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67 yrs prostate 80ml median lobe enlargement

Mod - bad BPH symptoms for 1 year. 

Duodart for 6 months eased symptoms says full effects DDart takes 12 months no bad DDart symptoms

This week Uro confirmed prostate getting smaller but flagged procedure will ultimately be required.

Wants to assess in late March 18 if no improvement pushing to do TURPS.

Anyone had experience with Duodart

Know many people who have had TURPS  with no problem or concern of RE.

Is RE 100% outcome for TURPS

I am not sure on TURPS. If I maintain status quo will symptoms worsen. I have read prostate slows down is this correct?

Any opinions/options appreciated,

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  • Posted

    Yes retro ejaculation is 100% with a Turp.  If the meds are working dont let the doctor talk you into surgery.  Some men have had a good outcome but they do not care about saving there ejaculation.  But there are some men that wish then never had that surgery.  It get so bad they give up on sex all together.  Your prostate is getting smaller and will still get smaller if you stay on the meds.  Im going to read up on it.  Stay away for surgery  Ken 
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    • Posted

      Thank you Kenneth1955.

      I am confused because research I have read revealls usually Duodart does not work with Median lobe enlargement which is ultrasound reading but Uro say it smaller so must be working little. This means also the Urolift not possible if Med lobe enlarged.

      It must be TURPS best procedure for prostate with Med lobe enlargement and not the others. Uro say simple 1 hr op with 2 day hospital and few days recovery after that.

      Difficult decision allright.

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    • Posted

      If the Duodart is working.  Don't be talked into surgery.  Like Surper said your prostate can grow again.  Leave the Turp alone that is not the only procedure that can help you.  And also with Urolift they can pull the med lobe to the side to make the tunnel.  This doctor is just trying to get you on the table....Ken

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  • Posted

    A difficult decision to make as your Prostate can grow again after the TURP. Mine did and after 2 years they want to do it again but I am seeking removal of the Prostate now. With the TURP they wanted to do a Biopsy but I have refused as had Sepsis last time followed by Prostatitis which never goes away. Don't think there are any easy answers or correct procedures to follow.

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  • Posted

    There are procedures available other than TURP and I would suggest that you discuss them with your urologist. If RE is a concern to you, talk with him/her about it. I had plasma button vaporization and my RE is hardly noticeable. If your doctor recommends only TURP it is ok to get a second opinion because there are options. Also, be aware that many of the posts you read on these forums are from men who did not achieve the results they were hoping for. Keep in mind the success stories that are not shared here.
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    • Posted

      Wise words dalebf.

      Im not so sure there are many options when enlargement caused by Med lobe obstruction of bladder. TURPS supposed to be the GOLD STANDARD in these cases.

      Prostate size 80ml should allow consideration of other options! Y PBV was on large prostate?

      On successes of TURPS I dont think I've spoken to anyone who has had bad outcome other than RE and with many they dont care about RE.

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    • Posted

      My TURP gave me Incontinence and dry at night now, but E/D still not working after 2 years, that's why removal can't be any worse, but will end Prostatitis which for me is a plus.

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  • Posted

    Not all TURPs, PVPs are the same.

    Just like driving a car, who's doi hi(kdriving the car.

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    • Posted

      The results will depend as to how knowledgeable and caring the uro is.

      I've had three TURPS and one PVP.

      Results:

      RE= watery ejaculation.

      Incontinence= kegles have helped

      Erections= they are happening

      Drugs= I take none

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  • Posted

    Top, there are many choice other than the TRUP.  I did the Focal Laser Ablation, FLA and it was successful for me. I don't know from your post if you are state side or over yonder but you should research the different things. With FLA there are not any sexual side effects less your doctor is an idiot. Lots of men willing to testify and help on this web site. FLA is done by Interventional Radiologist not Urologist that is why you will not here much about it but there are at least to very long threads on here about that procedure. Also a lot on the urological offering.

    Don't feel like there is not an answer you just have to do the right things to analysis the condition and pick the right doctor. That is the biggest part of the deal. 

    I was 125cc very large median lobe. Got this way over 9 years of suffering. Never have taken the drugs they push for BPH. Now I am great with no sexual side effects what so ever. 

    I wish you good luck. 

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  • Posted

    Hi Top, if drugs are working for you, without any side effects, I don't see any reasons for you to seek surgery. Drugs can be effective for years. Don't be pushed into TURP. Too many possible problems. 

    You can always reevaluate when drugs stopped working, perhaps 5, 10, 20 years from now. There are many choices. TURP would be my last.

    Hank

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  • Posted

    I'm on fernasteride 3 years and have done well. As long as it's working and I'm peeing fine I'll avoid a procedure. There's alway new or improved procedures coming out so I'll bide my time. If i had to do it today I'd do FLA but for now I'm holding my own. I do think I would avoid TURP. My first uro tried to talk me into it but he was a one trick pony. I'm much wiser noe.due in part to this forum.

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