TURP and Retrograde Ejaculation

I read a post years ago that say that they try to save the nerve's but if you ever have watched a Turp or Laser Procedure  They are cutting away at everything.  How can you save anything that is attached to the prostate when you go in and just cut away.  The sexual nerve are attached to the prostate.  And most doctor don't care about you sex life.  They are there to help you pee better.  If anything happens they give you a pill.  They also say that it goes with the treatment. They consider it a inevitable consequence.  Take care  Ken     

Its the gold standard according to most uros..

Jim

So true and how can you proof that the sexual feeling has changed in a court. Some urologists will tell you nothing will change except that you wont ejaculate anymore. If you tell the Urologist (Like in my case that it is just not the same in fact it is pathetic ) then of course he will give you tablets and testosterone and if you tell him that still the enjoyment is just not there at all then he look surprised and tell you had just never heard of something like that. Even when you go on websites about turp and retrograde ejaculation you will find that 99 present of them will tell you that everything is still the same. I wonder who write these nonsense.

   .

Wally: "(The doctor) look(ed) surprised and tells you had just never heard of something like that."

------

Funny, I get that a lot from doctors too. Maybe it's because they're not very good at listening

PS: Someone did a study and found that doctors wait an average of only 18 seconds before interrupting a patient. Sound familiar? So if you medical history happens to be five minutes long, forget it. Your doctor will!

Jim

Yes I know that but that was the only thing they had to offer men in the 50"s.  But if it was so good why are there so many other procedure out there now because men do not want to settle.  They want a better sex life and they do not want to give up anything.  Men are taking a stan  It's about time  Ken  

Wally and Jim.....  I think a lot of it is that they read it in books and in principle that is true.  All men have a orgasms.But not all men have the same.  Same thing you can say all men ejaculate but all men to not have the same amount.  If you ever have watch porn.  Some of them men seams like they go for ever.  But I think the main reason is they do not want to learn because they feel our sex life is over after we have a prostate problem. And all they trying to do is help us pee.  Have a great day  Ken 

JimJames , wally5, Kenneth, If you are a U.S. resident or have access to US television programing, this is rather interesting and it is along the lines of your current conversation on the medical industry though this not exclusive to the men’s prostate topic. But I found it ironic to read this forum’s community comments on the topic while watching the show last night.

There is a TV show on FOX on Monday nights, 8 PM central time and 9 eastern called “The Resident”. As the name somewhat implies, it is a medical drama series and it is about the doctors that lead a hospital and the younger residents practicing in this hospital. This drama is much different, much more realistic. The difference in this series and Grey’s Anatomy or House or The Good Doctor and even other medical drama is the this is written from the position of more reality, what is really happening. Since “Medical Mistakes and Causes” have rising in America to the 3rd largest killer of people, this program reveals  that and the how and why of this reality.

I have two friends who work on this program’s filming. They are not actors but they are behind the scenes and “Teamster” who work every day to make the show happen. I played a lot of golf with one of them when we were much younger so we are close and last night he called me to tell me to be sure and watch that program as the writers were now turning up the heat on the episodes and thereby get a lot of flak from the medical industry.

I have never seen this program before as most of the medical drama TV shows are more for my wife’s liking than mine. Grey’s Anatomy, House, The Good Doctor, all those type of programs with a  “medicine saves the world,” the hero medical shows which depict Doctors as just short of being Gods, are not my cup of tea.

My friend told me that this drama is already getting a huge amount of heat from the medical associations to stop showing all this as it is such a negative but realistic view. The money in medicine dictates so much. Heart disease alone is half a trillion to the economy alone each year.

This show displays that the trial efforts and results are skewed to benefit the marketing of a drug and procedures. The hospital places financial contribution quotas on the Doctors from performance grading and pay positions. Procedures and drugs are pushed through the system with less than good performance by the lobbing and investment professionals with financial gain being the purpose and the benefits to a patient being only a hope. This show was gripping to me but also nauseating in it’s reality.

My friend also told me that the producers of the show had hired several medical consultants who were providing the “real life” incident data for the writers to use regarding what really is happening in the medical industry that we all rely on so much.  He said it truly exposes why the practice of medicine has become the number three killer behind only heart disease and cancer.

So, I watched last night and I really was dishearten. The episode showed me what my Dad tells me, and that is, “Now days, you go to the hospital to die.”  The corruption in the trials of a new cancer procedure alone was very scary, let alone the botched surgeries that this episode was written around last night. This drama shows the horrible manipulation inside the medical industry more than it is about making doctors hero’s.

My friend said that he is concerned for his job as the political fighting that is now behind the show may get to great. Only ratings and sponsors advertising commitment being large will save his opportunity as the producer gets heat as the lobbyist for the industry come after the producers. Oh well as usual it is only about the biggest money winning. In western medicine treat the symptom and not worry about the cure of the disease. I will now continue to watch and go back to the past episodes I have missed to get caught up on the characters as this thing is going to get good. I am sure my wife knows how to get the past episodes for me.

Thank you John.  That was very interesting.  Never got to see the show yet.  Being in Georgia my daughter does not have cable but I think I will be able to see it on nexflexs.  I do like doctor shows.  I watch The Good Doctor when I'm home.  Take care  Ken   

Yes, I've seen the"the Resident" tv show. All episodes. Very entertaining. Nice production values. An able and attractive cast. But "realistic", g*d no!!!

No resident talks like that to attending doctors, nor runs around like a cowboy putting out fires. Same with the leading lady nurse who openly questions and confronts an attending cancer researcher. And that's not just my opinion, just google "the resident tv show unrealistic" and you will find many similar thoughts.

Yes, it deals with the underbelly of medicine, which is good, but for me a little bit simplistic and black and white. The real problem I see it are the doctors who aren't the evil ones portrayed, but the average doc who can get sucked into all the propaganda from drug companies and equiptment manufacturers. Half the time they don't even know it.

Which brings up trial data which I am not surprised you brought up since FLA has no trial data. Yes, trial data can be flawed. Yes, there can be operator bias in trials. Selection bias, operator bias. Yes, the sponsors of many trials are not impartial. But would be better off without trials. Absolutely not.

Whatever you think of trial data, anecdotal data is deeply flawed from low numbers to the very powerful phenomenon called confirmation bias. Confirmation bias is a very human trait where people confirm their own decisions and they more invested they are in a decision, the more they tend to reafirm it. That's why men with successful Urolift's are often so adamant about everyone trying Urolift first. Same with Rezum. And with FLA.

So what's a consumer to do? Well, it's caveat emptor in the medical field, but we need all the info we can get, and trial data is a very important part of it. And because it's peer reviewed, the author's can't get away with as much. Just go to any medical site where doctors talk to doctors. They rip apart a lot of the trials, but that's a good thing because the trials that survive have more credibility. But what can you do with anecdotal data? How can you really criticize it? It's just a small number of personal opinions, with no quantification, no control groups, where medical history is often left out.

So I really like watching "The Residents" but again, realistic it's not.

Jim

 

When watching some of these shows you can't know if they are real or not. I will try to watch it on Wednesday.  I will be alone and all the kids will be in school.  I want to see how far they will go or can go.  I have been reading some of the trail and reports on some of the treatments that they have in the UK.  Was sent to me for information.  All of them are the same.  The cost of each and which one they think is better then the other or which one is a better value  All were the same. All it came down to was the cost value of the procedure.  Nothing was mentioned about the patient and how it will feel and the psychological aspect of the procedure.  Each one comes with it own set of problems. And not one of the trails mentions anything about sexual problem.  It's just money, money and money   Ken     

Ken, Unfortunately I've been around doctors in the hospital too many times. Several myself, and more times advocating for family members. I don't think I'm alone here in that, because as we get older, the more likely is a hospital stay. So, forgot the reviews for a minute, you just ask yourself, "does this show in any stretch of the imagination resemble my experience with doctors in the hospital"?  I'm afraid for me and many, the answer is "no". Not by a long shot. Still doesn't mean its not an entertaining and thought provoking show. I do enjoy watching it. But I also enjoy fantasy movies, the Marvel heroes as well as sci fi

Jim

Ken, I don't want to be confusing as this is NOT a documentary. It is totally fiction. A drama TV show about the practice of medicine. It is a typical drama medical show in a lot of respects with interesting characters and romance and personal situations interjected into the story.

My only point of interest is that it is not from the typical perspective of showing the profession as one of nobility and heroism as it is more realistically in the nature of money, greed, ego, by the industry as a whole.

The perspective is what is different and what is interesting. But what I find unusual is the fact that it is presented from the realistic side of the story. Again, medicine can't be like the good doctor House with the fact that it is the 3rd highest annual killer. There is a reason for that statistic. Two of the characters in the show are trying to get their medical procedures or drugs place in the market. And that effort is not base lead on the results of success with the patients. It was just an interesting perspective as I was reading the exchange on the forum. It like they were reading your mail. So to speak. I am trying to go back to the first of the season I think I have maybe missed four or five of the shows but the first one I say was last night and it was entertaining. 

Yes in any TV show you don't know how far they can go because they can be sued.  The last 2 Marvel Heroes were better good.  My sons love them to.  I still enjoy some of the old mystery movies like Charlie Chan & Sherlock Holmes.  Take care Ken  

Jim, Ok that's maybe your experience but I find many more people who experience more like the show depicts and yes I realize it is fiction. The change to the new perspective was what I was pointing out. But, you better not go to the hospital without an advocate. That was told to me by a doctor who said to review every administration of medication to anyone you have in the hospital and question everything without exception.

I had not ever watched this before. But I have had in my family a few of these situations happen and I know many others. I am certainly glad to hear for you that your experience have not included these situation.

I feel you have totally misunderstood and maybe I should have kept I comment on this to myself. I am seeing a pattern develop here. Once again, I was not relating this to FLA.

BPH does not kill. But strangely to your many points of "asking yourself a question" medicine treatment does kill and in very high numbers. I think the category is "medical error and mistakes". Sorry I interjected into your conversation of last night. This will stop. 

Ken, I thought I would tell you Atlanta has really grown into the movie and filming capital of the east. There is a LOT of that business being done in Atlanta.  Not sure why but good for you guys. 

J12: The change to the new perspective was what I was pointing out. But, you better not go to the hospital without an advocate. That was told to me by a doctor who said to review every administration of medication to anyone you have in the hospital and question everything without exception.

----------------

We are in complete agreement here. I just go one further and apply that same thinking to all aspects of medicine including medical discussions here. I think we're both alike in that, and I'll leave it there.

Jim

I will be alone in the morning so i will see if I can find it..  I think I saw a add for that show.  Someone was dieing and the female doctor saying something like there nothing we can do.  And the male doctor said something like Were doctor we save lives.  I have not had a chance to watch that one.  I do like the one at 10 PM  called The Good Doctor.  Has your wife watch that one..  Also I know you can't believe a lot of stuff on some of the shows but it's not to see them trying to make it as real as they can  Ken

Yes my Daughter has told me that.  Atlanta is a very nice looking City.  There are a lot of Film people here.  Stars are all ways coming to the city.  There are many shows that are typed hear.  Ken 

Let me just cut in here for a moment.  Being I have been on this site for over 3 years I have found out that with doctors giving so many pill's out half the time they don't know what the side effects are.  There are so many out there that turn your sex live to carp.   And when you tell them about it.  Either they play dumb or they don't know.  When I am in the hospital and they start passing out the med's I have all ways ask what is it and what it is for.  There was a few times that they tried to give me some pills that I was not on.  Some were med's that I was not even told about.  Just orders by the doctor.  If I would not ask what it was I would have been taking something I don't know anything about.  You have to be a ware of everything going around.  It's your body and they are doctor's but you have the final say of what goes in your body and what there taking out.   Ken    

Absolutely Ken. Doctors and hospitals, Latrogenisis (the unexpected harmful effects of the "healer" is they middle name. There's a reason I treat my bph with a hundreds of years old low tech method of sticking a tube through my urethra Doctors like to dispense pills and cut. Not sure the body always agrees.

Jim

TAKE IS VER TURE  Ken