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Urologist recommendations for Ejaculation Preserving TURP in the San Francisco Bay area

Posted , 6 users are following.

TKM
TKM

Can anyone recommend a doctor who has performed Ejaculation Preserving TURP in the San Francisco Bay area. I would travel to anywhere in California or perhaps bordering states. I am looking for a doctor who has done at least 50 of the procedures or not less than 10, and would like to know the success rate, if possible.

Thomas

0 likes, 16 replies

16 Replies

  • kenneth1955
    kenneth1955 TKM

    Posted

    Hey Buddy

    I tried to see if I can find any but nothing comes up. I know a few men that have had it done. One was in the UK he love it. Helped him pee better and no retro

    I think what you are going to have to do is make a list of all the Urologist in the bay area and call and see. Most do not like to do it because it take more time because they have to watch what they cut. In order to save the ejaculation. They have to cut 1 cm proximal before the verumontanum to save the ejaculation

    Good like. If I find anything close to you I will let you know don't be force to do anything you don't want. This is your choice not there.

    All the best...Ken

    • TKM
      TKM kenneth1955

      Posted

      Thanks Ken.

      I might even travel anywhere in the US. I have relatives in Florida (Ft Lauderdale and The Villages) so would have a place to recover there.

      Do you think the EPTURP is better than Rezum ? I have a large median lobe, and 104g prostate. Does EPTURP have a faster recovery ?

      Thomas

    • kenneth1955
      kenneth1955 TKM

      Posted

      Hey buddy

      Yes the EP Turp does heal faster. The doctor will remove the median lobe and stay away from the Verumontanum. This what need to be done. You just have to find a doctor that will do it.

      I will look and see if I can find anyone. Don't give up...Ken

    • kenneth1955
      kenneth1955 TKM

      Posted

      Hey Buddy

      I just looked at the guy that had the procedure in the UK He had a smaller prostate with a median lobe he refused to do anything that would lose his ejaculation. He had a Ejaculation Sparing FL Laser procedure. It worked out grate. No problem with erections and he does not have retro

      Be safe...Ken

    • cali-mike1970
      cali-mike1970 TKM

      Posted

      Check out Garrett Pohlman at Prostate Health Academy. He specializes in this.

  • cali-mike1970
    cali-mike1970 TKM

    Posted

    im looking for the same. i found a doctor whose mentality i like but is in the midwest. i live in norcal. im not sure how to find this. the receptionists are clueless.

  • not_too_shabby
    not_too_shabby TKM

    Posted

    Aquablation is another method for achieving the same outcome as EP TURP. The difference is instead of the doctor scraping out your prostate tissue with a wire loop, a robotically controlled water jet removes the tissue. The doctor can use an ultrasound image to tell the machine what part of the prostate to preserve to maintain ejaculation function. There are doctors in the bay area that offer aquablation. Google aquablation, then use their doctor search to find one.

  • michael31017
    michael31017 TKM

    Edited

    My urologist in Portland, Oregon was able to preserve my ejaculation function after 3 back-to-back TURPs. When I had my last checkup with him in 2022, I asked how he was able to do this. His honest response was that we got lucky. He's been doing TURPs for many years so I assumed he would have a scientific answer.

    • cali-mike1970
      cali-mike1970 michael31017

      Posted

      that's amazing. congratulations. do you know if you had a median lobe? there's probably something he's doing in his technique that he isn't aware of that is avoiding it.

    • michael31017
      michael31017 cali-mike1970

      Posted

      Yes, I had/have a median lobe and that was the focus of his tissue removal from what his notes are telling me.

    • not_too_shabby
      not_too_shabby michael31017

      Edited

      Thanks. Dr. Shaffer is the same doctor that my boss recommended. I have an appointment with him in 4 weeks. Hopefully he can work his magic on me.

  • mike19110
    mike19110 TKM

    Edited

    Dr. Steven Kaplan in New York City is very experienced with ejaculatory-sparing BPH surgical procedures, including both aquablation (he did mine) and middle lobe-only TURP. Good luck!

    • cali-mike1970
      cali-mike1970 mike19110

      Posted

      Mike, when is a middle lobe only TURP performed? when the lateral lobes are open and not needing resecting?

      so does that mean they are taking care of a middle lobe that is pushing up into the bladder only?

      I'm assuming there is no way to spare the bladder neck with that type of procedure, but I may be wrong.

    • mike19110
      mike19110 cali-mike1970

      Posted

      Yes, MLO-TURP is an option for those guys whose obstruction is primarily caused by the middle lobe (e.g. ball valve, protruding into the bladder, etc.), and not the lateral lobes. The bladder neck and lateral lobes are not resected in this procedure. You can Google "MLO-TURP" and "Kaplan" to find out more about this procedure

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