancement in this area...80M men workdwide suffer, yet there are sill conversations like this happening...it's difficult for me to get my head around. Although it does remind me of a conversation I once had with a pathologist who said he said he believes that, after a certain age, all women should have their breasts removed and all men their prostrates...

Well if you all ready had one you know what is going to happy.  Good luck Ken

In another paragraph they also say that .  The surgeon uses the laser to enucleate the prostate  gland tissue leaving the capsule.  Which is the shall of the prostate.  If the tissue is gone what grows back...??  I'm going to talk to my urologist because it don't make scents Take care  Ken   

As has been said the prostate is like a weed,

Whole heartedly agree with your amazement in the lack of advancement in this area! You would think that 80M+ sufferers would translate into a fabulous income for the Urologic community and spur more research. The next generation will hopefully have more options.

I'm sure that the drug companies are making fabulous income already.

There does not seem to much competition for the main three and the herbal market also does well.

I don't understand why they are going to do a prostatectomy anyway.  That surgery is for cancer But there are so many that you can pick from.  Why would you put a man through that in the first place to take care of the prostate.  No turp but a holep would do the same and less down time  Ken 

Good morning Peter.  I know that the prostate has a mind of it own But If I had one and it did not work I would not do it again.  Try something else  Ken

Get sll the information you can before you have your father have any procedure  Take care  Ken

Thank you I have read it but will look into it again.  It's good to know.  I myself and my doctor don't know why My prostate got smaller.  It's half the sizae it was when I had the Urolift done.  Who know why but I think it had something to do with the antibiotics.I was on in december for a prostate infection.  Thats good for me.  Take care my friend and good health to you  Ken

Time will only tell  Ken

I think there all working together.  There are alot of smart people in this world I wish they would get together on a mans problem.  Ken

If it were a womans problem it would get more publicity.

Yes that is true. Men never talked about there problem years ago.  I think we are getting more aware of our bodys.  Take care.  Ken PS  We have just as much of a problem and maybe more then a women.  A women can all ways have sex but a mans another story 

Hello Ken.

The first TURP worked for over 13 years just fine but now it's grown again.

i know many on the site are not enthusiastic about TURP but it gave me 13 trouble free years. Also, I have not been offered an alternative on the NHS and I am not aware of any other remedies in my regional health authority.

I'm just concerned with the prospect of having a Foley hanging out of my penis for X number of weeks while I wait to reach the top of the list for the TURP to be performed. If the second operation is as good as the first I will be a happy bunny.

Peter.

suggest you follow the advise of jimjames as I think the CIC route far better than having a Foley catheter for more than a weeks.

Kenneth,

What grows back is scar tissue, the same for post PAE. I do not want my healthy, albeit enlarged prostate tissue replaced with scar tissue, hence one of the many considerations in my choice of UroLift over PAE.

Bill

Well, Kenneth, yes and no... And Derek, I have to say, "WHAT?   Given that both the UK and the US are patriarchal societies, men and males to rise to the fore front in SO many ways.  Think:  VIAGRA!!!  Think: treatment of women re birth control matters and issues.  Etc., etc.  

I suspect that more to the point is this:  men are shy and reluctant to approach this are, as it were, and loathe to admit to any problems.  We're GUYS!  We don't have problems!!!  :-/

I suspect I'm not the only one in this discussion group who put off and put off my problems until I couldn't pee anymore at all!  "It'll get better," I kept telling myself, for40 years!!!  Okay, maybe I was worse than some, but you see the point?  WOmen are as a group much more open and willing to admit to problems.  Perhaps there's a lesson in this...  :-)

Very true.

You can insist on being referred to another Area Health Authority who do the procedure you want. I got referred from Scotland to Northunbria and a friend from Grampian to London. He even had his travel and overnight expenses refunded for all of his appointments. I did not bother trying for that.

I don't think that the UK is still a  patriarchal society. Now Women Rule.

My grandmum ALWAYS ruled the house on Barrow Point Avenue (Pinner, Middlesex), as did my mum at our house, but I think these were the exception!  And thank God, I've gotta say,, that Maggie Thatcher was an anomaly...  :-)

 

My grandmothers did as well but they were both widows.

I didn't appreciate Maggie until she was usurped. 

Hey Peter Just ag I am glad you have  good outlook on the turp.  Take care

I had the urolift and its been good for over a year  Take care  Ken 

It is getting better.then what it was in our fathers days  We need to talk and work things out more..Take care..Ken