Why why you have green light laser surgery they cannot save so you can ejacul ate

Hi Derek,

For some reason didn't realize you were in the UK. Do you know the incidence of retro with the bladder neck sparring GL?

Jim

I don't know the incidence.

As you have probably read here GL is now the procedure of choice recommended to British hospitals by NICE.

This is actually a UK based site although we welcome our transatlantic cousins. The Prostate Forum is the one that attracts most Americans.

https://patient.info/about-us

 EMIS develops, supplies and supports general practice computing systems. My GP's surgery has just changed over to using the EMIS system.

 

Derek,

LOL, I know it's a U.K. based site, but sometimes it seems the Yankees have taken over

I have no problem with GL, or several other procedures, as long as the risks and possible side effects, including retro, are laid out in advance as best as possible. 

Jim

It is better than two US ones that I looked at for prostate information.

I don't know the situation in America but here we have a consent form that the patient signs that spelsl out the dangers and possible consequences. I think it is more to protect the doctor/hospital than to inform the patient

Derek,

If it's like the consent forms here, I've never read one. For one thing the type is too small for my aging eyes I think a responsible physician so have a sit down and spell out at least the major possible consequences in a way that the patient understands. Here, in the states, the oftentimes 12-15 minute office visit doesn't allow for that. I've had to go back twice for a physician at times with no reason other than I hadn't had time to get all my questions answered the first time

On the other hand, at least with Medicare when you're over 65, I have my choice of the majority of doctors and can make my own appointment with a specialist without going through a gate keeper. If I don't like the first urologist, I can call up a second urologist the next day. Or a third if needed. My understanding is that type of flexiblity is not available with your system (or Canada's) unless you pay out of pocket. I think I'd have  a hard time being stuck with one doctor for any lenghly period  who I didn't agree with.

Jim

 

We do nowadays mainly have a choice of consultants and hospitals. But second and third opinions are another matter. Our main problem is NHS waiting times. We are supposed to be seem and treated within 18 weeks. That seldom happens.

I waited 54 weeks for my aortic valve replacement. My friend in Baltimore only waited  three weeks. I waited 26 weeks to see a neurologist. He then wanted me to see a neurosurgeon and I was quoted 42 weeks so I had to see one privately and pay for my CT and MRI scans as well. .

I wanted a cardiology procedure that has recently been successfully  tried out in NHS trials but funded by St Jude Medical. The procedure was approved but the NHS will probably not fund it for at least two years so I had to pay for that as well for my peace of mind.

 

I hear that waiting times in Canada can be similar. It's not uncommon here to get an appointment with a well known specialist at a major teaching hospital within a week. And if the wait turns out to be too long, you just call up another doctor. On the other hand, as you've probably read, the future of our medical system is up in the air right now although I'm pretty sure most of my Medicare benefits will be grandfathered in.

My guess is the future here will end up more like your system with doctors less assessible and with PA's and nurses taking over many of the traditional physician responsiblities. That part is starting already. 

The other trend here is "boutique medicine" where you pay an annual fee for services for "boutique" services such as same day appointments, video doctoring, etc. My general practioner ( GP) of 20 plus years went boutque on me last year -- wanted 6K a year just to enroll -- so I am currently without a GP. Fortunately, with Medicare you don't need to see a GP before you see a specialist.

Jim

I don't know how widespread it is in the NHS but we now have Nurse Practitioners in urology. They can do the initial appontment checking flow and retention plus a DRE. They can prescribe and do post operative checks.Presumably gets patient seen sooner and is a cost cutter.

 

Socialized medicine

I don't have a problem with the NHS nurse practitioner model. Yes it is cheaper and they aren't doctors but they do the day in day out treatment of patients so have more practical knowledge.  I see one every 5 weeks for a bladder instillation treatment via catheter, The nurse works closely with the doctor so  I can get the answers I need and a uro appointment much quicker than via the GP if I need it.  

Sorry to go off the off topic but what type of bladder installation are you getting and why?

Jim

Paul if that is what you want go for it.  If you can deal with it more power to you but there are men that still want it.  There are men that have had turps and GL procedure that the orgasm has not change for them but there are men the the orgasm after is not the same the feeling changes so much that they give up on sex.  I know you don't have sex all the time but it is still part of alot of men and when we do have it we what to know we are. For me at 61 I like my orgasm to be  intense and I still ejaculate a good amount. And still enjoy the after glow that can last for up to a 3 minute with more orgasms  Take care  Have a good Father's Day  Ken