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See my "What if my Urolift fails" discussion.
Had my Urolift back in March and it made my flow worse. My Urologist suggested a Bipolar TURP and I said no because I still enjoy sex and knew that some TURP procedures can result in retro-ejaculation (RE). I had told this doctor I was OK with my flow and thought my problem was OAB. He prescribed Mybetriq and it helped me a lot for about six months then stopped working. My flow tests showed I had a problem even though I told him I was urinating fine. I trusted him with doing a Urolift thinking it might help but it made me worse. He suggested I get a second opinion and I took his advice.
I went to another Urologist (he uses the Rezum procedure) on 8/12/2019 and showed him my medical records and asked him about removing the Urolift clips inside my Urethra. He that might make things worse and said I had more than one problem and that it made it difficult to treat. He said that I have an over-active bladder and now some blockage from the Urolift and a small be enlarged prostate. He recommended that we try and treat one at a time or both at the same time. He prescribed Tolterodine 4mg cap (Detrol) for my OAB and Dutasteride (Avodart) for my prostate. I decided to try one at a time since if I had side effects I would know which one is causing it, so I decided to work on my OAB with Tolterdine since I suspected that was a problem I have had for many decades. Since Mybetriq helped me a few years ago maybe Tolterdine might help. I can live with the flow from the failed Urolift for now and later might try Dutasteride to see if it might help me more,
For now my second opinion Urologist suggested trying medicine for 6 weeks or more and if that did not help then he would look at other options like Rezume. I will update this in the future.
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