Turp operation

What was THE EXACT TURP procedure?

This thread really gets into it. Rightly said it did move off the original line but rightly so I feel. Sometimes this forum’s operational processing gets us out of chronology and sometimes that makes following somewhat difficult as posts expand. My BPH knowledge is all Australian based and mostly relating to men in their 70s and 80s. Here we seem to have only alpha blockers (Flomaxtra previously Prazosin) and Dutasteride (5ARI) + Tamsulosin hydrochloride or TURP surgery for BPH. Everyone else I converse in regards to their procedures is well satisfied with their results so far. TURP treated have some problems early but seem to quickly recover satisfactorily.

On the other hand I have spent the last 3 years critical of the Duodart (Dutasteride 500mg + 400mg Tamsulosin) + 400mg Prazosin I was needlessly subjected to. I find no reference to medicated treatment and subsequent ramifications here and assume from this UK and US must be well ahead of us with your TURPs or better on offer. The well used phrase “we are all different” allows mistreatment and a lack of research and data collection for BPH and PCa.

There is no attempt to discover the overall outcomes of the various treatments on specific situations. I suspect age, PSA, the prostate size and level of urination difficulties should be the basis of initial BPH treatment options. They don’t consider the outcomes of treatments on urinary systems post advancement to PCa. We would all be better treated if BHP and PCa data was collected and evaluated. Now many options are determined by best outcome for Pharmaceutical Companies, Urologists Governments and Insurance Companies.

Wishing all BPH sufferers a satisfactory treatment outcome together with a happy, long and fulfilling life. Barrie

Bravo, Ken! You gave a very exhaustive albeit history of TURP. While a teenager, I was fixing these diathermy apparatus as a part of my job. Thermal treatment is harsh but works good for warts and other things of our body to be removed. It's too harsh for prostate and surrounding sensitive nerve bundles, that send signals to our bladder, penis, brain, and spine. TURP relies on our body ability to self-healing Something more gentle and less damaging should be used on such an important male organ,. That my unshakable view. Anybody who claims otherwise and believes that TURP is best thing is best thing invented after the sliced bread (approximately the same time) is dead wrong. Of course there are many successful cases and healthy males after TURP. So are many cancers cured, sometimes self-cured. when it becomes a matter of luck and art it's not a cure.

Well to continue.

All procedures that cut away at the prostate came from the Turp. All of them are just a Turp's done in different ways.

Many years have passed and over the last 10 years then have come up with less evasive surgery. This is because for some reason there are men having problem very early in age. You would not do a Turp on a man of 20 to 30 that has not had any kids. But they will on a man of 40 to 60. This is because of the ejaculation. Most of the time 20 to 30 you are having kids. 40 to 60 not so much. That is why doctors tell you if you are planning to still have kids they tell you to do sperm saving to use later. But most of the time men like to do it the normal way.

Most urologist do not consider the male ejaculation a sexual function. When we get older they tell use we don't need it. They are just looking to get you to pee better. Now a day's we have many trails for new procedure. Over the last 10 years you have the Urolift, Rezum and PAE Urolift is the only procedure that does not have any side effects. Rezum & PAE still have a risk of retro or less of a ejaculation.

Well this is enough. Let me rap this up. What we are trying to do on here are give men the options that are out there. Do your research on what ever you plan on doing and look at others because you never know what is going to workA urologist can give you his opinion what he feel will work for you but in reality he does not know until its done.

Guy's what ever you do ask questions. Make a list when you are seeing a doctor. Because if you do not ask you will not know and when you get home you will wonder

God Bless you all..........Ken

Thank you Gene

It was very interesting to read. It is a shame that we have to go through that when we get older but I guess that's life.

I am very happy that things improve as time goes on. Each year it gets better and better. We have had some good outcomes with men that have the Turp surgery but I also have read many men that have had bad one. There were a few that after surgery they did not want to live anymore. I feel that it is the doctors fault by not explaining the procedure to the fullest because when something goes wrong. They are at wist end.

Just do your research and get a second or even a third. You never know because not all procedure will work on us because we are all different.........Ken

Thank you, Ken, for good words.

What really make me angry, when a PCP or some contributors on this site tell us that TURP, although has some probability of complications, is still a "gold standard" of BPH treatment and complications are in single digits (percent wise). That's a fallacy, only blood transfusion rate is around 10%, as I said previous, based on a cited latest available review on TURP complications states that total complications (not counting sexual 10.7 %) is 21-22% based on medical literature. Altogether that produces the cited figure 33% that I used in one of my previous postings. That reasonable and sober claim made angry some commentators and some decides even to quit the discussion board.

I believe that knowing your real risk is better than having bitter regrets later.

I also strongly believe that prevalence of the BPH in the western culture is due to the hormones in food and hormone disruptive chemicals in food and our platic containers. It's much cheaper to monitor the rate of conversion to DHT from Testosterone in young males and prescribe them dutosteride (Avodart) in their younger years when it's effects is much less detrimental for their libido and erections and ability to procreate, and protect them from uncontrolled prostate growth and early balding (alway go hand-in-hand) rather than deal with the severe problems later. We all different but some problems are common and are overlooked only because our doctors are too narrowly educated and can't see the the bigger picture. URO s are not well versed in endocrinology, and endocrinologist don't appreciate how sever BPH can be if not prevented early. That will require the shift of the whole paradigm of the preventive medical care for men. Who, if not us mature and wise men can make that shift by educating ourselves and our Governmental organizations. The problem of early and late BPH is much more severe than female breast cancer or menopause problems, which were addressed adequately. For BPH we have only debilitating TURP in most cases.

My best wishes to all suffering and those many who were lucky to cure their BPH or PC without much suffer.

Well said Gene. Yes BPH and other prostate problem are hitting men earlier and earlier If they are not watching what they are doing. Doctor will do them wrong.

And it may be wrong but I do not give total control to a doctor. You do what you said and nothing added. I don't know if you read Tucsonjj what happen to him. He had a BNI done and the doctor did a mini Turp on him at 32 without his permission. Talk about wrong

Like you say we have to educate ourselves and the other men in this world so they are not taking advantage of and know what is going on. Who know what 5 years will brings.

Take care and God bless all of you........Ken