The Urolift procedure; patient views and questions

Why are you going to have 2 procedures.  The urolift will open you up. That is maybe all you need.. You do know that the Urolift was made to be a procedure that stands on it's own.   It was developed so men can kept there sex life intake.  It a waste of time to have both. Your going to have retro ejaculation and some other side effects.  You may has well just the Green Light because there will be nothing left to clip back because a Green light cores out the prostate.  I had my Urolift done 3 1/2 years ago.  I had 4 clips and my prostate was the side of a large lemon.  Ken  With the Urolift it take up to 1 to 4 weeks to get to work some men take longer to heal    

Hi Ken, surgeon said for best result l need some greenlight around bladder entrance for best result because my prostate is 2 1/2 times the normal size. But your right l only wanted urolift for quick recovery and no catheter. Had second opinion by a urologist who specialises in urolift and he looked at my scans and wanted to do Turps So it must be too big to guarantee success.

I don't know if retro ejaculation or sex is a concern but if he touches your bladder neck it will cause you to get retro.  What he want to do is use the laser to make 2 cuts in your bladder neck if he does that it will not close and you will have a problem.  Also it will be a longer healing time and more pain.  Andy I am not you but if my doctor told me that when he did my I would tell him no to the laser bladder neck incision.  Just tell him you only want the Urolift for now.  That will open you up and take the pressure off the bladder.  If there is a problem later you can always go back.  Give the Urolift a chance.  ( If you get time read up on bladder neck incision )  Kenn  

I think u have a point. I could always go back if urolift does not do the job. I will tell him this prior to surgery Thanks for advice.

Thank you.  Give the Urolift a chance.  You will know if it work my the forth week.  When I had mine  I had a catheter in for 3 days.  When It came out I was good to go  I think by the 10th day I was good  But you have to remember that all men are different and we all heal at different rates.  You should call the office now and tell them so they can change the paper work.  I don't want you to have a problem.  Take care  Ken   

Just spoke with surgeon he assures me he will only do what is required. If he finds that the urolift is not sufficient he may have no choice but to add mimimal green light He thinks l will need between 6 to 8 staples. He alwys tries to preserve ejeculation He said in my case the prostate could push up on the bladder neck. I guess everycase is different I have to trust him The other urologist wanted to do full Turps and he specialises in Urolift Depends on prostate size.

That is good you talked with them doctor but he still is going to do the green light on you bladder.  He is not going to give the urolift a chance.  Talk with him again and tell him no.  It is your body.  The way he told you is he is going to do what he what.  There is no way he can say that the Urolift is going to not work until it's done.  I am afraid that he is going to mess you up.   I feel sorry for you.  Tell him no to the green light now   If he does the green light you may has well forget about saving your ejaculation QAnd never get it back.  Iam sorry for you.  Ken

Hey Andy.  It's almost 2 am and I am thinking about you.  I read your post again and to me it sounds like your doctor is not listening to you.  You told him that you only what to do the Urolift.  But he comes back at you saying he will only do what is required   That means that he does not care.  Hes the doctor and he knows best.  Please talk to him again and tell him no to the green light lesser.  He is not giving the Urolift a chance.  You will not know if it works until you try it out There is no way he is going to know if it does not work just by looking at your prostate.  Good luck and I hope it time for you to say no  I feel sorry for you if you don't Ken  

I forgot to ask  Where do you live and what is your doctor name.  good luck   Ken

Mt eliza greek guy meant to be very good l did my research Told me he would only do greenlight if no choice. Did u suffer bladder spasm with catheter in?

Melbourne

Melbourne Florida 

Mt Eliza is the the doctor name or the hospital.  I had a few were not bad.  Was clear in one day.  Only had the catheter in for 3 days. I WAS GOOD TO GO IN A WEEK.  First time I every had one.  Please talk to him again.  You only need to have the Urolift.  If he is going to a green Light on you anyway  You may as well tell him not do the Urolift because it's a waist of time The doctor is not giving the Urolift a chance.  The Urolift is made to open the prostate up and make a tunnel with out cutting and it has no side effect.  Green light they core out the prostate tissue and leave the shell.  to make the tunnel. You have to put your foot down and tell him for now you only want the Urolift. You what to give it a shot my itself. If he is going to mess you up and your heal time is not going to be that easy. But you do what you want and the doctor is going to do want he wants anyway.  I feel you are scared of your doctor.  He is not paying attention to you.  If you told him no.  he should to what you want not tell you that he will only do what needed.  That is doctors talk telling you that he will do what he want.  BUT IT'S UP TO YOU WHAT HE DOES BECAUSE YOU ARE THE ONE THAT WILL HAVE TO DEAL WITH THE SIDE EFFECTS.  kEN

A suburb i Melbourne Australia. He is one of the best with urolift. He assured me he would only use greenlight if necessary. He promised to maintain my ejeculation if possible Catheter comes out tomorrow morning one night only. I told him what you said and he said where did u study urology. Incidently 1955 is my birth year

Thank you for that.  I think your doctor his full of himself. I know a lot about the prostate procedure.  I know that 9 out of the 10 top procedure cause retro.  The urolift is the only one that does not.  Most doctor do not care about your sex life and  they do not feel that the male ejaculation is not a function and they tell you don't need it.  He is not suppose to be doing the Urolift with another procedure anyway.  The urolift is a procedure that stand on it own.  I am in contact with the company and Have talk with one of the Inventors of the Urolift.  I have told them of the doctor that were adding procedure to the urolift.  The Urolift company will not stand by the Urolift if it is added to another procedure.Being 63 like you I would not do any procedure that will take my ejaculating away My orgasm and ejaculation are more intense after I had the Urolift.  So you had it done already. What did your doctor say.  I hope nothing happens to you.  I know more then most guys  I have files of all the procedure and know what works And doing the Green light with the Urolift is senseless You are not given the one procedure a chance.  I hope you will not get retro but if he did the GL on you you may as for get it.  Ken   

Interesting. But what can l do if he is saying my prostate is very large The expert urologist l consulted would not do the urolift rather full Turps which l did not want. Maybe the procedure had improved since u did it. I am supposed to have catheter out after one night. Passing pink water not too bad. However, bladder spasm hurts. Good chatting with you Ken. Prior to surgery l was having dry ejecuation so hope it gets better

So what did he say  Did he do both what did he tell you. Did he talk to you after the procedure You should have put your foot down.  They can put up to 8 clips.  What was the size of your prostate When the catheter comes out the bladder spasm will stop.  Good luck  Ken

Hi Ken, to help others, I remember when I decided medication was not the way forward and fully researched the options, I decided on Urolift as the first option, if it failed we try another more evasive option.

I looked for the best urologist for Urolift who was completing the procedure every week, in fact had completed over 450 when I had the procedure, completed under local anaesthetic, 15 minutes, 4 clips, no catheter, home for tea, recovered after 7 days.

i remeber finding Ken on this forum and discussing that the urologist had suggested an additional bladder neck incision at the same time, Ken advised against it, I discussed with the urologist and he was fine, do the Urolift, wait and see, it you want to pee even better the bladder neck option is still available.

i had the Urolift in May, now off all medications which was my aim, flow is slightly better than before ( with meds) , no getting up at night and no side effects.

Urolift will not solve bladder problems or other medical issues, if your considering having Urolift, talk to Ken, his advice is really good and he cares about people, thanks Ken.

Thank you for saying that John.  I try to help but you can only say so much.  The Urolift is a procedure that stand on it own.  If you add anything to the Urolift at the same time you take away the integrity of the procedure.  I wish the 2 guys in Austrailia luck with there procedure.  That were talk into the procedure adding the Green Light but that make it a whole new procedure. Know that the Urolift company will not stand by there procedure if it is added to another at the same time.  You have to give it a chance..  Take care  Ken

Hi Ken went home today ufgency and painful urination. Catheter removed after one day. Flushing out system with lots of water fairly clear now hope it settles down quickly.

Good morning.  Hope everything settles down. Remember you had 2 procedure.  Did he tell you what he use the Green Light on.  It will take a while.  Good luck  Ken 

Thanks Ken my brothers name is Ken and you and l were both born in 1955. Dont you hate the whole hospital experience. I think l would have to be at deaths door to ever go back.

Yes not a fan of hospitals or catheters.  That is why I left the catheter in for the 3 days.  Did not want to take the chance of not peeing after and going back and have a catheter put in.  I would rather have it put in when I was a sleep.  I hope things would out for you.  I just wish you would have just had the Urolift and gave it a chance.  But your doctor would not hear of it.  He would not even hear it of it it was his way or no way.  The clips could have been put in to prevent the prostate from going into the prostate. But what done is done.  Good like  Ken 

Thanks mate day 3 been for walk but frequently going to toilet. Otherwise feel good. I guess prostate stopped me going and now it is open the bladder is not use to preventing urine flow.

You will have to heal remember you had  2 procedure each one is different.  I still would like to know what he use the Green light on.  How much did he cut out.  Did he use the lesser before or after he did the Urolift.  What done is done Just hope you heal  Ken 

I will be asking these questions at my follow up oppointment.

He did not tell you anything.  You should have been told what he did when you woke up in recovery.  My doctor saw be when I woke up.  He told me everything he and how many clips were put in.  That is good ask question.  I still say you should have just had the Urolift  But what done can not be put back  Have a good evening  Ken 

I agree l was not happy that he was not available to talk and told his secretary that Day 4 had some voiding issue which worried me notging worsr so thought l should take tablet just in case Previously running out last night not so easy.

I am sorry Andy but he is getting on my last nerve.  Here he just did 2 procedures on you and he does not see you after surgery to tell you what he did.  That is wrong.  But I guess his patients don't care or he does not care.  He just moves on.   I hope nothing goes wrong with you  Ken

I think the problem is he operates from a lot of centres and is hard to catch up with Starting to have doubts.

Andy  I do not think that should be a problem. When I had my Urolift done.  When I woke up my Urologist was there to tell me all was ok and if I had any question.  When I had my 9 hour heart ablation My heart doctor was there to tell me what he did and If I had any question.  No matter what type of surgery I had the doctor was there when I woke up.   I think I don't want to tell you what I think of him  But Your the one that has to deal with him.  I hope your not just a number in his hat.  Good luck  Ken

Thanks Ken going back to see surgeon today said l was not happy about not talking to me about how the surgery went

Hope all goes well.  Ken

Spoke with surgeon today he said it went well made good opening in uretha prostate was 80 very large he said bladder needed laser because the top had fused to the bottom and bladder was stretched due to trying to cope with large prostate he said to give it 2 weeks to settle. Hope he is right because flow is not great at present

Andy   It was about time that he told you something.  So I have all ways been honest with you and I am going to tell you my opinion.  Urolift was developed to work with prostates of up to 80 gm. So you were at the limit for the Urolift.  You will never know if you needed your bladder neck touch.  In time the Urolift would have taken the pressure off the bladder neck.  Now with doing that to you bladder neck it will not close right. Sexual side effects are common with any surgery on the bladder neck.  You will mostly have to deal with retro ejaculation and sometime poor erection.  You may also have to deal with incontinence and leaking because the bladder neck will not close right. The bladder neck is made to keep the urine in until your ready to pee.  Well this is all I have to say.  I do hope all works out for you and things settles down.  Good luck  Ken          

Hey buddy.  Just checking on you.  How are you doing today any better.  I hope all goes well for you and you don'y have any problems.  Relax and don't over dew it  Ken  

Hi Charles. I finally had my Urolift yesterday. I had 3 ‘clips’. I came home with a catheter to keep in place for 24 hours. After about 6 hours I simply couldn’t tolerate it. I would get this urge to push that came in waves. Like I was trying to birth something. Lol. So, I removed the cath. Immediate relief. I have however had to pee every 30 - 60 minutes since then. It was bloody for a while but just regular yellow urine now and just a slight burn at this point. So I am now about 27 hours post procedure and still peeing like every 30 minutes. Is this normal? If so how long can I expect it to last?

Hey buddy give yourself some time.  I had the catheter in for 3 days that was a first for me.  When I came home I went to bed and relaxed.  Did have the bladder spasms  Had blood coming from inside around the tube.  Them were the worst.  But I left it alone  I had it done at 1 PM Monday and had it out Wed at 8 AM  Burned to pee the first day but I was fine after that.  Went the first few days every couple of hours. Most of the time they do not put in a catheter. But before I had mine done I found a few guys that had the procedure had to go to the hospital after about 8 hour and could not pee.  I would rather have it put in when I am out then when I am awake.  Take care  Kenf