Turps Operation

I'm guessing that he has a normal life and job and isn't prepared to put it all on hold for months while things resolve. Aside from excercise, sex and other things, it sounds like he has a job that he can't perform in this condition - and at his age, the last thing you want to do is go to an employer and tell them that you need 3 months off until you can stop peeing yourself.

I would go back to the doc and see what he can do to get you so that you can at least function. You may not be retaining all that much -that's what bladder spasms do - they make you feel like you have to go when you really don't. Overactive bladder meds could help a lot until you heal.

You'll probably do well in the long run - most men do. But I'd recommend holding your docs feet to the fire for symptomatic relief - it sounds like he soft peddled the normal recovery.

I had GL in 2004 and life was back to normal on day three and I was only the Uro's 8th patient. You only get the small percentage of problem cases on this Forum. When it regrew I had Thulmium /Holmium laser done in 2013 that took two weeks to get over as they discharged me with a catheter in for two weeks

CIC stands for "clean intermittent catherization", i.e. self catherization.

To update: I went back to surgery yesterday, doc had to remove several clots, remove more prostate that was in bladder. The first time he tried to save me from retro ejaculation and left some prostate in bladder but a flap from prostate fell over clogging chance of urination. Do not know yet if i will pee on my own, cath will be in for a week. Pain aftet this "minor" redo was not suppose to be bad but was severe right after operation. Layed up in bed praying for better result.

I don't know why they still do TURP surgery.  It is the worst surgery to put a man through.  It's barbaret I am glad there is a decline in them.  But men are still force into them  I hope you guys get better.  Because a turp could take up to a year to heal.  I will say a prayer for you both   Ken 

that's dispiriting to hear you had to go through the whole thing all over again, wouldn't wish that on anyone.   based on these forums, experiences are all over the place, your first one was the worst, fingers crossed the second will be a smooth recovery.   

They do it because that is all they know and they don't want pay for expensive equipment.

Main laser options are Green Light PVP and HoLep

ok, familiar with all of those, which are actually less expensive alternatives to TURP.   Thought you were referring to something new.   Based on most of the credible sources online and offline, TURP (or button TURP) remains the "gold standard".   As with any serious surgery, the applicablity and result varies by individual.  For anyone considering any of these procedures, if you don't trust that your doctor is prescribing the best solution for you, seek another opinion to make yourself more comfortable.

Any source that lists TURP as the gold standard is not credible. Newer, less invasive procdures that generally offer similar outcomes with shorter recovery times, fewer side and less risk are the new gold standard,

TURP is an outdated procedure that is only indicated in really severe cases that don't qualify for other less invasive options - and even then, Holep is typically the better choice.

Depending on the condition of your prostate, bladder, etc, many people are first trying newer, less invasive procedures such as Rezum, Urolift, and PAE. All these potentially have fewer side effects and less chance of retrograde orgasm, with Urolift almost zero chance of retro. Aquablation, another new procedure, should have FDA approval this year and trial results suggest outcomes as good as TURP with 25% the incidence of retrograde orgasm. Lastly, there is a new, experimental procedure called FLA, that several of our members here have been happy with, and so far no retrograde orgasm.

Jim

I agree with Old Buzzard. It's also important to note that when they say "gold standard" they are mostly referring to voiding benefits and not side effects. In other words TURP (button or otherwise) have the best results so far, but also potentially greater side effects including sexual side effects. To me, this type of "gold" standard is misleading. A new procedure, waiting FDA approval, Aquablation, has TURP like results with 25% the chance of retrograde orgasm, according to studies. They will probably start call this the "gold standard" if the results continue. Button TURP is really just a variation of TURP, nothing dramatically different.

Jim

I had GL in 2004 and had no regrets.

Yes they don't want to learn any other procedure.  And it is the gold standard only because it was the first.  If everyone liked it so much they would not have developed new procedure.  They also make many on it. They have papers on it in the office.  My doctors not have any papers in his office.  He has told me he has done only one TURP in the last years. Only after doing 2 less evasive procedures.  Most men do not like any of the side effects.  I'm not just talking about retro.  There are to many problem with some men that have it done and why take that chance.  Ken 

But if you don't have cancer and only BPH why do you need your prostate distroyed and put yourself through all that pain.  your the one that has to have the procedure done not the doctor.  They will seell it whichever way they can.  If they don't have the equipment they have to get it from the company so they make money..That's crap Ken 

I had TURP done and don't feel my prostate was "destroyed" and was never in pain from it. Discomfort from the Cath for 2 days was about it. Everything is fine now.

same experience here, so far...    no pain, improved stream, better sleep, in other words - improved quality of life.   I find this forum valuable to learn from the experience of others while considering options and during recovery.    It's different for each individual.  One can hope that readers aren't making medical decisions based on advice from people in this forum that they don't know and that don't know them

bladder. I am home now from seco nd turp. Wear cath for a week and try again. I have faith.

How can it be destroyed if it still works? Definition of destroyed is to put an end to it's existence by damaging it or attacking it. It's still there and still works fine.

Kenneth is probably closer to right but that reality sounds more ominous than it is. You can live fine without a functioning prostate - its main job is to push semen out and its highly likely that after TRUP yours doesn't do that. Usually the consequences aren't bad - you pee better but your ejaculations are dry.

I don't suffer from RE. Everything works fine. I do not have dry orgasms.

All reseach in medicine is to find improved procedures with better outcomes for the patient.

.TURP lost its crown to GL/PVP in 2003 and the GL equipment has much improved since then. Now GL has several rivals.