Urolift

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I am a 75 year old man with BPH. i am a diabetic and have had urinary retention several times and needed to go to the ER to a cathether put in to get relief. My urologist recommends the urolift procedure. I am scheduled for it this thursday. However when they tested my urine 4 days ago the test came back positive for E. Coli UTI infection. My dr. put me on a 10 day prescription of antibiotics. And told me he will still have me do the urolift procedure as scheduled even though I have an infection. I am concerned because I've read on the urolift website that having a UTI is a contraindication. And should not be sone until the infection is cleared up. My question is, is this something doctors still proceed to do whole on the antibiotic? Has anyone had this urolift procedure done while having a UTI? What are the increased risk, if any? I'm waiting to hear back feom my dr in the mean time to ask him this question. If anyone has any experience with this I'd appreciate your review.

Thanks.

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6 Replies

  • Posted

    Get one or two second opinions from other urologists.

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  • Posted

    Honestly, i am surprised that a doctor would do any type of surgery to a 75 year old while on antibiotics amid the Covid-19 crisis. I assume your doctor has done many urolift interventions and knows that it is the best solution in your case. Now, if he has an excellent record and you trust him, then trust him. if you have any doubt, get a second opinion. if you had several times AUR, you need to do something permanent. I wish you the best of luck.

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  • Posted

    You should learn how to self-cath from reading posts about it on this site. That will help you avoid having to go to the ER every time you have retention. It's pretty simple. Get the doctor to write you a script. Also, if the surgery requires you to be on a catheter after (not sure, i think it doesn't?) you may be able to avoid that by learning how to CIC. Good luck whatever you do.

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  • Posted

    You didn't mention on what day you do the surgery relative to the 10-day course of antibiotic. Still, if you are going to be ON the antibiotic (i.e., during the 10 days) maybe get a 2nd opinion or ask him to wait. The issue might be that, if you will still be on a Foley catheter because you have 100% retention, you then run the risk of getting re-infected and you'd have to start over. I was on a course of CIPRO when they did my TURP but a Urolift is something different.

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  • Posted

    I had a urolift about a month ago and had the same question. I thought I had a UTI, but my doctor wasn't concerned whether I did or did not. The most important thing about this procedure is making sure you have the best doc. The one I chose has trained other docs on the procedure, so I felt pretty good about him.

    Great success with my procedure. You may have some blood and slightly painful urination the first couple of weeks. He had me wear a catheter for the first week which worked well for me. Best of luck to you!

    Jeff

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  • Posted

    Nick,

    Had it done several years ago. The prep, procedure and post op experience sucked (to put it crudely). And the benefit. None for me. So can't recommend it. But everyone is different. I have not read a single posting on this blog where someone had a lasting benefit from it. Of course I could have missed postings. Good luck, this getting old thing ain't no picnic.

    D.

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