Turp operation or laser ?or leave alone?

Posted , 93 users are following.

Hello there I am 59 years old, I have been diagnosed with bph for several. Years now , psa ok around 2.5 checked every year, symptoms getting worse, peeing several times during the night , also severe retention if leave it too long when need to go .do not leak! (Yet) and would appreciate feedback from others who have had the procedure ( good and bad) The alfuziin 10 mg tablets seem to make little difference, and wondering whether to go ahead or carry on.

6 likes, 975 replies

975 Replies

Prev Next
  • Posted

    Hi, just joining in this discussion.... i am now 11month`s down the road from a standard TURP. To address the concern`s from my standponit!, The suegeon who opp`d me had done many hundred`s of procedure`s, inc green light!! he recommended turp standard for me! ok, the op went well!!! he told me that ..(a) my biopsy showed no irregularities,(b) my Prostate was NOT enlarged, but they had "cleared" my bladder neck of a part blockage TUIP! So, the turp came as an extra,freee of charge! so to speak! As others... 2 weeks of painful urination sometimes blood sometimes no blood, but always a sensation of some kind! ( most uncomfortable) allways a feeling of a full bladder!! even when empty, walking the dogs was a real trial!, 4 weeks and i was back on my bike (retired pro ), and no probs there, but, still peeing on the hour! at night not so bad! First sexual event......dry (RE), and discomfort afterwards! So today....well no more  than twice a night to pee, and no after feeling`s,, day times vary, sometimes 4/5 hours between pee,  other day`s  2 hours, depend`s on liquid intake/weather(warm,cold) any anxious feeling`s, unknown pressure`s!!!i still sometimes get a "phantom" sort of sensation, no pain!! just a sens\ation?? Would i recommend a TURP?? well its better than prolonged drug`s taking!! The sex life is as before ( sometimes i even get a dribble come out..wowee) all fine,..i  would recommend  research into other procedure`s>>urolift, pae, etc etc. brfore turp. The problem with any turp in my mind is...the brain dislikes any messing with the repro system, and takes much longer to recover!! we are all different, but the mind is powerful! and turp is very invasive! ok, over and out.
    • Posted

      My concern is why did the doctor do the turp in the first place when you were only having a tuip done. Your prostate was not inlarged the biopsy was fine.  I just like to know why.  Did you give him permission to do it.  Or did he just take it unpond himself.  My doctor would never do that to me with out my permission. He only has permission to do what we talked about and that is it.  If he's fines a problem you wait until I wake up and we talk about it.  All men have the right to make there own choise.  I hope you are please with yours.  I picked a urolife because of the reto orgasm.  Did not like them when I had them with a pill I was on.  Did not feel complete and they hurt my bladder.  Take care and enjoy all you can......Ken  I don't know if your interest in getting you sperm to come out again but there is a treatment use decongestent to relax the bladder and close it off so the sperm comes out not in...Just a throught  
    • Posted

      The one I read about was sudifed 24 hour.  He said it worked great..  Ken
    • Posted

      Hi Ken, just to be clear, after examination it was mutually decided that at my age 68, there was a very slight enlargement of the prostate, but the blockage would becoime a problem very soon, so  both would happen ! and to achieve a tuip (which did the damage to the flap/valve system) a certain amount of prostate would be removed! that was how we proceded, i am not too bothered about ejaculation,but the info is useful to know, so many thanks..Syd
    • Posted

      Thank you.  It just seamed to me that he went and did it on his own.  Did he offer any other procedure.  And how was he sure that it was going to be a problem.  How would he know for sure.  If he would have just did the tuip you could have gone for years before you had a problem.  Having your prostate core out because it was slightly enlarge seam extreme.  But has long as your all right with it.  It's your prostate.  They will never do that to me.  Take care  Ken
    • Posted

      Is that what they do when they did the TURP, take the inner lobe out?? I was quite naive when this guy did this to me up North. I was given No option and yet on his records ( I 've gotten a copy of everything) he ) He states that he gave me multiple choices before proceeding with the TURP. I really would like to put him on a table and do this to him. I know Iv'e never done anything to anyone in this life, but I do know that Drs. who hurt people must have to answer to someone in the afterlife when there time comes. This forum is a life saver.
    • Posted

      Hi again, I  will say that although the consultant told me did both procedure`s(TURP  and GL
    • Posted

      As long as your happy.  If you ever read up on a turp or see a video they core out more then a little both side of the prostate that is way you get retro. It destroys the seminal vesicles.  I think he was just covering his tracks.  But there is nothing you can do now.  Once it's done it's done.  My urologist would never do anything like that to me.  He would not take it on himself to remove anything.  Just be happy and enjoy all you can.....I do hear a few guys said it less to clean up.. But sometime clean up is fun   Ken.
  • Posted

    I read this forum and these threads with interest prior to my TURP operation here in Perth Western Australia on February 8th.

    I am 58 years old with an average size prostate so I'm a model patient, as the average age is 68 and many people of that age have significant health problems and larger prostates to boot. I needed treatment as I had to take Pressin at night else I'd be in trouble and I was getting up huge number of times at night and also urinating a lot during the day.

    I did read the published statistics for the TURP procedure and compared them against HoLEP treatment also. 

     The moderator rightly, commented that most contributors contribute as they are fearful of what to do or have had bad experiences. My motivation in contributing is to hopefully give a more positve spin, at this early stage by relating my experiences.

    I live in Australia where we have a public/private mixed system. I ended up, going in as a public patient, even though I have private medical insurance. I was on the waiting list for a bit over 2 months. I ended up paying nothing and was in hospital for two nights. I had my own room and the treatment was exceptional, even the food was good.

    My surgeon is very experienced and was recommended by my GP. I felt that the TURP operation was safe enough and the stats were highly favourable and it has been around a long time. My brother in New Zealand was involved in work with Olympus and he talked to doctors and patients who had TURP done with very good results.

    I had Morphine administered in recovery (I had a general anesthetic) and then some Oxycodone and Targin afterwards then Targin twice a day until discharge and then just Panadol and Iboprofen for several days while at home. 

    The operation was on Monday, I was home Wednesday and I was back at work Thursday.

    The catheter was removed the last day I was in hospital and they tested that I was emptying properly before sending me home.

    I have had some discomfort initially but mild only with a small amount of bleeding. Last night nine days after surgery, I had my first test launch of my Thor rocket and I was pleased to report not only no pain but the liquid payload was delivered externally right away, no different to before the operation.

    My p*ssing is generally much better than before although I still find at night my bladder seems to get irritated giving me an urge to go when the bladder isn't full. Not too bad but room for improvement. During the day though everything is way better than before. I used to pee several times during our evening 5km walk after dark around our local swamp/wilderness area. No more and no more sudden urges to pee.

    Things could go wrong yet for me, but so far the operation has exceeded my expectations. I still want improvement in less frequent urination at night but hey I've been drinking beer at night and I think even night urination has improved already on what it was like before the operation.

    • Posted

      If I get what your saying about your thor rocket you had a good orgasm and you ejaculated.  Are you sure you had a Turp.  Can you give us some more information.  I would like to know what they did diffent then the other doctorS.  Thank you  Ken 
    • Posted

      You were lucky because when they core the prostate out for the turp they destrory the seminal vesicle that what causes the retro.  I am very happy for you.  Take care and good health...Ken   I would like to know what hospital or doctor to see if he did something diffrent.  Because alot of men do not want to give that up..Thanks 
    • Posted

      It's good to have a friend like you on her, Ken. In addition to my obvious discomfort- I, too miss the loss of my manhood. It's difficult to come on here and listen to the stories of the men who do not seem to mind the reto at all. I very much miss the person I used to be and don't know how much longer I can live with this New version of myself. This doctor was very unfair 6 years ago. I can't seem to get over this thing. Do you know anyone who feels the same way that I do that had this procedure done that I may be able to talk with? I have no one and no support. Cannot date right now because of this. Am afraid of how a woman might react to a person in my situation and do NOT feel like a human being right now. Everyone seems to accept this thing. I cannot. I am a person with feelings and emotions, with a very Happy Past life. How can Drs. do this to people? Maybe you know someone on this forum that I can speak with and maybe we can help each other.
    • Posted

      Steve you have a physical problem. Millions of people have a worse one than you. I have known several people with terminal cancer, who were let down by their doctors, who tried to enjoy every day they had left until the day they died. It seems you are drowning in self pity. Your emotional problems and depression are your major porblems right now.
    • Posted

      My doctor said let's call the probability of retrograde ejaculation 100%. The probability is really about 85% that it will occur. I don't know what the variables are.
    • Posted

      I wish I know someone that you could talk more to.  I have been trying to send a private message but can't do it right now.  I would send you my cell number and we could talk.  You have to get over what that doctor did to you.  What's done is done.  He will get his.  You sound like a very caring guy and any women would love for you to give her any atension.  I know it's not the same but women have some issue do.  Take later my friend  Ken
    • Posted

      Yes that is true but I would say 1 in a 1000 it will not happen to.  But the way they core out the prostate when they do it they distroy the ducks.  There was a man on here that 9 days after he had a turp he had sex and it was no change.  He was lucky.  I would like to know what that doctor did diffrent..Ken
    • Posted

      If you want the proper stats for TURP they do exist and the percentage is about 85% experience retrograde ejaculation meaning I'm one of the lucky 15 in 100.

      I just tried to find the paper that I referred to but similar stats exist in more than one place. I would need time to find it.

    • Posted

      I should add too that I have a friend of my wife's who had an emergency TURP done about three years ago. He gets the retrograde ejaculation. He says (reportedly) that sex isn't 'quite as exquisite but still very good'. He (reportedly) still gives his wife the full attention of his member seven days a week. His wife said to my wife 'why doesn't he just do it on Saturday like everyone else'. He is 70 years old. I'm jealous of the dirty old bugger. 
    • Posted

      I very happy for your friend.  I would still like to know why that is.  I think if the doctor that is doing it does not distroy the bladder neck muscle you can still have a ejaculation. Because it closes the bladder.  I guess you have to do what you have to do.  Grant I hope you have a good lide enjoy all you can.  Ken 
    • Posted

      I'd like to know why they have to destroy the bladder neck muscle. Ken--I had my long lost brother up here from Boston, MA today so was unable to post much. I will reply back tomorrow. I am do grateful for your friendship.

        

      Steve

    • Posted

      Maybe distroy is not the word but if you watch the videos.  They cut or burn  starting at the bladder neck and core out the whole prostate.  The bladder neck muscle will never work the same. Email me later steve and will talk going to lay down now  Ken 
    • Posted

      If you watch the videos you will see them burn a hole through the prostate to make a channel for the urine to pass unobstructed. In time the prostatic urethrea grows back leaving a normal channel wich results in a normal stream. I wish they did core out the whole prostate because then I wouldn't have needed two laser turps and a standard turp in just three years. In fact they usually remove less than 30% of the prostate with the operation, sometimes much less.

      Bob

    • Posted

      I did watch a video.  It looked like they did alot.  Good luck  Ken
    • Posted

      Good morning grant.  Did you ever find out what kind of turp you had.  I hopw all is still going well for you  Take later  Ken

Report or request deletion

Thanks for your help!

We want the community to be a useful resource for our users but it is important to remember that the community are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the community is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.