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In the absence of cancer, with a large prostate, 114 mg in my case, turp, green-light and other less-invasive procedures via the urethra my not be helpful, I am told by a urologist to which I was referred by my long-term urologist who usually performs a turp-like procedure unless contra-indicated by a very large prostate.
The procedure he recommends is supra-pubic simple prostatectomy, meaning a large incision is made from below the navel almost to the penis. Another incision is made into the bladder and then the prostate is accessed through the bladder neck and is "cored-out" from the inside leaving the shell intact. The nerves controlling continence, sexual function, etc are on the outside of the prostate shell and are not disturbed. A drawback to this method is that the bladder neck is necessarily stretched and incontinence will be experienced until the bladder sphincter can be restored by exercises.
Other drawbacks are that a catheter must be used, possibly more than one for weeks. So, that's all I know about the Supra-pubic simple prostatectomy via the bladder neck.
Anyone out there who has experienced this procedure? I appreciate all the input I have received from many posts over the past six months or so.
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