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I'm 72 and just had the urolift procedure. My prostate problem started 4 years ago when i was going to the loo 2/3 times a night. Doc referred me to urologist who did a cystoscopy and confirmed obstuction of the ureatha. He offered turp but i was happier with nocturia than the after effects of surgery.
The nocturia progressed from 3 times per night over the next 3/4 years to 8 times, at Which point i was put on Tamsulosin which brought the nocturia down to 5 times.
Couldn't put it off any longer so was referred to a urologist at Liverpool University Hospital. i fancied PAE but its a 6 week process with only a 70% success rate. i discounted rezum, holep etc because of after effects which usually include catheterization so went for urolift.
Went to theatre at 10am for light anaesthetic and was back in room 15mins later. Passed quite a few blood clots with minimal pain and was discharged at 3 pm and urine was clear by 5pm. Urgent need to pee for a couple of days but soon normalised. The outcome wasn't great as my nocturia is still 3 times nightly. However, the urologist used 3 clips and said the whole urethra was clear. The reason for this less than satisfactory outcome is due to trabeculation ie the bladder losing elasticity as it had been pushing urine through a blockage for a long time so it doesn't expand and contract as usual.
it used to take 2/3. minutes for urine to drip but now its a trickle and takes half the time and sometimes the trickle turns into a stream. So whilst the result is less than optimum, i can live with it as at least i no longer worry about an emergency visit to A & E which would no doubt have involved surgery.
So whichever procedure you choose it seems to be how much the bladder has lost elasticity that determines the outcome.
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