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Succesful bph surgery

Posted , 10 users are following.

donald16398
donald16398

If you had more than one bph surgery,what one  was the least successful and what one was the most successful ?

0 likes, 5 replies

5 Replies

  • mark02906
    mark02906 donald16398

    Posted

    In my mid 50's I had a procedure called TUNA (needle ablation).  After about 10+ years, my BPH symptoms increased again (night time).  My urologist (same one) suggested a procedure called Urollft.  Although it's been only a year, I would rate the latter procedure better.  Usually, my urine stream is stronger.  Both procedures are classified as minimally invasive.  I went home after outpatient surgery.  I was fortunate not to need any catheritization.  About a year before the Urolift, my doctor tried tamsulosin (Flomax generic).  I reacted badly to the drug with minimal effect on my BPH.  Some people do ok with the drug.  I did not.  Maybe my physiology or maybe interaction with other medicines (like high blood pressure medicines).  Good luck with your decision.

  • barrie62598
    barrie62598 donald16398

    Posted

    In Australia they used to treat BPH with Alphas, Prazosin and Flomaxtra (tamsulosin) 4mg a day. Though they had known since 1995 an increase in dosage would be necessary after 2 years in 2013 no one had bothered to do the research and Duodart (Dutasteride + Flomaxtra) was prescribed together with the Prazosin. This left 8mg a day of Alpha blocking anyway?? There had been doubt in pre-release Dutasteride trials whether the drug’s use could reduce the risk of low-grade PCa or increase the risk of high grade Duodart Prostate Cancer(DPCa). This was put down to fault in the design of the study. Participants were at a high risk category anyway so results could never have been conclusive. Rather that redoing with patients with a lesser entry risk everyone accepted the sponsors best case and the product was released. The sponsor has since reports 6 suspect DPCas to our Health Department with Gleasons omitted but still no serious PCa side effect is listed on the drug’s Comsumer Medicine In formation (CMI) accompanying the drug. Urologists therefore do not even mention this risk. Our Health Department says Duodart users wishing to ascertain their real risk must read the internet’s 26 page complicated scientific PI. The medicated approach to BPH treatment places a much lower burden of our Federal Budget.

    From my experience the only other BPH treatment sometimes used here is a TURP. While this procedure has often resulted in some Forum complications it seems to be well received here. I was flabbergasted to learn the mountain of options available in first world medicine. My DPCa resulted in Open RP in November 2015. While my Surgeon was a robotic expert the machinery was not available in my city.

  • glenn77
    glenn77 donald16398

    Posted

    My first was Greenlight Laser to reduce the prostate.  It was a disaster, as it left me permanently incontinent.  It was followed by something called Gyrus TURP.    I found after going to another urologist, that the GreenLight procedure or the Gyrus TURP caused serious strictures in the external sphincter.  That extensive scar tissue in the sphincter area was the reason the sphincter couldn't close.  I've had four subsequent surgeries to deal with the scar tissue, and finally to implant an AUS (Artificial Urinary Sphincter), specifically the AMS 800.  I am now free of the diapers and condom catheters that I needed every day for nearly two years.  It's not perfect, but it's better than diapers and condoms.   My wife and I haven't had sex since the Greenlight Laser procedure, so that has been a big loss, especially to me as an otherwise healthy male.

    • brian34488
      brian34488 glenn77

      Posted

      Hi Glen and all,

                                I truly feel for all who have had poor results from the medial world,so for those who are looking for a reasonably safe option this is my story, I had bph with a median lobe restricting my flow it was horrible if I drank fluid after 6pm I had to get up up to 8 times through the night, if I waited too long during the day I had intense pain waiting to find a toilet and pain to pee, my life was a constant search for a toilet and sleepless nights and pain. Urologists had tried drugs but a median lobe is a physical block so had limited results and nasty side affects so I gladly ditched them, urologists surgeons here in New Zealand and globally seem to have a surprisingly  low knowledge of options and seem limited to only within their own training, also at this point in my email keep in mind with turp it may be ok but not ok with a median lobe pushing against your bladder as in that case turp cuts  away the all important upper internal sphincter valve to the bladder neck resulting in that valve being useless at holding urine and sperm from then on going into the bladder, they also as with normal turp cut away the urethra inside the prostate and much of the prostate tissue leaving the prostate and empty shell now full of urine 24/7. the only thing that stands between you and permanent incontinence is the lower prostate valve which if not trained or if not as hopefully good as some men you will have nappies forever.Also the urologists in an effort to save your penis urethra from damage from turp will actually slice your penis urethra all the way up to allow for the tools which will be a painful healing along with risks of urethra scaring and further surgery.I looked at all the options for my median lobe and chose FLA  from a Dr Karamanian in Houston who is extremely good, I had no pain at all, no horrible side affects, its as if I never had an operation, and although its only been 5 weeks since I had my FLA I could see good results straight away and the guys that had FLA before me say once the bruising has gone down from 5-8 weeks after FLA I will see fantastic results, so if you have an operation in mind do your homework and be aware urologists and gp's globally actually have often very limited view points and knowledge and skills despite their medical presentation and verbal terminology and high fees thay can all too often be the nice guy that is about to ruin your life!

                                                      All the best to all-do your homework!

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