Urolift available in Dallas, Ft. Worth area. How can I find a great, experienced urologist here?

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****I'm 89 years old, on warfarin blood thinner, and urinating sometimes every 30-40 mins. in the daytime. Haven't had a good night's sleep in years. I want a great doctor (urologist) for, possibly, the urolift.

I know I'll have to come off the warfarin with the lovinox injections; have done that before. Any help on the subject I will appreciate. The urologist I last saw about doing surgery didn't have very good reviews; in fact, had some bad ones with a 2 1/2 star rating.

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  • Posted

    Hello Warren

    If you go on the Urolift site there are a bunch of Urologist that are trained in the Urolift. The first one on the list is a Dr Jeff Toubin. He is classified with the center of Excellence. He has done over 200 in the last year. It is easier for you to go and look on the site to see which one is close to you. Just press on find a doctor and put in Dallas Ft Worth. It will bring up the doctors Good Luck Ken

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    • Posted

      Sasquatc

      Hello No problem. When I looked up the doctor information on the site the first one told me he had done over 200 which is better good.

      Some of them did not give the information. So what you will have to do is pick the one that is near you and call there office and they should be able to give you that information

      Good Luck Ken

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  • Posted

    Definitely get a great dr. Mine sucks. It seems like he's treating me like a quinoa pig. I had Resume done I pee more now than I did before. The surgery . I pee, like 7 times a night and about 11 times in 12hr.

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    • Posted

      Hope you did a review on that doctor so that people can be informed when sorting through doctors to find a 'good' one. Sometimes you get so desperate that you just take a chance and then suffer from it.

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  • Posted

    Warren,

    Some ideas for you:

    the frequency of your going to the bathroom may be partially due to a low level urinary tract infection. This can be cleared by antibiotics, or even possibly vitamin C (there is a discussion on the forum about this).

    Your doctor or uro can prescribe sanctura (Trospium) that may help you reduce the urge to pee as frequently. You can also take a natural relaxant before bed - some use chamomile tea or valerian. I have been using a couple of drops of Passion Flower liquid before bed - relaxes me with no side effects. 
    
    Another technique is to pee several times just before going to sleep to make sure you really clear your bladder. Your uro should measure your PVR, post void residual, to see how much urine is left in your bladder after you think it's empty. Mine is 170ml, so my bladder is about 1/3 full even though I think it's empty. So, as you sleep your bladder quickly fills up and you have to go to the bathroom. If you can really empty it before bed you should be able to sleep longer, at least initially.
    
    Your uro can do a urodynamics test to explore the possibility that your issues are bladder and not prostate. 
    
    I take Flowmax to help me pee. There are other similar drugs that may help your empty your bladder more easily. 
    
    Some on this forum suggest self cathing before bed. I don't do this, but it will clear out your bladder. 
    
    So, all of the above have been helping me to sleep longer between bathroom runs. It's also possible that your issue is not the prostate - it's your bladder. Like you I have to clear my bladder frequently, a bit of "overactive bladder". You can "train" your bladder to resist the urge to pee all the time - it's called "bladder training" - instructions all over the net.
    
    Just some ideas for you other than having to go in for some surgical technique. I have used all or some of the above techniques with some success. Eventually I may have to in for some surgical technique, but my uro believes this may not help me much. It would be a shame to go through all of the side effects of surgery just to find that the frequency/urgency issue is still not solved. 
    
    My best,
    
    Tom
    
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