Small prostate FLA for BPH any success?
Posted , 9 users are following.
Seriously considering FLA as I’ve been diagnosed with BPH.
Urodynamics look good, ultrasound looks decent, 3tMRI shows some pinching and bladder neck protrusion.
I am sitting on a small prostate..30cc, 250ml PVR, no prostititis, get up once a night, poor flow, urgent a few times a day.
Anyone small prostate having success with FLA? Or?
0 likes, 12 replies
reg52510 Airman
Posted
I probably wouldn't even consider surgery in your situation. If you've been following this site, you may recall there have been many men who had surgery and were very unhappy they did. I think opting for surgery without a real need for it would be a mistake.
Airman reg52510
Posted
I figure I’ve waited a year lurking in forums and weighing the options so I thought I’d grab a little more intel from the field of patients before I commit to a plan.
If I could cath without the the little blobs of blood I’d wait longer. Just can’t seem to get it passed the sphincter easily.
joe74831 Airman
Posted
Good luck J
Airman joe74831
Posted
Hi joe, ya I tried following your timeline on this site and wondered how you were. I’ve done the meds flomax and rapaflo and cialis with meager results. I’ve tried self catching 5 times and 3 times drew some times blobs of blood.
talk to Dr.K and my urologist and both think I need a procedure.
I have been holding off for a year. I’m stunned that my prostate is within normal size and everything else is working. The doctors warn me of stretching the bladder out.
Somwhat other option is there?!
Did I read your brother also had a small prostate? what happened with him?
uncklefester Airman
Posted
with a prostate that small ,I think I would consider urolift. That said I think urolift is a stop gap measure so I wouldn't consider it for my 125cc bundle of joy
brian34488 Airman
Posted
Airman brian34488
Posted
Did you mean retrain the bladder to empty? Or urgency?
how big was your prostate?
super glad to hear the operation was good.
brian34488 Airman
Posted
Hi, in my case I previous to fla had severe urgency and could not empty properly so forever looking for a place to pee and having to go back repeatedly and severe pain if holding on too long and even worse pain when finally able to pee! plus endless broken sleep sometimes 8 wake ups/night
After fla with Dr K much better!, immediate relief from the above relentless torture, could pee easily, no more pain if I held on and no pain to finally pee and now sweat sleeps maybe get up 1-3 times even when drinking much more fluid at night than before but noticed when I don't have much fluid to get rid of the feeling of not fully emptying which is the bladder not pushing all urine out because of being unable too all those years and now needing to be retrained by drinking more fluid and purposely holding on longer and then peeing easily with great flow but not fully emptying out yet retraining bladder to fully empty, also still have a degree of unnecessary urgency perhaps from some kind of mental fear or mental habit but its gradually fading away as my confidence grows, so all in all Dr K saved me from an absolute horror story of being trapped in eternal peeing nightmare!
Airman brian34488
Posted
i am on silodosin a generic form of rapaflo. It’s not great so I also add some cialis.
The urgency is tolerable. I drink a lot of fluid to help prevent infection.
The flow is not as good as the urgency though and it’s getting worse. And when I do self cath or have a bladder scan there is always around 200-250 ml as the post void residual.
you u definitely can retrain the bladder and I hear if you CIC you can help it along faster. Best of luck on that
brian34488 Airman
Posted
pete31426 Airman
Posted
Why does the fallacy endure that prostate size matters when it comes to obstructive symptoms ???? It DOES NOT. Period. End of story. Good golly. Men with gigantic prostates can have NO BPH symptoms. Men with small prostates can have significant symptoms. What matters is WHY. WHY. WHY there is obstruction/reduced flow. That is why you invest the time, money and effort into diagnostic workups. Now that I have that off my chest...I am a prime example of why size DOES NOT MATTER:
https://patient.info/forums/discuss/focal-laser-ablation-prostate-cyst-new-member-dr-k-club-611661
Pinching and protrusion may very well be a great candidate for FLA, simply upload your 3tMRI results to Dr Karamanian and see what he says. So easy, and FREE. He is honest and trustworthy and will tell you if you are a risky or poor candidate for FLA.
Best of luck from a small prostate guy who, thanks to Dr. K, went from mid-20's IPSS to currently a score of THREE. Nine months post-op I keep getting better.
Airman pete31426
Posted
I guess there is so much at stake that any negativity fires up the amygdala. So little data, ergo fear of the unknown. Your contribution is a huge help to support FLA.
Ill check out out your link... what size was your prostate?
I did speak at length with Dr.K and still think it’s my best option. If it weren’t in a foreign country and expensive I would be able to do it anytime.
Great to hear about small prostate success to help balance out the information in the forum.