i think it would be a worthwhile effort to assemble a master list of what's available or being promoted by the medical industry. for urinary problems. The good, the bad and the ugly! I'm sure I'll have to make a decision on one sometime soon. I'm beginning a search for a new uro as my current prescribed a daily dosage of Tamulsin that could have killed me! He's also been pushing to do a urolift. I hope we can do this! Include side effects, problems and other info. Thanks to all
There are some websites out there that provide a decent comparison of the options for treating BPH, starting with medications. If you google "comparing treatments for enlarged prostate', you'll find more than one site that compares them. Interestingly, though, one of the better ones isn't current enough to list Rezum, which should be included for comparison. The best advice that someone could give you right now is to do your research online. Most urologists have a preferred (or only) procedure that they do, and they will recommend it whether it's best for you or not.
Hi Johnny
I second your proposal. Having recently joined the ranks of the BPH community I have been somewhat blinded by the plethora of treatments being discussed on this forum - particularly the use of acronyms that may be meaningful to the initiated but are generally Greek to me.
I am currently on Tamsulosin (0.4mg/day). Only been taking it for a couple of months and have not experienced any major side effects apart from maybe 2 spells of dizziness when I got up too quickly. Have not experienced the retro-ejaculation (generally RE in posts) and I am feeling the benefits in less peeing frequency both night and day. However I do realise that alpha blockers like Tamsulosin are only viewed as a delaying strategy and that at some point in the future I may need to look at surgical intervention of one sort or another.
A comprehensive list of what is currently available and what the major pros and cons are would make the decision process at least more rational for the patient. It would potentially avoid them being steamrollered by a Urologist into surgery that may not be in their best interest. Not saying that all urologists are reactionary Luddites but from a few posts on here there are some out there who fit this description
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Good morning Johnny
If you put in list for top 10 prostate procedure it will give you the top 10. 9 out of the 10 do have side effects.
Urolift is the only one that has no side effect. It has nothing to do with your erection and it does not effect your ejaculation. They can put in 2 to 8 clips. You can have it done in a office or some doctor will do it in a surgery center.
You have to make your own list. And then do your research. I am going on 4 years with my Urolift. I had 4 clips and I am still wide open. It will take the pressure off of the bladder neck.
When looking for a new urologist you have to see what they do because not all doctor do all the procedure. You have to make a list of pros and cons of a procedure. If your prostate is to big you may not be able to have some of the procedure.
There are some other least evasive procedure.
Urolift would be first because no side effects. Then PAE if it works. With this one there is a longer healing time and you can get retro to a point because your ejaculation will be less. Rezum is also a less evasive procedure. It can also work but there is a 10 % chance of retro.
You have to do your own research on any procedure that you do. You have to see if you can deal with any of the side effects. Because this is going to happen to your body
Take care and good luck.......Ken
Good morning Johnny
If you put in list for top 10 prostate procedure it will give you the top 10. 9 out of the 10 do have side effects.
Urolift is the only one that has no side effect. It has nothing to do with your erection and it does not effect your ejaculation. They can put in 2 to 8 clips. You can have it done in a office or some doctor will do it in a surgery center.
You have to make your own list. And then do your research. I am going on 4 years with my Urolift. I had 4 clips and I am still wide open. It will take the pressure off of the bladder neck.
When looking for a new urologist you have to see what they do because not all doctor do all the procedure. You have to make a list of pros and cons of a procedure. If your prostate is to big you may not be able to have some of the procedure.
There are some other least evasive procedure.
Urolift would be first because no side effects. Then PAE if it works. With this one there is a longer healing time and you can get retro to a point because your ejaculation will be less. Rezum is also a less evasive procedure. It can also work but there is a 10 % chance of retro.
You have to do your own research on any procedure that you do. You have to see if you can deal with any of the side effects. Because this is going to happen to your body
Take care and good luck.......Ken
Go to top right and use the search facility just for 'prostate' or any individual procedure.
Go to top right and use the search facility just for 'prostate' or any individual procedure.
Go to top right and use the search facility just for 'prostate' or any individual procedure.
Go to top right and use the search facility just for 'prostate' or any individual procedure.
Hi Ken you forgot for miniinvasive very effective new methods
REZUM and FLA . I underwent FLA 8 months ago, ...........my rebirth. :)Especially in case of big median lobe this works properly. Stan .
p.s. Who needs details pls PM me.
Hello Johnny (& All):
If we can acknowledge that BPH is about an enlarged prostate (too big), which many times leads to urinary issues (weak stream, retention, etc.), then we can agree that the medical world offers way too many choices that feeds to our hopes and fears. If we boil it down, I see it this way:
- Minimally Invasive vs. Invasive: Here is where we start. We are scared to death (or very protective) about anyone cutting on us, so we gravitate towards swallowing the "magic" pill that we pray solves all our problems and allows us to avoid the knife. Wishful thinking, and the medical world (and health insurance) plays into this.
- Reduction vs. Removal: We are all ears when some solution guarantees us a "reduction" in the size of our prostate, even when the percentage is mathematically low, and our organ continues to grow. We fear removal because we guard our "manhood" and very few do it to treat BPH. We would rather start with baby steps and spend a lot of time and money, along with frustration, sneaking up on our problem because anything "invasive" is the last resort and literally taboo for many (we can be our own worst enemy).
- Short-term vs. Long-term. Here is where we would rather treat the symptoms versus the problem. Again, for many, we are constrained by health insurance, doctors, etc. In other words, many BPH sufferers are never offered the long-term solution, however invasive it is, until they have suffered all the short-term methods first, and even then, removal scares the hell out of all of us. Plus, we see doctors that are limited in skills and focus more on what they do versus what is best for us.
I recommend one mindset: Treat the problem, not the symptoms, and do not fear the term "invasive." This will lead you to a long-term solution.
Dave
There has never been an official survey as to patients that have been satisfied with their procedure as well as those who have not. You cannot go by fairly newer procedures because they have not stood the test of time.
Hey Stan
Sorry about that Stan.
I did mention Rezum. It is one of the starting step with Urolift and PAE.
I do know about FLA and I do know that it has help many men. I talk with Dr. K a few times a month. Nice guy. But I do not feel that it is a less evasive procedure because you are cutting away at the prostate and all that you have to go through to have it done. Also the cost is not in a lot of out budgets.
Glad all went well for you...Take care....Ken
To all of the men with BPH
It is very hard to say what will work for a man because we are all different and it is not a one size fits all treatments.
We like to hear how these are after a man has a procedure. We want to hear the good and the bad.
But you have to do your own research. Pros and cons. Your concerns and what side effects you can deal with. You also have to look for a doctor that will explain everything and answer your questions not just give you a generic answer or downplay the side effects
Some men will have let's say a Turp or one of the Laser procedure and they do well and even if they do get retro which is given with this kind of surgery. They are fine as long as they can still be sexual with there partners.
But you also have men that they are not ready to have retro because it was not what the doctor told them. Most doctor will just tell you that you don't need it and all will feel the same. You also have men that can get there erection back quickly and then you have men that still can get it after 2 years. What ever you pick you are the one that will have to deal with the out come
You have to do your research and pick the best for you. Do not take the first thing that come along. Remember you are doing this to your body and you should not give up
Deal with BPH is hard enough you don't want to add to that with a procedure that may not work. You want the best for yourself
Take care all................Ken
"Urolift is the only one that has no side effect. It has nothing to do with your erection and it does not effect your ejaculation. They can put in 2 to 8 clips. You can have it done in a office or some doctor will do it in a surgery center."
This is absolutely false. UroLift does not have any reported SEXUAL side effects, but has many other potential side effects like actually increasing urge and frequency, which many men have reported have been a 'permanent issue."
Everyone knows you like UroLift and that's fine, but please Ken, don't put out info that although you may not mean it to be, is actually bad information, thanks!
Which is why Dave, what you did or any Enucleation procedure is best, like GLEP or Holep because both of those pretty much assure no need for re-treatment. Lapro or open Prostatectomy what you did, also solves the issue.
Actually, there was one patient on this forum who recently reported having ED after Urolift. Still, sexual side effects are very rare with Urolift. Also, I made numerous attempts before at trying to keep Ken's enthusiasm with Urolift down to a more realistic level, but to no avail. 😀 Hanki
And my good friend Ken's thing about GL and HoLep.
Lvscott
Thanks for the advice but I am only telling you what I have learn on line from my doctor and one of the inventors of the procedure which I talk to 2 times a month.
Also I was told by Mr. Neil Barber a well know doctor in the UK that if you don't want any sexual side effects the Urolift is 100 % As long has the prostate is the problem. That is why you have to have the test done.
You can say the same about any prostate procedure they all cause some sort of problems. They all can cause potential side effects like urge and frequency. We all have to do the research. There was just a 5 years study on men that have had the Urolift done all were fine just some minor problem. If that is all I have to deal with to save all my sexual function. So be it.
By the way. The only way you can get retro from a Urolift is if the doctor does it wrong and messes up the bladder neck. There is a bar that is inserted in. It has to be kept away from the bladder neck.
I hope you have a great day.............Ken