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  • Posted

    You probably realize that most docs will favor what they can and have been doing.  Turp has been the standard for some time.  I was going to have Turp before I found out about HoLEP.  Not all docs do it because it takes special training.  But, IMO, it's a far better procedure.  Fewer days in the hospital, less blood loss, faster recovery, less chance of needing a repeat procedure, and they biopsy the tissue removed (not possible with Turp or Green Light Laser. Do the research on the docs to see what they can do.
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    • Posted

      It still give you retro ejaculation.  And there are some men that don't want that.  They would just rather put up what the problem  Take care Ken
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    • Posted

      Yea, I don't want any surgery that will alter my sexual function. I would rather put up with it as long as I can. Seeing what my dad went through and is still going through I would never consider TURP.
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  • Posted

    After reading on here by alot of men I think they do .  It was something that was done for many years so they think it is right.  I think we should ask them would they have it done to themselves. The Gold Stander as it's called..  I'm happy that times have changed an there are more procedures that are less barbaric. Information is the key  Ken 
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    • Posted

      INDEED!  When my uro-doc said I should have the TURP in Aug pf 2014, I said that I'd read that some of the patients experience those side effects. He said,"Oh, only 4 or 5% do..."  (I think  the number is higher.) and I replied, "Would YOU want to be one of those 4 or 5%???"  He smiled, and had no anser.   That's when I started looking myself, and finally found a doctor qualified to do the Urolift (Dec 2015)...
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    • Posted

      That is good.  My urologist is great.  There was no mention of a Turp We tried pills first and I did not like the side effects some so he told me about the Uro-lift..  I had it done April 2015.  All is fine.  My urologist is around 40 or 42.  He's a younger guy.  I think you would not put his patient through anything he would not fo to himself.  I am glad I found him. I'm 60.  I still like to have fun all of it  Take care  Ken 
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  • Posted

    As the benificiary of the benefits of a HoLEP I'd ecommend it over a TURP any day and fully endorse the comments made in Steven's reply.

    I put up with everything that goes with an enlarged prostate for several years and despite being offered a TURP on several occasions I refused each time on the basis that something better would come along eventually and it did.

    Retrograde ejaculation is no problem for me and if others would prefer to put up with nocturia, hesitation, frequency and urgency just to be able to ejaculate normally, then that's their choice and good luck to them.  When their bladder begins to suffer as a consequence of incomplete voiding over a number of years, they may wish to reconsider their option to reject surgery and put up with the problem.

    One last comment on HoLEP, I opted for a spinal anaesthetic which allowed me a quicker recovery and out the same day without a catheter.

    HoLEP, it's a no brainer!

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    • Posted

      I did of course mean Paul's reply not Steven's in my previous post. My apologies for any confusion it may have caused.
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    • Posted

      It is up to every man to pick the procedure and the side effects.  I myself pick a Uro-Lift.  It has been over a year and I'm great .  I'm 60 and enjoy every thing I can  Good health to you  Ken
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    • Posted

      I second Kenneth1955's choice, with my Urolift of three months ago.  Only thing is, I ahve experienced no side effects, period!  :-)
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  • Posted

    I did 18 months ago. Was going to the bathroom alot and had all the medications were not working any more. Could not completely empty my bladder and had a hard time starting the stream. If they told me ahead of time what I had to go through I probably would have never done it. It took me 4 months to get back to work. It solved one problem but found or created another. My bladder only holds about 6 ounces now so I still go to the restroom alot. The urologist tried resetting my bladder with a procedure where they fill your bladder with water while under anesthesia. It didn't work because I have Interstitial cystitis for which there is no cure. Vesicare is about the only thing that offers some relief. I know everyone is different but it's very frustrating. I am 57 years old. Good luck finding a good urologist.
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    • Posted

      Tampafd.  Sorry about the problem.  There are alot of men that some procedures will not work or that;s not even the problem.  A good urologist is the key.  And it takes time to fined one. PS.  They will only tell you what they think you need to know  Ken
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  • Posted

    I went to 5-6 Urologists and they all pushed TURP, some of them very aggressively. The reasons are: 1) it is their go-to procedure, and 2) it is their go-to money maker. Skip TURP, go to an Interventional Radiologist who can do PAE (which is currently not covered under Medicare but is the only "non-invasive" procedure out there), or go talk to a HoLEP Radiologist.
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    • Posted

      I agree the urologist has his or hers best interest in mind and they profit from this but not from PAE. After all I have read I would opt for PAE. Currently I have found that taking Cranberry pills three times a day keeps my symptoms at bay. It stops the pain and gives me a normal stream. One shouldn't have to sacrifice function for relief. My dad was butchard and is paying for it. It has put a strain on a 50 year marriage. Not Cool. Maybe his doctor was a quack, not sure but I would avoid TURP.
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    • Posted

      The urologist reamed out his prostate. It was what was recommended to him at the time. It has had bad side effects. He will not talk about it at all but my mothers response suggests that he can no longer have sex as a result. She said that there is more to life than sex. I agree that there is but it is an important part of ones relationship and if that is gone, well it is kind sad. I feel bad for him. I know enough that I would never let them do that to me. I would seek out someone that is doing PAE, but I would be sure to get all the facts about that as well. The doctor owes it to his or her patients to answer all their questions about any surgery they are planning. Also one needs to find out what side effects are to be expected. Often doctors just think what choice do you have well in this case there are some options and if a doctor is only willing to discuss one option with you then it is time for a second opinion.
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    • Posted

      It is bad that doctor only look at one aspect of life.  At 60 we may not have sex alot but we stll like to try and have sone fun  Ken 
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