Should I Have Urolift or Something Else?

Glad that your doing so good.  I think a lot of men would pick FLA if it was covered by insurance.  Let hope it will be soon.  2017 men need more from there surgery then side effects.  Have a great day  Ken  

I wouldn't say that it isn't "liked", just that there is limited data.

Most urologists (and, actually, most interventionalists) never heard of it.

Once there is (hopefully) a lot of data and insurance covers it (and it becomes considered standard of care) , I will learn it and offer it to patients, much like any other procedure that can benefit patients.

Cost is often a large issue as well. Most of my patients can't afford their $100 copays for procedures. I would imagine that $20,000 or so would be their life savings.

Hi Dr. Jersey,

Perhaps I am unfairly hard on urologists. I'm sure there are some reputable, patient centered ones. I'm sure you are one of them, or you wouldn't be taking the time to deal with us.

That said, I'm also sure that there are some who are not. Medicine is a profession, and I agree with you that there are many urologists who have no idea what a Urolift, PAE, or FLA are. If they are real professionals, they should be keeping up with what is new related to their profession. My urologist had not heard of any of these procedures until I told him about them. And, there IS research on PAE, and, I believe, Urolift. The ones who don't keep up, and the ones who are only in it for the money should be drummed out, but I have never heard of that happening, or even of a mechanism to do that. Have you?

Neal

There also is the problem you mentioned of costs to the patient for non approved procedures. Is the urologists' association going to the FDA and lobbying for more research money for FLA and PAE to settle the issue of whether or not these promising, but unproven, procedures are really any good, or are they plodding along allowing their members to continue doing TURPS because they are The Gold Standard, even if the TURPS are more invasive, costly, painful, and expensive, and have a higher risk of severe, life long side effects?

"First, do no harm".

Neal

Neal   That is true.  Some doctor don't want to learn anything new.  They would rather talk you into a procedure that is going to cause you more problems.  We have the right to the best we can get.  If you do not like the urologist you are seeing and they will now explain the procedure or answer your question.  Get another one.  Find one that cares  Have a great day  Ken 

Kenneth you want a specialist Uro who is happy with the procedure he does not a Jack of all trades switching from procedure to procedure and different equipment every day.

I think urologists will do anything to help their patients.

The problem is data.

You need to show that a procedure is effective (from a quality and cost standpoint) before it becomes standard of care.

Once that is done, I'm sure urologists will do the fla procedure, aquablation, as well as what is currently offered 

How many procedures do you personally do?

I have done turps, suprapubics, prostivas, tuips, rezums, and tumts.

 Prostivas ? Is that not a medication?

 Under what circumstances do you think that there is still a place for turps, tuips, and tumts ?

Prostiva is a minimally invasive procedure which has fallen out of favor. I haven't done a tumt in over a decade, and think it has little if any utility. Turp (generally using bipolar/button/laser) is still a tried and true procedure. TUIP has limited utility for the right types of cases

After my last laser procedure the surgeon suggested that I take Avodart to stop future growth. I said at my age will it grow to the stage where I will need a third procedure. He glanced at my file and said perhaps not.   

Neal, perhaps I can share with you that regardless of what is being said about FDA, the FLA procedure for prostate treatment was approved approximately ten years ago. Focal Laser Ablation is approved in prostate tissue and the best way I can share this is to give you the link so everyone can read it together. 

In regard to Urologist doing the FLA or PAE procedure, regardless of what you are hear a Urologist is not qualified to do an MRI guided procedure without either hiring an Interventional Radiologist to do the procedure or going back to school to learn the skill of MRI guided laser procedures. This is the real reason it is not supported by the Urology Associated and also why it is falsely discredited as being not approved by the FDA. 

From Page 5 “Indication for Use”:

The Visualase Thermal Therapy System is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy under magnetic resonance imaging (MRI) guidance in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, orthopedics, pulmonology, radiology, and urology (prostate), for wavelengths 800nm through 1064nm.

This is what the FDA does in the approvals. Please understand all the chatter about not FDA approved has nothing to do with the reality of insurance companies deciding what procedures will be paid for.That is where the urological associations could benefit us but why would they when in the end they are not qualified or medically trained to do the FLA process and would not be paid for it. 

I hope this helps some with the facts of the matter. I know we have fake news everywhere now days. 

Moderator comment: I have removed the link(s) directing to site(s) unsuitable for inclusion in the forums. If users want this information please use the Private Message service to request the details.

I want a urologist that is up on everything.  Not one that only does one.  take it or leave it.  Not all procedure work for all men.  My urologist is the best and he want to learn all he can to help men today.  Have a great day  Ken 

Jersey   Don't you think that the standard Turp should be put on the back burner.  I have heard that button turp is much better because there is less of a chance of side effects because you have more control of the button.   Ken  

Neal, 

Here is the information on the FDA approval on Focal Laser Ablation for prostate procedures. I sent the complete link but was moderated as I guess it is against policy to point out the facts when one party says one thing and yet  another claims the opposite. But bottom line, the FDA approved MRI guided  FLA for the prostate procedures approximately 10 years ago. The same FDA - FLA approval for PCa is also the FDA approval for BPH. There need NOT be any further FDA approvals for the FLA procedure to be preformed and done so safely in the hands of a proper trained Interventional Radiologist. 

Insurance coverage is a different matter and has nothing to do with FDA approvals.

The fact is the urological associations are not going to do anything with FLA or PAE as urologist are not trained or qualified to do the MRI Guided laser procedures. For a urologist to preform a FLA procedure, they would either have to go back to school or hire an Interventional Radiologist to do the procedure. These are just the facts and beware of fake news. 

From Page 5 “Indication for Use”:

The V T Therapy is indicated for use to necrotize or coagulate soft tissue through interstitial irradiation or thermal therapy under magnetic resonance imaging (MRI) guidance in medicine and surgery in cardiovascular thoracic surgery (excluding the heart and the vessels in the pericardial sac), dermatology, ear-nose-throat surgery, gastroenterology, general surgery, gynecology, head and neck surgery, neurosurgery, plastic surgery, orthopedics, pulmonology, radiology, and urology (prostate), for wavelengths 800nm through 1064nm.

Sorry, again I set the FDA link to the entire documentation by the FDA but not going to come through. 

There are some surgeons who do wonderful traditional turps. A lot of it has to do with what the surgeon is comfortable with 

Different strokes for different folks.

Not many if you are trolling on the internet all day. Add up the time. It's just math. 

You can't be good at them all and that I often say is part of the problem with posters here with problems.

Some procedures must be more profitable for them or perhaps after spending money on a new type of equipment they want to make it pay its way. 

Derek I know making a profit is there.  But I think the concerns of your patient should go to the front of the line .  Take care  Ken  

Extract from E-Mail with the Uro who did my GL in 2004 when I told him of the procedure I was going to have in a different part of the country nine years later::

." As far as the laser options are concerned, there have been 2 major upgrades to the Greenlight laser from the machine I used for your surgery.  We have had one of the latest machines here as part of a study which has allowed us to look at it and the consultants involved have been keen for us to continue with this latest machine.  Generally however in the department the view has been that we should adopt the HoLEP procedure and so that is the direction in which we are moving currently. 

For yourself both laser options should be OK.  The key will be that the team looking after you have the laser that they are happy with".

 : 

Was that meant for Jersey Urology???

What the surgeon is comfortable with.  What about the patient and his concerns.  There are do many doctors that are one sided.  You do what I say I'm the doctor and I know best. And get talked into something your not happy with after.  But you can only suggest a procedure and you really don't know if it will work until it's done.  But by then it's to late.   Ken    

Human nature Ken and like us all they have bills, mortgages and alimony to pay.

Yes I know but life goes on.  And we should be able to enjoy all of it.  Take care  Ken

I had a turp 4 yrs ago.  One year later which was great.  No sides no prob

But one year later problems.  Doctor said one lobe just collapsed    Rare he said.  Another turp and 2 yrs later problems back.  Dr started pushing bladder inter stem.  Went to diff doc last month. He thinks scar tissue 

Scope coming up

D

David I'm not going to say a word but I hope things will get better for you.  God welling  Ken

Ha, understand I think. U can speak and I thank you for that

 We have about 50 urologist around. Hopefully one uses advanced procedures.  Current doc said maybe scar tissue.   THEN SAID JUST GETTING OLD@69

Like I’m gona live with it

Yes getting old but they should know better.  They should what the best for you  Hope all goes better for you.  I'm 62 and trying to enjoy all I can  God bless  Ken  ( Not a fan of Turp )

Seriously...in how many circumstances is a TURP really called for? There are so many less invasive options with as good or better results, fewer side effects, shorter recovery, less potential for complications. If a surgeon isn't comfortable with most of those, they should retire at this point. TURP is the equivalent of fixing a torn ACL with a traditional surgery and 6 weeks in a full length cast. Yes, it still can work, but why do it that way??

That is a discussion that is likely beyond the scope of a semi-anonymous forum, but TURP certainly still had a strong place in the armamentarium for prostate treatment.

We are semi-anonymous  but I've always been surprised that you are allowed to advertise  your services here.

His responses have been helpful and bring real professional insight to this forum. I for one have no issues with someone liking his approach and seeking him out. Lord knows, with all of the stories here of knife happy butchers, its nice to see someone with a measured approach who diagnoses before treating.

I didn't say that he shouldn't but if someone posted a link to his practice it would not be allowed and I find that rather strange.

Has he convinced you that you need a procedure?

TURP was good in it's day but that was only because that was the only thing we had back then.  You had to take it or leave it.  Today we have many more procedures that work has good or better.  And less side effects.  Men today want there life not to change and with a TURP most of the time it does.  We deserve to live a full life as we get older.  Not be put in the in the back ground and let life go by.  Ken  

No he hasn't, but I don't need one and as far as I can tell he hasn't tried to talk anyone into anything, other than a complete diagnosis before any procedure.

I am in no way, shape, or form advertising anything.

I can assure you I have no need (or desire) to at this point.

TURPs have acceptable side effects for many men, and can give excellent results in the right hands.

As mentioned, different strokes for different folks.

That's actually not a very good analogy. While Dr. Google can bring up horror stories with just about everything, TURP (including Laser, Button, and other versions) is a tried and true procedure. I don't think that fact is under debate?

I know that is true.  I also think that it may have something to do with the age of the man.  A man in  50's may not want the side effect but a man in there late 60's may not care as much.  That you very much for your time.  Your information is much needed  Ken

Tried, true and out of date. The question isn't does it work when done for the right reasons and properly, the question is, what circumstances call for it over something less invasive, at least as a first option?

What circumstances justify or even suggest a TURP with full anesthesia, long recovery and guaranteed RE before trying something like Rezum, Urolift or FLA? I suppose there are some men who for whatever reason aren't candidates for any of the above, but even then isn't Holep a better option than TURP?

And it is a good analogy IMO. Plenty of people are walking around just fine after having their knees opened up, spending 6 weeks in a full length cast and another 4 in a Lenox Hill brace after ACL surgery in the 80s. That method would still work, but no one does it anymore because laparoscopy offers much shorter surgery and way faster recovery. 

Seriously, what set of circumstances suggest that TRUP is a better first option than one of the less invasive procedures/surgeries? 

I know that can be true but over the last few year there is a decline in turp procedures    Ken

Patients are generally presented with all options.  A "HOLEP" likely has higher side effect profile than a button TURP.

When performed by an experienced resectionist, a traditional TURP has wonderful results.

Some men may not be candidates for other procedures, for a variety of reasons.

But why are them the first ones pushed.  Even if a man is concerned with retro.  Doctors down play retro because they feel that the  male ejaculation is not a sexual function.  They tell you all will be the same. But most of the time it's not.  Sometime the change is so bad that men have giving up on sex because the feeling is not there.  I am so happy that I have found my Urologist.  He has told me that he does very few Turps.  He said that it should be used only as a last resort.  There are do many others to do.  And his main concerns is to make his patients happy  Ken  

I’m sorry if it’s a repeat I couldn’t get it posted earlier

t 65 the turf was good for me

I think it depends on the doctor for sure

I had the catheter out in two days no side effects very very little bleeding no pain the only problem is my prostate was growing faster than the hair on my head and it grew back

From the times you post you seem to have more time on your hands than patients:-)

 

What would you regard as an acceptable side effect if you were a patient ?

 

A few second reply on a car ride which can sometimes help people with legitimate questions is not considered a waste, I would hope.

Perhaps Jersey Urology cab give an estimate of the number of patients who need another procedure when their prostate regrows.

When I had PVP in 2004 mine was 75 grms. by 2013 it had grown to 135 grms. After that it was reduced to 55grms.

For the correct patients, it should be low

You can drive and post at the same time ?

Under what circumstances is a TURP the better or best option ?

I turned a TURP down in 1995 as it had such a bad reputation even then. At that time my prostate was only 35 grms and I was told that I needed a TURP as a matter of some urgency.

When I spoke to the Uro about symptoms he said "Don't go to any islands and stay close to a hospital in case you go into retention" When I said that our next trip was probably to Zambia he threw his hands up in horror. In the next nine years while waiting for a good laser procedure to reach the UK I never had to seek treatment for retention.

Again the muderators stand in the way of providing useful information on this forum. Obviously you are not marketing anything, but providing useful information which could help many, including those who don't know how to use the PM system, and those too shy to even write a request for information. Does anyone know of a site where these issues can be discussed with more reasonable oversight?

It is my understanding that FLA is approved by the FDA only when used in the prostate to remove cancer, not simply to remove tissue in the prostate to help BPH symptoms. Am I incorrect about that?

My point to Dr. Jersey was that urologists who are truly interested in patient care and health would be supporting FDA support of research in the areas of PAE and FLA for BPH, whether or not the urologists are trained to do those procedures, or would make money from them. That would supply the data Dr. Jersey was writing about. It seems a little too convenient to say that urologists want the data to evaluate those procedures, and yet for them to not support the research through the FDA which would provide the data. It gives the appearance that they don't support the research because they won't make money on these procedures even if they are approved, and, in fact the urologists will lose money to interventional radiologists who are qualified to do them.

Neal

Hi Derek,

I think you have a right to expect your urologist to be knowledgeable in the pros and cons of all possible treatments for BPH based on any patient's individual symptoms and data, whether the urologist is qualified to do all of them or not, and be willing to recommend the best treatment for your particular circumstances, even if you must be referred to another urologist to actually get the treatment.

Neal

Hi Dr. Jersey,

Thanks for your reply. Please see my reply to J12080 below.

Neal

Looking at the Jersey Urology Group web site they say that they only do Urolift and Rezum for BPH.

I Googled Jersey Urology reviews and the Yelp site has reviews by male and female patients going there for various urological problems.  There are reviews that are recommended by Yelp and for some reason 35 not recommended but all are very similar.

 

We do a lot more than just those two. We offer everything that is considered standard of care. Lots of urologists do.

Often times, unfortunately, the unhappy folks (almost invariably related to non-clinical issues) become the most verbal on the anonymous web.

On your web site you only list Urolift, Rezum and interstim under your specialities for Men's Health.

The non clinical issues are the ones that can be most easily sorted out. You evidently take the comments on the chin as I could only see one that was responded to.

Are there more than one of you responding here as you seem to reply 24/7 or are you an insomniac like me?

I have a touch of insomnia; often after late night meetings.. People do seek us out for those procedures and want more information. In our office we offer pretty much everything that is standard of care.

Are you one practice with several locations in the area or a group working under one banner?

What do you have against this guy? He's a professional who is offering what amounts to free medical guidance, I appreciate the perspective.

This Forum is not for Uro's to push their services on. Not that it matters to most posters as they probably are far away from his area.

 I don't think anyone is pushing anything on anyone here. 

How about we all try to be civil to one another ?

I also appreciate your advice.  I ask my doctor a lot and I like to me ready for everything.  But I know that the main concern is to help us men out. But I think they sometime for get they are also men and what they are doing to us.  9 out of the top 10 procedures cause retro but they are still pushing them.  ken

You're starting to sound like a troll. He has never pushed his services that I have seen.

Anyone having a procedure must realise that the cure for their BPH  like most meds may have side effects. Tamsulosin also causes retro. Choose between retro and the worsening urinary problems with the prospect of  bladder and kidney damage and the restriction on life when constantly looking for a toilet and surely it is a no brainer. 

Perhaps I am like many other semi anonymous  posters:-)

Remember I try to be the voice of reason on this Forum and try to calm the fearful by telling them that my two laser surgeries worked as did those of my friends.

I know they know that.  But I have been through a lot of the things you went through.  That is why I picked to have the Urolift procedure.  Did not like the pills and the side effects of any of the procedures.  I choose not to have retro because I like to have my intense orgasm and my ejaculation.  No doctor is going to tell me that he has to cut my prostate out just to pee a little better.  You are happy with your procedure and I'm happy with mine.  We can't pick for anyone they have to make that decision and they are the ones that have to deal with the out come.  Have a great day  Ken  

Who knows if urolift had been around when I needed a procedure that may have been my choice

What is not civil about my questions?

Urolift was only out a year when I had mine.  They are trying to improve it.  I know they are in trails now for men with median lobe.  The one thing I read they were doing good..  With all the new stuff out there they need to get rid of the regular Turp..  It's barbaric Have a good week  Ken 

Neal, I am going to PM you the FDA site and the information on the FDA approval of FLA with MRI guided equipment (VT). This approval was done approximately ten years ago and it WAS for soft tissue removal in the prostate and other glands and organs and did not address PCa and did not ignore or deny BPH as the removal base. The fact that some Urologist continue to try to make an FDA concern is simple as that they cannot and are not qualified to do the FLA MRI guided procedure.

I got this FDA information from Dr. K when I told him what was being said on this site regarding FDA approval of FLA. I know you have spoken directly to Dr. K  and you or anyone can call him or Donnie Sartin (who answers his phone now) at that office in Houston five days a week and verify what I am saying. They are not a secret thread participant and they are very easy to talk to and accessible. 

With regard to this JerseyUrologistGroup person, I think he or she has caused a lot of confusion and concern and distrust among some or the readers in the simple fact that all the other medical professional and doctors on this site disclose openly who they are. They tell us of their trade and their name. They provide enough information for anyone to verify who they are and how they can be contacted without their solicitation of any business on this site. We know there names, their practice. We can research their practice and what actual position they hold in that practice. They do not weigh in with false information to disparage procedures they cannot preform. 

This coupled with the fact that this person spends an absorbent amount of time during the same times of day they would be in procedures communicating and following numerous threads on this site (not just the one that they started on this site) which makes this appears to be trolling. 

I feel if someone on this thread wanted to speak with this professional they should be allow the ability to research them and look them up and call them. IF men on this site research and find out that this person is as compassionate and well verse in the trades they claim, then they can reach out and get a treatment from them. After all we are all desperately looking for an answer. 

It just seems this person hides behind vague and none direct answers that keep the identity from the people they are commenting to.  This may be what Derek is feeling as he tries to get a simple direct answer to his question. Derek nor am I attacking this person and if he is helping some of the men on here with his comments then that is wonderful and I am all for it. But they are not in any way being honest if they say FDA approval has not be given for FLA/MRI treatments. 

Dr. K, Dr. Sperling, Dr. Busche, Dr. Iaasacson and others have not done this when they have addressed this web platform. It just does not seem right to me but who am I to question? I have my procedure done and I am very pleased. I am pleased with all my results.

IF someone here thinks this person is for real then I wish them the best and they should go get treated and report back to us. Or, call this person and get some references, I am sure they have a lot and if they are happy they would be like the K Club members and ready to speak to any man.  I do fully understand urologist being scared of the success of Interventional Radiology procedures in what they feel is only the Urology field. Urology had nothing to offer me in my decision. 

Bottom line. Focal Laser Ablation for the Prostate is approved by the FDA. This includes PCa and BPH. 

Urologist would not know that as they cannot do these procedures. But for them to claim it is not FDA approved is either a result of ignorance or malicious. They are not trained in the FLA process. Period. There is absolutely NO reason for them to get behind the procedure. 

Stand by for your Personal Message which will give you the FDA link on this as is coming to you shortly. 

Hi j,

I'll be looking forward to your PM, though it may take a few days for me to get back to you again. I'm sure it says what you say it says, and I appreciate your correction.

I am concerned about both the FLA and the PAE being approved.

If the FLA is approved by the FDA as you report it is, then why isn't it paid for by MEDICARE, and other insurers here in the USA? What is standing in the way of that approval if not the FDA? Why must DR K. and Dr. Spirling charge so much for it rather than simply billing an insurance company?

And then there is the PAE. The FDA approval and insurance status of that remains very unclear.

Neal

Hello;

I would hope that I have not "caused any confusion". I am just here to offer my medical opinion based on my 15+ years of urology experience. And as you said, I'm not trying to openly advertise myself or any services, but just to give my opinion.

The procedure you mention, the FLA, is not currently paid for by Medicare, and there does not appear to be any studies in the literature supporting its use for BPH; if the company or anyone involved (Academic institutions could easily support such a study if there is interest) decides to sponsor a large study that proves both safe and effective for BPH patients and Medicare can cover it, I will gladly learn it and offer to my patients, as I do all therapies.

I hope this helps you, and we can put this to rest.

I do also want to correct you and others who may have a misconception about the scope of practice by urologists;

Any urologist trained since around 2000 (and is board certified) is a medical and procedural expert of the genito-urinary tract. They were trained in all related fields (including radiology, which is part of our boards.)

There is no reason we would not perform a procedure like FLA if it is deemed effective, safe, and it is covered by insurance. We are also able to offer the full gamut of surgical procedures for the genitourinary tract; for instance, if you hypothetically had the FLA procedure by your radiologist or urologist, and you had bleeding which caused clots to enter your bladder and "clot it off", you would need a cystoscopy and removal of the clot, as well as possibly fulguration of the bleeding spots; if hundreds or thousands of these procedures are performed, this will invariably happen. While urologists can perform radiological procedures as well as endoscopic procedures, Interventional radiologists are not certified to perform endoscopic procedures.

I hope this clarifies any issues you may have.

Jersey thank you for that information.  It is good to know.  I hope that FLA will be approved soon by Medicare so it can help many men with there problems and save there sex life.  Men of today are more into there body's and how they feel.  It's our right.  I don't think my Father know what a prostate was or what it did.  Men of yesterdays never talk about them things with there friends or sometimes not even there wife's. Times have change hopefully for the better.  You need to get some rest sometimes  Ken   

Well as we say down here, "Saddle up". Medicare has cut me two checks. It is for a total of $4,700 plus. I know that is not a lot but they are paying for FLA on BPH.

Please provide us your name. Not your contact information. We can research that as well as your practice. This cooperation would be the fist step. It would also provide a lot more trust. I do believe there could possibly be a coalition arrived that could benefit us all and move Focal Laser Ablation forward. 

Thank you in advance. 

Neal, it is my understanding that PAE is not FDA approved and I know it is not included in the document I sent you. 

Medicare is starting to pay for FLA and I got back $4,700 plus dollars on my procedure. It takes a while to get anything out of them and they will make it hard. 

Again, it is a numbers thing in the fact that Urologist out numbers Interventional Radiology probably 500 practitioners to 1. In other words, for every  Interventional Radiologist in America, there are 500 urologist. I do not have documentation on that but that is my guess. Within the IR field there is probably 50 doctors doing FLA on the prostate.

Regardless of what has been said, A urologist would absolutely have to go back to school to be a MRI trained doctor doing an Interventional Radiologist procedure. As, a IR would have to return to school to be a urologist. As would a Cardiologist have to return to school to do the Interventional Radiology procedure done in the heart. Interventional Radiologist work with all facets of medical specialist. Neurologist, Cardiologist, and others. It may be time for Urology to work with IR's and that would be new to the industry. We can only hope. I know the 12 to 15 guys that I know of who have done the procedure, only one is not satisfied and he says he is somewhat better. They have come for England, Hong Kong, Australia, I have tried to stay up with them but I am getting to busy having a great retirement. 

I tell myself I must remember where I was a year ago but it is hard sometimes as the success I received becomes the norm and I don't remember the daily misery I had for 9 years.

FLA Urolift or nothing else we have access to is a cure. I am trying to flow the GC progress when I can work on it. We must find a cure. 

You appear to again have a misunderstanding; let me attempt to clarify it for you.

Urologists can perform procedures on any urologic organs, including ones which interventional radiologists perform.

Urologists already do 3T MRI guided biopsies, and to place the needles for a procedure such as FLA would be a very easy thing for an average junior urology resident to do.

We get far more training in interventions of the urinary tract during our training than an average interventional radiologist would get in his. However, the interventional radiologist gets far more training in other organ systems, so we would not do interventions such as placement of stents into vessels.

If FLA ever becomes a standard of care and is covered by medicare (did $4700 cover the entire cost of the procedure?), urologists will gladly do the procedure.

I hope this answer some of your questions/issues.

j- as mentioned, this is a semi-anonymous forum.

I'm not here to advertise or sell anything (as some have accused me of doing before.)

A lot of folks here appreciate my recommendations/opinions, and that's enough for me.

Thanks.

You are the only one who is not anonymous by design :-)

You are not allowed to post links but somehow you get away with a Sig. Take your Sig off if you are not advertising and just call yourself a Urologist. Various doctors and a few urologists have posted  on Forums without telling us who they are. Most give up fairly soon after being inundated by posters looking for free advice.  

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Encourage any act or activity that in our opinion could be harmful to the health or wellbeing of another user or which raises any clinical safety concerns.

Advocate, promote or assist any unlawful act (such as, for example, copyright infringement or computer misuse).

Be the same as, or substantially similar to, comments which you have made in other threads or areas of the forum (including, for the purposes of promoting a particular message or agenda), i.e. no “spamming” of any discussions.

***** Include any advertising or be made for any commercial purpose **********.

 

I don't know what you mean by "sig"? 

Anyhow, I think we are getting off topic.

This topic refers to the urolift procedure. Please let me know if I can answer any  further questions regarding it.

Hi Derek, can you just leave Jersey alone ? I  think he has contributed a lot to this forum. Besides, I have not seen him advertising anything, yet. This forum needs people like him, and like you. Hank

Signature as in Reply to JerseyurologyGroup.

I don't need Urolift thank you  I've had something else that was very satisfactory by a surgeon who has demonstrated his skill around the world.

Thank goodness you got a great effect from your procedure.

All the best.

We are all entitled to voice our opinions and I say that having jerseyurologygroup on his posts is an invitation for patients. No one else has a link to their business. It bypasses his web site address but lets you know where he is. I'm sure that others have Googled it and read of their services.  

Not only do I not "link my business", but there are multiple urologists who have a very similar sounding name.

The mods have no issue with this, so please drop it and move on with your life.

I always tell people that prostate laser surgery is easier than getting a tooth out. Especially as at the moment my dentist says that my niggling wisdom tooth will be a challenge s the root is at a right angle to it.

Jersey  This is off topic.  I read this other post today and can't get it out of my head.  This post is from a man named Wally 5.  He had a Turp and went back to his urologist and told him that his orgasm are not even a 1/3 of what they were before.  The doctor told him that he never heard of that and they should be the same.  He also told him he was the only patient that complained.  Why is this doctor playing dumb.  Men need to know the good and bad of all procedures before then pick one.  My doctor and you have been very straight with any of the meds or procedure.  I hope things get better for the young men in the future  Thank you  Ken      

This seems to be a personal crusade that doesn't bother anyone but you. After all of your complaints, not one person has said, "yeah, that goes for me too", Best to move on IMO

You seem to be the only Jersey Urology. As Nixon said  "If you cant stand the heat..........................

 

I do not object to his helpful or informative posts only to his company name being included to attract prospective patients.

There are actually several urology groups of New Jersey.

Let's agree to disagree on this, and move on with our lives. Lots of men have questions regarding their prostate, so let's keep on topic and try to help them. Sound good, Derek?

Sure there are many in Jersey but your signature is quite specific.

As I said your information is OK I just don't like the advert.

In some groups I have actually seen posters with chronic conditions become dependent on doctors who answered their on going questions to the extent that two actually moved to his part of the country to become his patients.         

Sadly many on here are afraid of treatment after reading adverse reports from a minority with post operative problems that they take to be the norm.

I for one do not need to be concerned with your professional status and I do not "Have a dog in this fight" as we say in Texas. But it is quite unprofessional and to hide behind the tag ID of JerseyUrologyGroup if this is not the practice you are with and I am sure this practice would have an issue with that. 

I have my successful treatment and I should as most who have received that success, go away and let the men who still are deciding on what to do look for themselves. But it is glaringly obvious that you do not want to provide the facts of who you are. I will tell you that all the Doctors and even RN's that have come on this site tell the public who they are. 

Why? For the creditability they deserve. And for the piece of mind of the men on this site. You would not be advertising when you state your name and practice instead of seemingly hiding behind the tag name of a large practice and then stating there are a lot of Urologist in Jersey. If this is not a concern to most men on here and they want to put confidence  in what you are saying then that is their business. It is hard to believe you would take this position IF you are truly a Doctor. This is why Derek, my self and serval others have questioned you, and the sad part is, it can be corrected properly, So Easily. 

Then men could check you out on Health Grades and Web MD and many others. There would be information on schooling and reviews of Urology clients, and your history of the 15 years you now claim which is not advertising and you should be proud of it.  

As I said, I have my treatment and only want to give information on that. If these men want to listing to an anonymous source who calls themselves a Doctor and uses a very large practices name as his tag line, so be it we all get to pick our own poison in the choice. 

But Sir or Lady, you are doing the wrong thing as a professional to not disclose yourself factually to these men. And, Yes, I do care about them even if I have a wonderful treatment behind me. 

Kenneth, Oldbuzzered, Derek and the others, it is really in the end up to you and no one else. If this does not concern you then fine. 

 Thank you for your opinion.

Have a wonderful weekend 

Well Gentlemen, I guess that is a unequivocal NO to my request for the "factual and honest identity disclosure" by this  self professed medical professional?

So much for my plea to get this information out and provided for the BPH victims and the readers the "peace of mind" in who is really making these medical statements in the effort of building trust and credibility. I guess there is No Need to have proof or verification through the public sources that now exist for medical professionals to disclose the identity,  knowledge base or references of the practictioner. Yet these sites are exist precisely for that purpose? Strange attitude? 

I did try for you and now I am out on this topic so you Gentlemen can decide. 

And thank you non-disclosed Doctor for the wonderful weekend wish. It is going pretty well and on schedule for now. I had 36 holes of golf today in this beautiful fall weather and tomorrow church and then bass fishing!

It is like being 10 years old again. 

Good morning my Friend.  That would be nice but we can't force him to give his name.  Just like we can't pick any ones procedure.  Have a good Sunday and catch a big one.  Ken

Thanks Kenneth, you are correct, it would be very nice.  BUT remember, this person has not said even that this is a man. And what would it matter about that, nothing. This could actually be a Physician's Assistant (PA) or RN. The thing I don't understand is this could all be cleared up so easy, and add greatly to this persons creditability with men that are in need and as a bonus, this person could make me look, well lets just say "put me in my place". My Mom would say have "egg on my face".  And, there is really know reason to NOT disclose their identity that make any sense accept a reason of deception.

But as I said, it is not my problem as I have picked and had my treatment and I am happy. I do however wonder what this persons reviews say on Google? Could be great or could be very bad but we will never know. They just want you to believe they are a Doctor and that they care and want to help you us. No question or verifications asked. Nope it does not add up.  

The fishing was very good today I caught one 8.13. The wind got up as we have a cool front that came through last night so I could not fish the old dying lily pads as I could not hold the wind in the small boat I took out. But caught 37 fish total so it was great. I wore myself out and so did my buddy. 

I was in North Carolina Mountains last week. i am having a lot of fun in this retirement game. I think I will go visit my old company tomorrow and see what type of trouble they have gotten into. My wife says do not do it because if I ask a question, then I own the problem. I hate it when she says those type of things. They usually come back and bite me!

I commented to Jersey that the Yelp reviews on his named company were all negative and they  had only replied to one patient,

Yes that would be nice.  All he has to do is say my name is Doctor ? and I work with the Jersey Group and be done with it.  He/She is giving a lot of good information to us and it would make it more real.  I hope it's a man because I would never go to a women Urologist.  She knows nothing about a men body only what is learned in school.  A women's orgasm is not like a mans and I think a male doctor is much better for male problems............Glad you had a good time today.  My father and I use to go fishing all the time.  I'm from Michigan and we fished there and in Canada.  In Florida I took my kids fishing when they we little but have not gone for a while.  There 36, 35, and 32.  Maybe I should take the grand kids.  I have 2 in Florida and 3 in Georgia.  We will see  Enjoy your life and have as much fun as you can  KEN