Which Prostate Procedures Have Least Incontinence Liklihood?

jim

Had Urolift 8 months ago. So far so good   No incontinence. A little tiny leakage and urgency early on but that went away. Good intense ejac- no retrograde. No meds. Never was on them. Had bleeding from bladder stones. Stone removal and Urolift for better flow and emptying hopefully will prevent reformation of them. Will find out soon at recall  checkup.  All the best. Tom

I am in Australia where it seems we are a decade behind other countries using this site. Others seem to have a magnitude of options while we seem to be stuck on mostly medical responses with a few TURPS thrown in. This site indicates a general move away from these treatments. I was prescribed Alpha1s Flomaxtra(Tamsulosin)/Prazosin 4mg a day from 2006 to 2015 for moderate BPH. Though Urologists had known since 1995 these drugs would need increased dosage beyond 2 years no research had been done by 2013. There was no Pharmaceutical Company billion dollar benfit. So when Alpha1s became less effective I was prescribed Duodart(Dutasteride+Tamsulosin) + Prazosin March 2013 to March 2014. This took my Alpha1 intake to 8mg a day contrary to Duodart’s warnings.

Dutasteride trials indicated a possible increased risk of life threatening PCa. The supplier put this down to a fault in the study design but instead of redoing with proper input the drug was released. They are not required to report PCa as a “side effect2 and Urologists do not mention this risk to BPH sufferers they prescribe the drug to. Since release the Australian supplier of Duodart has reported 6 suspect PCas to our TGA’s Database of Adverse Events. For some reason they are not required to include Gleasons but as database advice is only required or “serious” events we must assume these would be high. Our Health Department says if we want to learn the “side effect” risk we should read the 26 page complicated scientific “Product Information” on the internet. Our Commonwealth Ombudsman says adverse effects detected post-release do not have to be considered a “side effect”,

I was diagnosed with Gleason 3+4 PCa and the gland was removed November 2015. Though pre-surgery advice included the possibility of some incontinence for a couple of months serious incontinence is now over 26 months on with no prospects. They don’t know the full functions of the prostate or the parts you loose with it. The 5ARIs play around with testosterone to unnaturally manipulate prostate cells. I now have other new conditions on top of the incontinence. Kidney stones, Polymyalgia rheumatic, joint and muscle problems ,highly increased inflammation markers and low testosterone. There is also the loss of masculinity and whatever else hormone changes will produce.

5ARIs seem to becoming a much lesser treatment for BPH in other countries but is used here to reduce government costs irrespective of the personal cost to patients. I was 72 when diagnosed and like you most of the possible side effects were of lesser concern than or others on this site. I now know I failed to take proper precautions and took advice I should not have. Do a lot of personal research especially if prescribed 5ARIs.

Before ANY procedure make the uro check your bladder! This was neglected in my case and it turns out my bladder lost its elasticity.

Also BEFORE any procedure you should do CIC to improve the condition of your bladder. Neglected in my case.

Once you start CIC your urination problems might dramatically improve in a year and you won't need any procedure. This was the case of Jim James here on the forum.