what question to ask uro to see if FLA, PAE or other would be right?
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I have really low flow that starts and stops and has got much worse over the last few year. i have had prostatitis for a long time and was told last year at this time that my prostate had grown but i do not know the now large.
i have an appointment for jan 2 with the uro to talk meds and /or procedures. i do not want turps side effect , so FLA and PAE, sound like more reasonable choices.
i see that certain factors make you better candidates for certain procedures. can someone list for me all the tests i should know about and what to ask for to see if im a better candidate for one over the other.
thank you
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kenneth1955 changejobs
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First you need to find out what the problem is. Is it your prostate your bladder or kidneys. They you can look at the procedure. If you are worry about sexual function and retro ejaculation then you look at them. Just don't let your doctor talk you into something you don't want. If it is just a prostate problem you may just need a Urolift which will open you up and relax the bladder. That is what was my problem No sexual function problem and no retro. Just do you research on the med's and the procedures. There are side effect with all of them Good Luck Ken
mike03369 changejobs
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I would get an MRI with contrast, and something I did not get is a urodynamic test. Also get a cystoscopy to see if you have an enlarged median lobe. I didn't so that's why I opted for the PAE's which I think aren't as effective if the median lobe is present. Ask your urologist or talk to the doc's that your thinking of using for the procedures you mentioned. For PAE, the best is Dr. Ari Issacson at UNC. don't know about FLA-seems like everyone likes Dr. K.
I'm the unlucky 10% that the PAE's did not work for to well. but there is a lot of success with it and its really a simply non-invasive way to potentially cure you.they also have a really reasonable cost and you can pay it over time. I'ts hospital based so if there is any complication you are essentially right next to urology. i think that's a big plus also. Good Luck!
JerseyUrology changejobs
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I would recommend cystoscopy, prostate sizing with an ultrasound, and urodynamics (or at least a uroflow) to determine bladder functionality. You should be able to get written reports of these, to take to whichever center you would like to determine if you would wish to go through with it.
hank1953 changejobs
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hank1953
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nealpros changejobs
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Neal
JerseyUrology nealpros
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Other procedures to consider include the Rezum procedure and Aquablation. Part of it has to do with how severe your symptoms are; for instance, if you are in urinary retention, some of the minimally invasive procedures likely won’t help you.
It is always wise to get multiple professional opinions before having any procedure done.
changejobs JerseyUrology
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thank you all for your responses.
when i first had prostititus a few years back, the uro(same one im seeing tuesday) did a cyctoscopy and another test which i think was uroflow. at that time, i was more concerned about prostatitus pain than retention, which wasnt bad. i do not have the results from back then nor do i know the prostate size or if the median lobe is large. last january year he said my prostate had grown alot and was talking turp but i said hold off since the flow was still fine. it seems in the last 2 months flow has slowed substanially. I can still pee but what used to take 2 minutes now takes 10m or more.
I was going to discuss trying meds but wont the meds effect my results of any tests( uroflow, mri , other?) if i start talking them before i get the tests.
so beisde the tests, (mri, urodynamics, ultrasound), i need to ask about median lobe size, the prostate size.
i will ask procedures - fla, pae,rezum, aquablation,
am i missing anything?
thanks to all.
hank1953 changejobs
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changejobs hank1953
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hank1953 changejobs
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When you see your uro, and after all the testing that he allows, don't go home empty handed. Ask for something to relieve your symptoms, until you figure what needs to be done long term. I can think of meds or CIC. You can get plenty of help from this forum, either way.
Just curious, how much do you usually produce in that 10m pee session ? If you don't know, it's about time for you to start measuring them. They can tell a lot. Hank
changejobs hank1953
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i have no clue how much comes out. i guess i need to by a pyrex measuring cup and start keeping track.
since the test will probably take time to set up, is it ok to start taking meds(if he gives them) right away or wait until tests are done as to not change my test result or void amounts.
hank1953 changejobs
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It's best to do the tests without meds since you have not been taking any. Most likely he will give you a script to get it later. Ask for a retention test, you probably have retention, just a matter of how much. It's usually done with an ultrasound scan, but some uro will suggest a catheter.
Unless it's awfully inconvenient, I would start measuring and keep a time and volume record of all voids for a few days. Experienced people can see a lot of your bladder health from this. Hank
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i just got back from urologist.
my prostate size via ultrasound was .79 . when i went last january it was about the same. it had grown prior to last years exam.
after i voided he told me the volume was 198. he stated that a normal prostate can hold up to 500 so im still 40% full. he had me go again and i got down to 183. last year the remaining pee in me was 180 after the first void and then 115 after the second.
about 2 years or so ago he took a cyctoscope and urodynamic. based on prior tests and he knowledge the current worsening of my symptons are classic bph.
btw i was told i have a large median lobe.
he is putting me on rapaflow for a month to see if my system improves.
thoughts?
hank1953 changejobs
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hank1953 changejobs
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It depends on how well you tolerate the side effects and how much your prostate grows. Some lucky people don't feel any side effects and therefore can go on for years, even decades. Some lasted only a few months. Hank