Urolift - Review

oh my...

I'm suppose to have uriolift jan 21... I HAD THE REZUM and it didn't work....

very upset over that.. after all the pain and now back to square one.

im peeing all night long and all day also.

URIO doc wanted to do lasor on my prostate. i didnt want that due to all the complications after surgery.

i just wasnt resdy to give up on sex at 60....

i would like to speak to you if i could?

heres my e mail

leonjshelkoff@gmail.com

Hey Buddy

I'm trying to figure out why you were in so much pain. I know the thing they use is bigger then the urethra but after a week it should have been fine.

My doctor gave me a stool softer to take for the constipation

I was good in 2 weeks but all men are different. I could not wait 5 weeks. I was told no sex for 4 weeks. 7 days after the catheter came out had to try It was great. Still got yelled at.

Please give yourself some time. Try to relax and don't sit a lot on you butt.

Have a good day................Ken

OMG! what a nightmare!

why take another risk with a mild procedure? why not just go ahead and have a prosthetic resection transurethral and get it done

John

Maybe he does not want to deal with the side effects

Ken

yes, i understand. I'm just personally so done screwing around with all these BS procedures and medications.....i just want to get something done and have no PVR, sleep well and to hell with ejaculation. I'm dones having kids anyway.

John

But think about anything you do. Maybe you can talk with the doctor that would be doing the Bi-Polar Turp. I do know from reading some of the information that they have more control on what is taking out. Maybe he can save it anyway. If the doctor knows what he is doing.

Why give it up if you don't have to. I'm not having any more kids either but at 63 I'm not reading to be put out to pasture.

Good luck.........Ken

Are you serious? If you start getting arthritis, will you just cut off each limb?

ha, good point! but if you have an abnormal growth.... you cut it out....no?

John

Not necessarily.....You don't need your big toe but should you have it cut off

Have a great day................Ken

John; I certainly understand your point of view in wanting to try to get things over with.

This August I had urinary retention.

I picked a new uro who has a "Centers of Excellence" urolift award. He handles many uro surgeries at the local private hospital. He put me on Flowmax/Tamsulosin.

• I had a urolift from him in early October. After I got through the pain, I still had retention. A post operation cystoscopy showed some blockage and muscle build up in the bladder (level 2).
• I am not able to self cath (I tried in two doctor's offices). So I've had a Foley catheter since mid August. The last 6 weeks I've used a Foley without a bag (Flip Flo valve, very convenient).
• I had a urodynamic test early November by a second uro and my bladder is strong. He recommended a full TURP.

  I've had a third uro do another cystoscopy and he found tissue in the urethra by the bladder. He also recommended a full TURP.

  I saw my first uro again and he said a full TURP would be the next step.

  I also see a nurse practictioner who specializes in urology. She did another trial without catheter/flow test. Urination is slow and not enough (I have Post-Void Residual (PVR) Urine in the bladder).

  Taking all my symptoms, especially the tissue in the urethra found in the last cystoscopy, she believed that means I have tissue from the median lobe. The median lobe is at the neck of the bladder. Urolift does not help with that. She recommended a full TURP.

• I understand there are experimental procedures to try and deal with the median lobe without a full TURP but average people are not able to travel far or pay the cost. And experimental procetures, like the PAE, can have unforseen very negative side effects.
• I realize the full TURP means retrograde ejaculation.

  Still, I don't see a next option besides a full TURP.

yes, you get RE .... but you'll be able to empty your bladder!

BB

I know where your coming from but why do it if you don't have to.

I do not know if you know that the doctor have come up with The Urolift procedure called a Midlift. It is for men that have a median lobe. The doctors will pin it to one side and open up the bladder without any cutting.

I know it is up to you but I would try anything first before I have my prostate cut up. With your bladder strong it should work well.

Good luck in you search......Ken

Regular TURP is too bloody. Ask for bipolar TURP. As long as you can accept RE, HolEp is probably the best.

BB

I was just thinking about something when John said you will get RE but will be able to empty your bladder.

I know you had 3 or 4 doctor tell you that you need a Turp. BUT

Putting RE on the side.

What will you do if it does not work after the surgery and you still can't pee on your own. Where do you go from there. I hate to put a damper on this but it can happen

My doctor calls the procedure the last resort

"""" Do you feel that you are at your wit's end """

Good luck with what every you do.....Ken

John; that is the hope. To end the use of catheters and be able to empty the bladder without one.

RE is an unfortunate side effect.

agree

Ken; I've read many of your comments on this site. I think I understand where you are coming from.

• The midlift is not ready for the general public yet.

  The midlift is an experimental procedure. It is currently in clinical trials.

  A patient has to sign up for a clinical trial and ask to be picked by a doctor.

I tried calling one of the listed urologist offices (a long distance from my home but in the same state) and there was no answer and I left a message. This doctor has very mixed reviews online; either 5/5 or 1/5. Even if he picked me, should I make the effort (overnight stays at a hotel for surgery) and trust him? For an untested procedure?

We will see if his office calls back. I have a feeling that office won't call (since they seem very busy) and even if they did, I think that I would not be chosen.

• Even if I could get into the Midlift clinical trial (a big if because I have retention), what if it doesn't work for me?

  I would end up doing a full TURP anyway.

• What will I do if the TURP doesn't work? Then I have had very bad luck.

  I know some of the further options beyond the TURP and they are grim. Some are discussed in this site.

  As we know BPH and urinary retention are serious conditions.

• About your doctor; if I had the money and time, I could go to Florida and speak with him for another opinion. Who knows what your uro would say to me. I'm sure that he performs the full TURP.

• Anyway, I got the urolift from a Urolift Centers of Excellence doctor. It didn't fix my problem.

  I can't do self cath. I need to look into other options.

Moderator comment: I have removed the link(s) directing to site(s) unsuitable for inclusion in the forums. If users want this information please use the Private Message service to request the details.

Hank; you said; "Ask for bipolar TURP".

The 3rd urologist I consulted with does these procedures for BPH.

Bipolar TURP

Transurethral needle ablation of the prostate (TUNA)

Transurethral microwave therapy of the prostate (TUMT)

GreenLight laser

He recommended that I get a full TURP.

He doesn't even list a full TURP on his website as a procedure that he offers.

His website focuses on; Minimally invasive Thermal therapy for the prostate.

But he recommended I get a full TURP. I had a lengthy and frank discussion with him.

He didn't change his mind. Full TURP it had to be for my problem in his opinion.

I would ask him specifically why he favored full TURP over bipolar TURP.

My Friend.

I was reading up on your first post to John.

When the doctor did your Urolift The blockage must have been there. Why didn't they just pull it away for the bladder neck and clip it to one side. Your prostate per say is not the problem just the median lobe.

So your going to have them core out the whole prostate. Urolift will take care of that problem. It would open you up. I just don't understand why a man would do that to himself when he did not have to.

There are a few men on here that had a mini Turp where they would just cut out the median lobe. They did very well. That is all you need. Also did you know that men in retention only have a 50/50 shot for it to work. What happen then. Your planning on a Turp the last resort surgery. I don't feel your there yet But that is only my opinion

This is the last thing that I am going to say. Turp is a surgery that is very hard for some men to heal. Not even saying anything about retro I'm talk about the leaking wearing pads and not getting your sex life back. I just read a article the other day that some men will recover in 3 to 6 month's but you have the other that it may take them up to 3 years.

What ever you do make sure you know everything ask questions and if they laugh about or tell you all will be the same. It is not like that for everyone. Do your pros and cons. You just have to be sure.

God Bless and Good Luck................Ken

Hank; I told the 3rd urologist who doesn't list the full TURP on his website that I didn't want a full TURP.

This is the doctor who lists that he does;

Bipolar TURP

Transurethral needle ablation of the prostate (TUNA)

Transurethral microwave therapy of the prostate (TUMT)

GreenLight laser

The facts are;

1. I told this uro I didn't want the full TURP.
2. This uro does not usually do a full TURP.

   He does all these other procedures I listed.

• This uro insisted that I needed a full TURP.

Ken; we are having trouble communicating because this site moderated my response to you because it had links to the The MedLift Research Study.

Lots of questions.

1. Why didn't my first uro, the Urolift "Centers of Excellence" doctor, do the Medlift, pull the tissue "away from the bladder neck and pull it to one side"?

   My guess. The MedLift procedure is not FDA / Medicare approved yet.

   The MedLift Research Study lists 8 uro offices in the U.S. which are doing the clinical trial. This procedure is experimental. It is not yet ready for the general public.

2. You wrote; "Urolift will take care of that problem".

   Ken, I had a Urolift in October. As I have written several times here, that I had the urolift. It did not take care of my problem.

3. "There are a few men on here that had a mini Turp where they would just cut out the median lobe."

   As I wrote before; I went to a 'mini Turp' expert. This was my 3rd uro. I told him I didn't want a full TURP. He stuck to recommending a full TURP.

4. You wrote; "What will you do if it does not work after the surgery"

   Speculation; Let's say I traveled to Florida and saw your urologist and he said that I needed a full TURP.

   What then?

• We all know that prostate surgery / procedures have large side effect/complication/failure rates including the Urolift and PAE.
• 10 months ago I postponed getting any treatment for BPH because I knew all the procedures/meds had serious problems.

  But I was forced to do something in August.

  I got the Urolift in October.

  The Urolift did not fix my problem.

  My bladder pressure and training is now good. I had a urodynamic test which showed full bladder function.

  But the Urolift failed because it could not push back all the tissue in the urethra and my stream is too weak.

• What are the options?

  The MedLift procedure is not ready. (I called the closest uro office which is doing the clinical trial and they did not call back. They seem disorganized or overwhelmed.)

  The minimal TURP procedures; I've been told by an expert with those procedures (the 3rd uro) that they will not work for this problem.

• What am I supposed to do, live with a Foley catheter for a couple of years (I can't self cath)?

  You know longterm Foley caths also has side effects.

  I need to do something and the options are limited right now.

How bad was your retention before and after Urolift ? PVR ?

my uro says bipolar/button turp is full turp.

I had PVR tests (in the UK known as Trial Without Catheter also known as a flow test) on these dates

August 31 (~75 cc out after ~ 400 cc put in) Used catheter to measure retained urine.

Sept. 6 (~75 cc out after ~ 400 cc put in) Used catheter to measure retained urine.

Sept. 12 (~50 cc out after ~ 300 cc put in) Used ultrasound to measure retained urine.

Sept. 28 (~50 cc out after ~ 300 cc put in) Used ultrasound to measure retained urine.

Oct. 5 Urolift;

Oct. 8 (~25 cc out after ~ 300 cc put in) Used ultrasound to measure retained urine.

Oct. 15 (~75 cc out after ~ 300 cc put in) Used ultrasound to measure retained urine.

Oct. 25 (~100 cc out after ~ 400 cc put in) Used catheter to measure retained urine.

(Had catheter without bag using plug/Flip Flo valve.)

Dec. 10 (~250 cc out after ~ 300 cc put in and residual rose to 450 cc after 2 hours.) Used ultrasound to measure retained urine.

Buddy

I'm sorry that you are having so much problems. I think your just overwhelmed with everything and don't want to deal with it anymore.....................................................................

When you had your Urolift did they know you had a median lobe. You really can't say that the Urolift failed because the problem is your median lobe. That is the problem It was not taking care of. The prostate is not that type of muscle to pull anything out of the bladder.But he did open up your prostate and that is what the procedure is suppose to do.

May of 2018 FDA cleared the Urolift and the MidLift.

Some doctors started doing them in June. Trying to find out were. May have to call or e-mail the company and ask. If they e-mail me with the information I will let you know.

You have a lot to to think about but you will do what you think is right . If you only want a mini-Turp that is what you should have. Do not let the doctors to anything else. When you sign the papers for the procedure make sure it only said Mini-Turp If you got rid of the median lobe that would open up your bladder.

Thank you...Ken

Ken; we are not making progress.

You say the Medlift procedure has been FDA approved. I can't find that.

The procedure is still in clinical trials according to anything I've read including from NeoTract.

To move on I suggest this; if you wish send me a PM of the contact information of any urologist you choose.

If I get that, I will contact their office and ask about the Medlift procedure and if any kind of mini TURP can deal with a median lobe problem.

1. From your PVR records, Urolift did not help your retention. No surprise here. It's consistent with trial data results.
2. I think you can self cath, unless there is a psychological problem. Many people on this forum are experts and are willing to help. You gave up after 2 tries. It took me 2 weeks to get one through.
3. If you plan to have Foley in for a while, consider suprapubic catheter. It's generally more comfortable and flexible.
4. You have moderate retention. According to trial data, minimal invasive procedures like Urolift, PAE, Rezum don't seem to help retention much. HolEp and TURP, as well as bipolar TURP, seem to help much more.

First time I've seen the term "full TURP". I assume it means the original roto rooter TURP.

Hank; thanks, this is more useful.

1. Self cath; I've considered hiring a home nursing agency to help me learn to do it. (Doctor's offices don't have more than a few minutes to teach it.) I'll make some calls.

   It's hard since I've been busy not only with uro stuff and life stuff but I also have an elderly mother to take care of.

2. Self cath is usually better than having a Foley. (Sex life being an example.)

   But not always. With a Foley cath & no bag I can easily be at stores/restaurants for a day and don't need to worry about pulling out something which looks like a arrow every couple of hours in a public restroom.

   Even for people who self cath for a year+ almost everyone wants to be cath free if they can do it.

3. A suprapubic catheter has several problems with UTIs and it is another surgical procedure. I'd rather not do that if I can avoid it. That is more of a last resort.
4. I agree that my trying a minimally invasive procedure, the Urolift, was a gamble to help with retention. Retention involves larger prostates (I have that) and more tissue to open up (also my problem).

   But I wanted to try the Urolift to preserve the prostate.

   You mentioning the TURP, HolEp and bipolar TURP for retention is what my doctors are pointing to, especially the complete TURP.

   I'm thinking of getting another uro opinion at a large city about an hour away but my guess is that the recommendation will be the same; get a TURP.

• Thanks again, BB

yes. the traditional wire turp and button turp have equivalent outcomes and remove similar amounts of tissue

BB

I do know what is going on. It took me a while to find that information. I'm going to send the company a e-mail to see if I can get any more information from them

If you are in retention did they tell you that the Urolift would help you. We have had many men on here that are in retention and they were told that the Urolift does not work most of the time.

I have talk with my Urologist and he has said that it can help sometime but you never know because of the other underline problems. He said that if it did not work that it would make doing CIC much easier because the prostate would be out of the way.

I will let you know. Take it easy

Hey Hank

Yes that is true the Urolift does not work for retention. Most doctor will not do that.

But I think BB is still peeing somewhat on his own and they did it to see if it would relieve the pressure from the bladder. But with him they did not take care of the median lope that he has.

Hank do you remember Frank. He has been doing CIC for over 2 years. The doctors wanted to do a Turp on him. The doctor told him that it only had a 50/50 chance of working. He said no at 90 he was not going to deal with that type of surgery.

He is still doing CIC. JimJames help him a lot. ( Have not hear for Jim in about 3 weeks still worried about him. )

A man has to do what a man has to do for himself. But get all the information. I don't know if the doctor that he has seen are all in the same group. I hope he fines the answer for himself.

Take care....Ken

Buddy

It's no problem. All I'm trying to do is help.

The doctors are all saying that the blockage is causing the problem and you need a Turp to cut it out. WHY

If that is what you don't want I would do anything before I put my body through that mess. It could cause you more problem

The Urolift ( MidLift ) would unblock the bladder for you but they did not do it. That is what I'm saying the MidLift would help with the blockage. So keep calling. I do know that I read a few of the trails and they ended December of 2017. They also had some articles in February and May about the FDA.

I did not have a chance to write the company. Will do that when I'm done

Here is another thing to try before you have anything cut. What about Rezum for just the median lobe. They can do 1 injection and if it is really big they can do 2. This may help make it smaller. We never know.

If you have been reading some of my post over the years I would do anything not to have my prostate cut up. Not in the card for me.

My doctor does not do to many Turp. He calles it the last resort procedure. He has only done 3 this year. He will try everything before to help you. When my prostate close he did not say Oh the only way to fix that is to cut it out. That is why he told me about Urolift. Again I'm going to say he would never do a Urolift for retention. It does not work for that.I have been with him for 4 years.

Try to relax if you can. I know it is a lot to deal with. Like I said I am just trying to help

Ken

Ken, Frank case is different. He was in total, complete retention, no peeing whatsoever, for years. bb can still pee therefore has a better chance.

1. You already know enough about self cathing. You just need a successful one to gain confidence. My suggestion is to start with a soft catheter, like Cure hydrophilic, to lessen risk of injury, smaller size like 10fr or 8fr. Make sure your fingers are clean. You need them to guide the catheter in. Be firm but gentle.

Some experts on this forum would recommend the "no hands mom" approach, using a stiffer catheter like Coloplast. In my opinion, this approach is sound but you should wait until you are good at it, because it can cause injury for a beginner.

I've said this before and will again:

Given almost all of us are post childmaking years what is the fascination with ejaculation? SMH. I did the evil GLEP, I peed like a firehose 12 hours post op, after they removed my foley. I've been peeing that way since the operation about 7 weeks ago. I still ejaculate 60% of the time. Sex is still amazing and sometimes less messy 😉 - oral haha you can roll right through an orgasm many times straight to the next one without a pause teehee.

Consider GLEP or its variants with a good practitioner, do your research. I no longwr get up to pee, and am getting the best sleep I have in decades.

Yes Hank

I think that is why they did the Urolift

But seeing the median lobe and leaving it was wrong. I don't care that if it is not out the doctor should have call the company or someone that was doing the trails and say hey I have a man on the table now with a median lobe that we did not see before. How can I clip it to one side. They would have told him. I think they would be understanding. Maybe I trust in people to much.

Hank there is another thing if he does not want to have a Turp in the mean time if he is going to wait for the MidLift. Why not try a Rezum for just the median lobe. They could do 1 or 2 injection maybe that would make it smaller.

Remember this is only my opinion Some doctors will only do what they want....Ken

Hank; I very much appreciate your help.

1. I'll look for a home health nurse who can;

   A. Take out my Foley catheter.

   B. Have a selection of self catheters.

   C. Spend time training me.

   D. If I'm not successful in the training, the nurse can put in a new Foley catheter.

2. Schedule another session.

   I'll make some calls.

• Thanks again for the suggestions, BB

Rick

Glad it all work out for you

But there are men that still want to keep there ejaculation. For me I had retro on them stupid pills and it sucked. My ejaculation goes with my orgasm

Just because we are older and not having kid anymore why should we be castrated and be told that we don't need it anyway. They do that to horses when there done with them. And then there put out to pasture. It's not the doctors choice.

That is my choice and my opinion. My prostate is staying right where it's at.

Peace and love to all Happy Healing......Ken

I guess for me what it boils down to is that I'm cured, I will not have to have a painful procedure every 2-3 years.

as far as castration? surely you jest, if ejaculation means that much to you and you mentally tie it to orgasm its your body and your decision and you get to deal with the consequences of it, more power to you. But touring Urolift as some miracle of science when its clear that its an iffy procedure at best is misleading.

I lead a very active sexual life and none of my partners have even noticed the difference. CASTRATION? Hah.

Rick

I am happy for you.

Like I said my ejaculation goes with my orgasm. Had retro before I had my Urolift was on Flomax and Rapaflo. There was no feeling at all it went flat. And with nothing coming out it was like I did nothing

I will not deal with that for the rest of my life. I don't see the Urolift as a miracle of science but it is a good place to start if you don't want any side effects.

Each man deal in his own way.Have a great evening........Ken

Hank,

Correlation does not equal causation. Your experience on Rapaflo and Flomax is not the same experience as that of those who have RE that is not chemically induced, furthermore, I was on Flomax aka Tamulosin and experiences none of the effects you did. My orgasms are even more powerful now after GLEP than they were before surgery if thats even possible.

Either of us being being fanboys of our own procedure isn't doing anyone any favors here. Solipcism isn't the answer.

Research is. For me I consider my urologist a trusted and experienced ally, he is a leader in the field, when I asked him about Rezum and Urolift, he said he was trained but that he's a terrible businessman, that he could create scores of repeat customers doing either procedure but chooses to do what works, which for him is GLEP, granted he has written journal papers on it and trains other doctors on it regularly. His office charged me some measly amount - like $1200US for my procedure where the other procedures are several times that.

Educate yourselves brothers, don't listen to me or Hank - our experiences are our own and in the end it is YOU which will deal with the effects of your decision. I hope you choose wisely.

Rick

You are saying around the same thing that I have said on this site for years. Men push there procedure and we do what we feel is right for us.

Do your research on what every you decide on because you are the one that will have to deal with any side effects. It is your choice.

I just want to know why would a doctor go get training for procedure that he is not going to do. That does not make scents. I could say something else but I will keep quiet.

And who know if you will have to have another procedure. Derek from the UK had to have 3 procedure in 10 years. He thought the first one was going to work.

And dealing with retro. Your one of the lucky ones that it has not bother your orgasm. It does happy to many men so bad that they even stop having sex because the feeling is not there.

I can say the same thing has you My orgasm are more intense now then they were before my Urolift.

God gave it to me and no man will even tell me I don't need it or take it away.

Have a great day............Ken

Thanks Rick so much for telling Ken the facts. I wanted to do that but I was too nice. Maybe I should have. I could have saved many of those guys from going through unsuccessful Urolift. I would not be surprised that many of them chose Urolift because of Ken's recommendation. Ken has good intentions but is too dramatic, and often strays from reality. 😀😀

Good evening Buddy

I just got a e-mail from the NeoTract they want to know what state you are in. They do have a internal list of doctors that are doing the Midlift for the median lobe now.

December of 2017. The Urolift system was granted an expanded indication for treating obstructive median center lobe by the FDA for patient with BPH systems and a prostate size of 80 cc or less.

Let me know when you can. I will sent them the information so I can send it to you.

Take care Ken

Hank

That e-mail was not ment for you. It was ment for BB

Ken

Thanks Hank

Rick is not telling me anything. And no one in going to have a procedure because I told them do. You both are telling them how good your was. Your doing the same thing They are going to pick what they can live with not want we tell them.

Why would a man have his prostate cut out if there is something else that will work just has good. Like Urolift, MidLift, Rezum or PAE. Most doctor that care tell you to start out with a less evasive procedure. If by chance it don't work you have some place else to go. If you start with a Turp or a Laser procedure What then there is nothing left but having the whole prostate taking out.

Now you are picking on the Urolift like it the only one that has failed. Every procedure that we have talk about on here has failed for some men because we are not all the same. What may work for me may not work for you.

You want your prostate cut out that's fine for you. It no big deal for me I don't have to deal with your outcome. And for my ejaculation. No doctor is going to do anything to me that will take it away. That is reality!!!!!!!!!!!!!!!!!!!!!!!!

Ken, you should know by now. By keeping on saying that Urolift "will work just as good" as others like holep, turp, or GLEP, you are misleading people that believe in you. The fact is Urolift is not even close in terms of improvements post-op.

qmax improvements: Urolift : 3.7 mL/sec, Holep : 20 mL/sec

reduction in retention PVR : Urolift : 20cc, holep: 200cc

success rate: Urolift - 60 to 70%, HolEp : 90+ %

reop rate: Urolift : 15% in 5 years, HolEp : less than 1% in 10 years.

RE is a problem for some, and Urolift has very low risk in this.

To further the discussion I'm not sure that any enucleation procedure, HOLEP, TURP, GLEP or otherwise needs to be repeated if done properly by a physician that is experienced and careful. If done properly, they remove the lobes, bilateral and medial, this keep them from regrowth, PERIOD.

To state facts anything that does not permanently stop this growth will need to be repeated, if thats worth the trouble in order to retain their precious ejaculations then so be it. The medical field will be happy to reclip, recook, steam and saute your prostrate as many times as you'd like, at great cost. I'd rather not undergo another procedure, one was enough. If you find a doc that knows what they're doing they will avoid nerve bundles and seminal ducts, like mine did - I'm sure there are great docs doing all the procedures, the only difference being that non surgical procedures are stop gap measures. The piper will be paid one way or another.

My procedure and recovery compares to stories told by others seems miraculous, frankly its my badass doc, of that I'm sure.

The medial lobe in my case was the biggest of the three and was what was putting pressure on the neck of my bladder and causing my bladder to distend. I caught my dysfunction early and found a great doc to help me.

I'm in my early 50's, 5'10", 200lbs at 9% bodyfat, I'm in very good shape, super high libido and younger than many of you which probably had an effect on my outcome.

YMMV

Do your homework.

Hank.

You can say anything about the Urolift is a good procedure to start with and it will help most men. If your prostate is the problem. It may not have the results that some of the other procedure do. But the doctors feel it is good enough to improve your BPH.And there are still men that do not want to deal with the side effects of the other procedure. I'm sorry but I don't need to pee like a horse or a teenager. In a year if I have to have more clip put in I will. That is my right.

We also have men on here that have had Turps or Holep That had to have them repeated because they did not do well. I feel sorry for them That is a lot to put your body through

Like I said You do what you feel is right for you. No one can make up your mind.

Ken

Rick

I'm so happy that everything worked out for you and you are please with your out come.

I just read a article about the regrowth of the prostate. They said that it is very rare even if you have a Turp there is a 5 % chance that it will grow back.

There are men that have had to have 2 to 3 procedure done. They are in the UK and there doctor are very well known. So you are saying that they do not know what there doing because they had to have it repeated. It does happen

Even with FLA sometimes it does not work and you have to have it again or another procedure.

Age and a good doctor help for a good outcome of a procedure. The outcome you had at 50. A man at 65 or 70 is not going to have the same results. Some but not all.

Ken

Here is a followup to my situation.

1. I got copies of the reports (urodynamic & cystoscopy) from my 2nd and 3rd urologits.
2. I reviewed these reports with one of the top urologists in the Western US (my 4th urologist).

   This top urologist told me.

3. My median lobe is fine.
4. My problem is a combination of two things.

   First, my prostate is long (large) and my Urolift did not open a clear channel in the urethra.

   This is a possible Urolift outcome with certain patients.

   Second, while my bladder works, it does not have the force it had 6+ months ago before the trauma of going into retention and letting it get stretched out to 1.1 liters.

   I cannot push my urine fast enough past the tissue obstruction in my urethra.

5. Options; Self cath. 90% of patients can successfully do this.

   Unfortunately, I am part of the 1 out of 10 who cannot self cath.

   I will have another self cath training session at the office of my 3rd urologist this Thursday.

   I could not find home nursing which could provide self cath training & deal with a Foley catheter covered by insurance.

6. Second option is surgery; minimally invasive procedures are no longer appropriate. Any surgery would be to clear out all obstructions along the urethra to give the best chance for the bladder empty.

   With recommended surgeries; Bipolar TURP, Green light laser or Rezum (steam), the goal is the same, clear a path all along the urethra.

   A positive outcome would be; being able to urinate without a catheter. Retrograde ejeculation would be an acceptable side effect of that.

7. We also went over if these surgeries do not work. Mainly I'd be living with some kind of catheter.

   Hopefully, the surgery does work.

Update; my self cath training on 1/3/19 overall was successful. (The nurse did some incorrect things but in the end, pun intended, it worked.)

Imo starting self cath is like swimming / bike riding. The body has to feel the process; what all the reflexes/sensations are when doing it.

Anyway, I now get to try to rehabilitate my bladder using the urologist approved / best method (self cath).

Once my bladder strength improves, I will go from there.