Stinging nettle root extract.

Anything that helps is good in my books, I'm going for surgery this Friday, so will be back online once I'm able to and keep you informed on my recovery. Send good Karma to the surgeon who will be doing my surgery.

Thanks

Mike

It may be a little late, but check out PAE and Urolift, before you have a Turp. A TURP can have awful, irreversible side effects .

Neal

Hi Neal

Thanks for the advice but my TURP is a go. I will  have to deal with the outcome and a specialist told me that it still remains the "gold standard", I will take his word on that, and thousands have been done and continue to be done. I'm 69 and not going to father any children at this point in my life so that aspect is not a bother to me at all. My concern is growth, prostate's grow like weeds, I do not want to be completely blocked off so I will go with 'resizing' now and will hope for the best the older I get. All the best.

Mike

Good luck. Let us know how it goes.

Neal

Large review: TURP still gold standard for BPHMay 20, 2012Transurethral resection of the prostate (TURP) remains the gold standard for treating BPH, a review of Medicare claims data showed.

Encompassing outcomes with more than 600,000 procedures, the results showed that complications occur slightly more often with TURP, but approximately 20% of patients require follow-up surgery (usually TURP) after transurethral microwave therapy (TUMT), transurethral needle ablation (TUNA), laser vaporization, and laser coagulation.

"It’s nothing new to learn that the complication rate is higher with TURP, although not much higher than with the other procedures," said first author Sean Elliott, MD, of the University of Minnesota, Minneapolis. “On the other hand, the re-operation rate is dramatically lower with TURP.

"Even though TURP might be declining in frequency as the primary procedure, it still seems to be the go-to procedure for primary treatment failure," he added. "I think that probably emphasizes the fact that everyone, regardless of what they use as primary therapy, still recognizes TURP as the gold standard."

To examine the comparative effectiveness of procedures for BPH, the authors reviewed 100% Medicare files for the years 2001 through 2007, identifying 624,319 men who had TURP, TUNA, TUMT, or one of the laser procedures. TURP accounted for 52.3% of all the procedures, and follow-up averaged 3.6 years.

The most common postoperative complication was urethral stricture, occurring in 4.4% of patients overall, including 5.7% of TURP procedures, 2.3% of TUMT procedures, and 2.6% of TUNA procedures (pp

The 5-year estimated incidence of repeat BPH surgery ranged from 8.3% with TURP to 25.8% after TUMT. After adjusting for patient and hospital factors, retreatment was 2.1 to 3.5 times more likely with laser vaporization or TUMT, respectively, than with TURP.

Go back to this edition of Urology Times Conference Brief.

 

All that data ignore PAE and Urolift. They also don't talk about the other possible complications, such as impotence, incontinence , and retrograde ejaculation. This was done by urologists, who make a lot of money on TURP.

Neal

Yes very best of luck MIke, Did you say you were in London?

I am in Cambridgeshire and long story short have BPH with 2 episodes of AUR. Been offered GL Laser to blast away part of the offending gland. Now considering my options. Im 53 and Prostate volume I think 48cc.

Let us know how you get on on Friday.

Jez

Hello Jez , I'm in Victoria, British Columbia, Canada. You certainly have options and we are both close to 50cc. I was told that it is time to get this 'fixed', so that will happen this Friday. There is no mention of the GL Laser over here, it seems to be the TURP that is most frequently done.  Neal certainly has a point as well, in talking about complications, but I suppose none of the procedures are 100% accurate either. I guess you just have to go with your best gut feeling and listen to the advice given on here, there is alot of experience.

I'll keep you posted.

Mike

Hi Neal, there must be alot of money to be made by urologists, and more and more techniques are being developed. Alot of factors to be considered as well, overall health, weight, size of prostate, age, etc. I'm sure they all come into play in recovery time. One size does not fit all, all I know is that I have to have confidence in the man at the end of the scope that is "re-sizing" me.

Mike