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Upcoming TURP surgery

Posted , 17 users are following.

MK51151
MK51151

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.

 

0 likes, 87 replies

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  • MK51151
    MK51151

    Posted

    Just had a conversation with my first urologist who just recently started performing Rezum and was told that Rezum won't do me any good knowing my situation. I was told that Rezum is about the same as taking Tamsulosin and is primarily for patients that don't want medication. Want to disclose that he is not urologist who is going to perform my TURP. He said he does not have any interest to sell me procedure that won't  have much if at all any result. Knowing this, if it would be about money he would offer procedure to me for his benefit but he did not. He stressed multiple times that TURP is only offering good results in my case. He said same about Uro lift knowing that my median lobe is protruding into my bladder. This urologist is in his seventies and I trust him more now than I did before. Another urologist much younger will perform my surgery and he was not part of this conversation.

    i want to thank everyone who responded to this discussion especially those who shard first hand experience about TURP.

    Definitely, I will keep posting after my surgery, good, bad or ugly.

     

    • oldbuzzard
      oldbuzzard MK51151

      Posted

      You got bad info IMO. It sounds like you're committed to TURP no matter what - I hope it works for you and that you don't have recovery or imptotence/incontinence issues. Rezum is NOT the same as taking Tamsulosin. I've taken Tamsulosin and I had Rezum and they aren't comperable. My urologist had someone who has been on a cath 100% or the time for almost 5 years who had it done and is peeing normally now. My recovery has been WAY slower than they told me but even so, I'm better than before and improving. The true story on it is it doesn't do quite as much as surgery, but quite likely would be more than enough to get you back to normal function. PAE could well do the same, as it performs the same function via a different means.

      I urge you to talk to some other urologists, who are younger and have a more accurate understanding of this. Remember, you have a 15% chance of spending the rest of your life either impotent or wearing a diaper if you have TURP.

    • surfman012
      surfman012 MK51151

      Posted

      hey, everything will be fine!! think positive..drink loads of water after,and .take it easy, do not rush to do anything11.relax and let the experts do for you. a turp op is a serious event!! in 12 months you wiull wonder what the fuss was all about! again,take it easy,no lifting, avoid fizzy drinks and  alcohol, drink water and natural juices,no sugar!!! gentle walking for a few weeks , build up slowly! and remember,you are having you reproductive system messed with, so the brain may do strange thgings to your system for a while, but it is all temporary! you will feel fine after a time! So be positive........and be well, i wish you all the very best, Syd
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