Turp operation

your results from turp is enviable. many patients who have bph surgery would love to have ur results. probably more than 50% of ur prostate was removed. i would give it a few more weeks for the prostate to heal and to shrink. also ur bladder is adjusting its pressure as now less pressure is needed to pee even when u are peeing like a youngman.

i won't feel frustrated, but on the contrary, should feel happy.

dl808,

You are dead wrong. TURP has about 33% of complications as long term incontinence and ED even in the most developed countries and best trained URO. I concur with the view of the previous commentator. Moder URO (except some researchers) are at the medieval level. The so called "gold standard" of burning the tissue with MW knife is 70 years old and was introduced only to reduce the hospital stay length and make it cheaper for the insurance. Open surgery or SRP produces much less side effects, but required hospital stay for a prolonged time.

85% of TURP patients end up with RE, 12 weeks of practical incontinence and due to relatively old age of the patients and preexisting mild ED, who knows how many ED terminal case it produces... It should be banned in the countries in which HoLEP, PAE and UroLIft are available. Also it doesn't last forever. According to a well versed URO, one of US former Presidents underwent the TURP three times during his lifetime.

Michael does experience complications if he is incontinent in 7 weeks postop. I know very little about his prostate size and why he was recommended for TURP, but am convinced there are currently less invasive procedures with less side effects.

Unfortunately, it's too late for Michael. I hope his example and numerous storie sin this discussion will teach a lesson to may other suffering from BPH and waiting for the right procedure. I literally fled from the operating table and have very little regrets albeit I realize that I might need another procedure in 3-5 years but pray for the better.

Gene

Gene

Yes that is true. My doctor calls it the last resort procedure. He does not do many unless everything else fails. To many men get talked into this procedure most of the time because that is all they do.It is to late for Michael but I hope he will be happy with the out come.

With ED problems most of the time they may mess up the nerve bundles but it also depends on how good your erection are before the surgery. I read that it takes sometimes a man 2 to 3 years to get a good erection and that is with pills

I wrote him but never got a reply. I would like to know why he picked that procedure with all the other procedures out there. Retro is a given with Turp.

But that's life we have to deal with we are given.

Ken

Please supply data to support your statement about 33% complications from TURP surgery. Every clinical study I have seen indicates low single digit rates for incontinence. RE is likely as it is with almost any procedure that removes prostate material. It's a trade-off many are willing to accept.

To Michael, listen to the people who have had successful TURP surgery, not the anti-TURP crowd who have only anecdotal (and often incorrect) "data" to support their view.

Hello gene,

i am not promoting turp nor other techniques. if there is ur impression, i am sorry.

let's examine the facts. in the original post, it only complained about penis tenderness after urination.

he didn't say he was tricked into accepting turp.

to my knowledge, every technology when it was first introduced, always compared to turp. just one or two years ago aquablation also used turp as the to compare with. is this not the definition of standard? again i am not promoting turp, nor saying there isn't a better technique.

in the original post if tenderness is the only complication, it was a successful operation.

i re-read all the responses to the original post in which the poster only asked about his penis tenderness after turp, the only complication, he did not ask for opinions about whether he had made the right decision in doing turp. i offered the opinion that neutralizing his urine pH to 7 might help him. neutralizing urine ph was something i learned from a famous urologist website.

some responses criticized turp instead of offering support to the original poster. so i pointed out the positive side of turp.

i join this forum because there are people like ken who is always willing to help others generously sharing his experience and time. however, when i readi all the responses to the original post, not all offered suppprt to the original poster. this is not the forum i wish to join and i will not participate in its discussion anymore.

Gene, what procedure did you do ?

I did PAE 7 month ago. Results are modest by standards of TURP Qmax=14-15 mL/sec, but my IPSS dropped from 23 to 7. Of course it's a subjective factor and most likely PAE doesn't last as long as successful TURP, but I'm very happy with the results. I was bleeding from varicose veins in my prostate, had frequent retentions, used self-cath on irregular basis. Three time ER with Foley catheter with bag installed for 7-10 days. All is gone as my night trips to bathroom, dribbling, leaking. No sexual side effects.

The doctor who performed my PAE under clinical study has performed now 20 procedures without even one failure or serious side effects. It wsa paper published about him in July 2018, when PAE was approved by FDA.

dl0808, lee

I never said that you are promoting TURP. Let's make things clear. If the patient is young and physically fit with a medium size prostate <80g , age <60, and initially unimpaired erections, bipolar TURP (to avoid TURP syndrome) with a well trained URO will be best advise so far. It will be the most bang for the money and most likely lasting 10 years or more. I am talking and trying to advocate for the majority of prospective TURP patients, who are in their and 60th and 70th. Due to lat decade tendency to prescribe alpha-blockers and cialis to alleviate BPH suffering, many have prostate above 120 g and suffer from comorbidities as cardiac and low extremities vascular problems, when TURP becomes dangerous and almost guarantees complications as ED and incontinence, albeit temporary in many cases. Who will be able to make an estimate of the cost of human suffering during these 2-3 years of recovery, when you are in your mis-70th? You Lee?

Regarding single digits. Many reports and reviews differ dramatically and many are fudged, or complications underreported. There is no one big statistically verified clinical analysis because nobody followed all the TURP patients, many died since due to the nature of the BPH being late in life, and URO is not your regular PCP, which you will attend regularly and keeping record trail. On the most elaborate studies is the review published in European Urology v.50, pp. 969-980 in 2006.

Complications of Transurethral Resection of the Prostate

(TURP)—Incidence, Management, and Prevention

Jens Rassweiler a,*, Dogu Teber a, Rainer Kuntz b, Rainer Hofmann c

written by two German and one UK Urologists. It's available online and will recommend everyone who is interested in the current techniques of TURP and it's complications whether you are considering it or not for yourself, to read thss review. to the best of my knowledge not much changed in the technique of TURP or complications rate. The review distinguishes the results of pre-90th, mid 90th and current statistics. According to the reputable publication, in 90 complication after TURP was 38%, it drops to 21% in mid-2000 and stays there in the best medical centers. Don't forget, Lee, not everybody has access to the best medical care, and in some places in US it's still at mid-90 levels. Secondary, complications after TURP listed in that review don't include sexual effect sin thsi 21%. It does site the separately as 10.5% impotence for mid-2000 surgeries. Still, not in single digits, Lee...

Read the review, and then report your funding before scolding "TURP enemies".

I expect apology and honest report of your findings.

Sincerely,

Gene

It's available at available at www.sciencedirect.com

journal homepage: www.europeanurology.com

with other similar articles

There are also other studies that compare TURP to HoLEP and PAE. None is reporting single digits complications short term. Even PAE studies. Almost guaranteed RE after all invasive procedures, except PAE I found acceptable at age 60-70, when childbearing is more than questionable, contrary to many loud protests on this discussion boards from man in their 50th.

So, let's remove this side effect from the discussion. Scientifically is not proven that RE deprives you from a full blown orgasm. "Dry orgasms" are slightly different but again, not as bad as some tend believe, according some of the patients who had radical prostate resection.

Most of the sexual side effect of TURP can be taken care off with modern medical means( not cheap, though, because most insurances won't cover ED and you are immediately in the hands of "male clinics with their exorbitant charge schedules and willingness to try on you what won;t work first, before really helping you ) . Long term incontinence and almost lifelong leaking, is the most difficult complication, albeit not a very frequent one.

I'm curious - why would anyone opt for TURP when we now have button plasma TURP? It's night and day a better procedure. Just look up YouTube videos on both procedures and see them live in action. Button TURP is much cleaner, better sculpting, can avoid Ejact ducts and uses Saline, so TUR syndrome risk eliminated. I agree with most other posters here - conventional TURP is barbaric, outdated, and just the 'gold standard' for Uros to make $$$$.