Which Prostate Procedures Have Least Incontinence Liklihood?

MK

I am 69 years old.  I did a greenlight laser treatment around 15 years ago.  It worked for around 2 years, but I still had to take medication to get the flow at a decent level. My next treatment was a turp. It was better, but not that much, as I recall. The prostate, grew back as it did with the greenlight therapy and so I did a second turp.  By then, my bladder, must have stretched out so much that after the second turp, I coudn't urinate on my own.  So presently, I am doing cic.  It's the best thing I've done for my condition.  If I could go back to 15 years ago, I would first try the cic.  My bladder, feels really empty after doing cic.  It's the best feeling over the laser greenlight and turp!  If I were you, try cic first.  Less damage to your prostate.  Good luck!

I had a UROLIFT 3 years.  Never had a problem.  All the others have a degree of incontinence and other side effects.  If you can get off that pill and get something else.  Don't let the problem get to you and cause you other problems  Ken 

Following 8 years of hesitancy, retention, infections, nocturia and bladder stone formation, all due to BPH, I opted for the HoLEP procedure.

In and out of hospital on the same day without a catheter and within a week the incontinence (the occasional dribble if that) had cleared up.  I did make sure that I carried out frequent pelvic floor exercises in the month prior to the procedure which must have greatly helped in ensuring no post op incontinence.

Two and a half years later, I'm still peeing like a teenager.  Erections are still available should I want them but retrograde ejaculations which doesn't worry me in the slightest.

Good luck with whatever route you choose to go down.

My flow diminished in my mid 40’ and over the years it became all more complicated. Relieving was taking more and more time, although you get used to it to work around the problem. An acute urinary retention brought me to the urologist. Recommendations went from Turp, Urolift, Rezum, Láser treatment. During my research I consulted with several professionals and one in particularly convinced me and I had the treatment done the end of October 2017. On the way to recovery I have experienced several stages. All in all, I am very happy with the outcome. Relieving works very well, I can sleep 3 to 4 hours without getting up, I have control and sex life is good too.  I am glad I did it and really pleased that I am much better off from any angle I look at.  Every person is different and responds differently. Have an open conversation with the urologist you trust and feel comfortable with. In my opinion if the patient and the doctor can connect with each other, the outcome of the procedure is more promising. I also would want to be assured that the doctor always goes with the least invasive option to start with.

I have herd horror stories on every type of operation accept FLA, I know of one guy who had incontinence before FLA and now its gone and life is great again, I spoke to a leading urologist who said incontinence from TURP usually happens on the second operation so my reasoning is avoid the first operation by having FLA and without the side affects, I used Dr Karamanian in Houston who is very good.

Its important to note than incontinence is rare with any of these procedures and this forum (or others like it) are not representative of the outcomes of any procedure as the success stories, that far outnumber the problems are almost never posted here. Most come to look for answers after problems, or for info prior to a procedure.

That said, TURP, Holep and Greenlight all can cause incontinence. Rezum, Urolift, PAE and Focal Laser ablation have almost no reported cases of it, even when the procedure failed to bring relief.

It sounds as though you don't need anything right now and may never. If you even start experiencing retention, make sure that you deal with it - either by self cathing or via some kind of procedure. Straining to pee and bladder stretching can cause incontinence or render you unable to void without a catheter (self or indwelling) so if that problem develops, don't delay in doing something about it.