Upcoming TURP surgery

i am 51 year old and for the past 3 years I am under the care of a urologist for my prostate issues. I am having difficulty urination for past couple of years with urgency, frequency, pain while starting the stream, dribbling at the end and feeling of incomplete emptying of my bladder. For urinatind at night that was between once or twice.

My first CT abdomen and pelvis in June of 2013 showed slightly enlarged prostate with calcification in the prostate. Follow up cystoscopy in August of 2013 was remarkable for partial obstruction by lateral lobes of the prostate. No trabeculation in the bladder.

My first PSA in July 2013 was 0.92.

i continued to have problems and saw urologist in June 2014 after having acute prostatitis in May 2014. PSA checked again in October of 2014 and it was 1.85.

I had few times gross hematuria in between the visits so I sow urologist again in June 2015 when another CT abdomen and pelvis with dual contrast was ordered. CT showed that my bladder was normal but indentation by the prostate was noted. Prostate was slightly to moderately enlarged and contained calcification so that were slightly more prominent than on last CT. Prostate was 3.7 x 4.7 cm and was producing indentation upon the base of the bladder that takes the appearance of an intraluminal lobulated mass. Cystoscopy was performed in July 2015 and revealed complete obstruction by lateral lobes and median lobe. No trabeculation and no abnormalities in the bladder. Finesteride was added with tamsulosin that I started in June of 2014. Urologist advised TURP what I declined.

In 2015changed my job and insurance and started seeing new urologist which is very young just completed residency. I had a lots of side effects from Finesteride and was told by new urologist to stop it. On the same visit my PVR was measured and was 223 ml. New urologist increased Tamsulosin dose to 2 pills one in the morning and one in the evening. Was scheduled to see him again in 3 months. February 2016 visit my bladder was containing 450 ml PVR. I was asked to urinate again and second reading showed PVR 354. In mid March I had my third cystoscopy which revealed obstruction by prostate "kissing lobes" and bladder trabeculation grade 1. Advised on TURP again. Had second opinion with a bit older urologist from the same group and he also advised TURP to fix my problem. On beginning of April I had acute urinary retention i

and went to ER where I was catheterized and 550 ml was evacuated from my bladder and prescribed self cath 4 times daily. 

Now, I am availing my TURP  June 1,2016.

i read on this and other forums many bad experiences and I am stressed very yah with this whole problem and upcoming procedures. Would like to hear some encouraging posts and good satisfying outcomes.

thank you all for contributing to this forum.

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