Stents

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I have an  enlarged Prostate with some leakage and  urine retention  

I went to see the specialist and he was very gung ho for me to have a TURPS operation

sounds good but there are some clear risks

My brother in Law had Stents for his heart condision  10yrs ago  which has been a very positive outcome

Question why are Stents  dismissed out of hand for my prostate condision  the risks apear much smaller

Phil in Doncaster UK

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18 Replies

  • Posted

    Hello  THey do not do them to much because the stent would grow into the urethra and to get them out you will have more problems.  If your problem is not that bad Have a urolift  it would open you up and do the same thing as a Turp without cutting out your prostate and causeing more problem.  All the procedure do the same thing make a tunnel  Had mine done in 2015  all is wekll and no retro  Ken  
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    • Posted

      2 years ago when I was in the ER for a prostate problem I had a urologist come in and I asked him about Stents. He explained that they really don't do them anymore (United States) because other procedures are better. Well at the time, I was searching and researched it afterwards. Stents use to be used however they had a tendency of slipping (moving) and patients were having to go back for repoerations, plus the prostate will continue to grow so the patient will have to continue taking finasteride, flomax etc..which have sides. Holep is the gold standard for prostates of any size, this procedure is only as good as the doctor who is operating on you.

      Good Luck Ken

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    • Posted

      Hi Ken.  Just a thought but seeing as we both had our procedures done in 2015 (me HoLEP and you Urolift) it would be good to keep in touch on perhaps a yearly basis to see if and when either of us has a recurrence of symptoms and a need for a further procedure.  I think we are both aware that we each sing the praises of the procedures we had and it would be interesting to see ho goe the longest before a "revisit" to the operating table.  I'm currently 68, had a 100cc prostate before my procedure and experienced 6 years of discomfort and various symptoms i.e. bladder stones, regular UTIs plus the usual BPH symptoms and for me a rebore made sense. Two years on and no recurrence of symptoms, great flow rate and can go for several hours before needing to urinate.  

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  • Posted

    My father in law who was too old a weak for TURP surgey had a stent fitted in pre laser surgery days. It had to be removed as lime scale formed in it and reduced the flow again.
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  • Posted

    2 years ago when I was in the ER for a prostate problem I had a urologist come in and I asked him about Stents. He explained that they really don't do them anymore (United States) because other procedures are better. Well at the time, I was searching and researched it afterwards. Stents use to be used however they had a tendency of slipping (moving) and patients were having to go back for repoerations, plus the prostate will continue to grow so the patient will have to continue taking finasteride, flomax etc..which have sides. Holep is the gold standard for prostates of any size, this procedure is only as good as the doctor who is operating on you.

    Good Luck Phil

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  • Posted

    I woudll run from anyone gung ho about turps, it is a long difficult procedure, at least fo me.  Get many opinions.
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  • Posted

    Hi Phil,

    There are only two prostatic stents I'm aware of. One is the Memokath stent available in Europe. The other is the Spanner Stent, available in the U.S. and not sure about European availability. The Memokath is deemed "permanent" but it can be removed. The Spanner is temporary and held in place with a Foley like balloon, and is uses short term. The biggest problem with the Memokath is migration which may require adjustments from time to time. The Memokath can be used long term but it's marketed for those who cannot tolerate a surgery. Personally, I am very interested in stent technology but so far it doesn't seem they have come up with something as good as some of the other procedures available long term. 

    Your doctor is suggesting TURP because that is probably the only procedure their practice does. TURP should be your last resort after exploring other less invasive procedures. Don't know your symptons, but another option is self cathing (CIC). This can buy you time until you find the right procedure or until newer and better procedures (possibly an improved stent) comes along. Meanwhile it will protect your bladder and kidneys as well as any surgery, including TURP, without any of the side effects. Many here are happy with CIC and use it on a daily basis. 

    Jim

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  • Posted

    Phil, stents are a no go unless they are used for a temporary fix, anything longer and they become difficult to remove/replace as tissue grows into them.

    Forget TURP and go for a HoLEP.  In and out on the same day in most cases and usually without a catheter.

    Plenty of info on TURP and HoLEP on the internet so I shan't go into detail other than the latter procedure is far better for the patient in respect of recovery times and discomfort.  Been there got the tee-shirt, etc.

    p.s. there will be a few people along soon (if they haven't already resonded) telling you how barbaric the TURP and HoLEP are when compared other less invasive procedures Urolift and PAE.  Just remember that if medication has failed to slow down the rate of prostate tissue growth it will have to be removed at some point in the future when your symptoms become seriously bad and start affecting the quality of life but if ou want a short term fix then Urolift or PAE may be for you, specially if you want to retain your sex life but even with HoLEP you can still have an orgasm but you end up having a retrograde ejaculation (into the bladder) which isn't bad when you consider it will save on tissues.  Ha, ha.  Good luck.

     

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  • Posted

    I know that BobbyT of this forum had good success with iTind trial. iTind is a new kind of prostatic stent. Many people inc myself are waiting for the conclusion of iTind trial in the US. Just search for BobbyT, you'll find him. Hank

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    • Posted

      Itind really isn't a stent like Memokath or Spanner. The latter actually "stents" (open up) the prostatic urethra so urine can flow more easily.  The iTind device is really a cutting device that expands and cuts channels into the prostatic urethra over a five day period, then it is removed. Will be interested to see more data on it. 

      Jim

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    • Posted

      OK OK Jim, you are right. But I like to think of it as "5-day removable stent". If it proves to give more than a year relief with no major side effects, I'll go for it tomorrow. The cost is not too bad either.

      Hank

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  • Posted

    Hi Pacn, My uro told me the same thing.At almost 88 years old i said no to Turp. How old are you?I beleive age has a part in this surgery?What does your Uro say about this?

    Frank

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    • Posted

      The Uro who did my GL PVP said it is a very gente procedure and he had done a very large prostate for a man in his 90's 

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    • Posted

      Hi Derek,

      Hi Derek,

      Are you referring to iTind?  

      Frank's in retention so it's questionable whether a less invasive procedure like Urolift will work. I haven't read the iTind studies recently, but I imagine it's in the same category, result wise,  as opposed to the TURPS, GL, Holeps, etc. 

      Jim

      Jim

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    • Posted

      Hi Derek, Wow different opinions.When did you have yours done?Were you in complete urine retention>? No natural void?

      Thats what i have,

      Thanks for your info Derek

      Frank,

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    • Posted

      I had it done in the UK in 2004 when they were doing trials of the procedure. And 'No' to your two questions.

      I could always void but had retention of up to 600 mls. My prostate was 75 grms at the time.Really by day three life was back to normal no retro but the flow was not as good as I expected.

       

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    • Posted

      I am  68  and with  i believe no  other medical condisions

       i should perhaps say that I  am on NO medication  for my prostrate or anything else

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