Ok, I have decided, I am going in the next 21 days for FLA. I have picked dr. k if the schedule of my wife's treatments can allow it along with his schedule. He is busy with some complicated PCa cases as well as talking about a partially self funded clinical trail scenario for BPH patients.
If I cannot line up with him, his associate is Walser and I will get him as they still work together at the same hospital. Maybe I can get both involved and get a double bang for my buck. I will let you know soon.
Best of luck John. Did you happen to see the Water Jet Ablation Thread? They are doing trials now so the procedure is free ( I think )
Gook luck John Glad you picked something that you agree with. Water jet Ablation thread is in alot of trail. It does say that yhey are trying to help men and it does not give incontience and trying to same sexual function. But they do not say if they consider retro ejaculation a sexaul function. Doctor don't I have e-mail in to them.If it does not it's just like all the rest of the surgerys Ken
Yes you are correct. I will check out water jet. I love the FLA because of the precision. Dr k showed me my ejaculation ducts on my MRI and he will not touch them. He also showed me my nerve bundle for erection and my seminal vessacles and he will not even get in the same zip code as those. So no sexual side effects. He then mapped out on my MRI the areas he will ablate and the complete game plan. He show me how he will remove prostate tissue under my bladder that will allow it to relax back in place and stop the retention of urin in my bladder. The precision with his visualase laser is so good it is up to 1mm. He won't need that but it is used in heart and brain ablations. It is quality precise thecnology.
Both these doctors are are world class interventional radiologist. They have worked together a while and done amazing work. I am sure glad they are on prostate work now. I will give everyone a blow by blow and if anyone want more concise detail just ask me to pm you my contact info or tell me to pm you.
I'm very happy for you. Some doctors do not consider a mans ejaculation a function they just over look it or just say you don't need it at our age. I praise Dr. S for what he is doing. Ken
Good luck to you j12080. I wish I had known about Laser Ablation before I had TURP. I am doing ok but another option would have been nice.
Joe I know it's to late now but FLA has been on the internet for years. I do hope all goes well with the turp. I will keep you in my prayers Ken
How long ago did you have TURP? Any regrets? Sometimes TURP is a catch all term with different ways of removing tissue. How was your tissue removed?
Good luck with your procedure and please let us know how you progress. I too have been considering having Dr. K perform this procedure and ablate a small 3+3 lesion. But the primary purpose is to try and improve my urinary symptoms.
Hey guys I am sure this is a dumb question, but who are Dr k and s? And where are they located?
Are we no longer allowed by the moderatoe to use Dr names?
I had a failed PAE back in Jan 2016, And its possible the reason it did not help is because of the large median lobe. Wondering if that lone could be removed with this procedure without causing damage to other vital tissue. I also have chronix prostatitis.
Thanks for the info. And good luck with your procedure J
Sorry to hear that about your PCa but I will also have a suspicious spot abalated by karamanian when he does my BPH procedure. i would highly advise you to just call him. Good Luck and get it ablated and out of you. There is little to no down time. I had a friend do FLA for PCa 3+3 leasion and he went sight seeing that afternoon. My wife said when I do the ablation for BPH, we are going to tour NASA that afternoon!!!!
Doctor Sperling is the doctor that does FLA. I have read in his reports that he can remove prostate tissue without causing damage to any of the sexual function. If your median lobe was in your bladder he could have remove only that. With the FLA procedure. Ken
Aren't you cathaterized after the procedure?
We will be waiting for your news!
I am 65 year old and going next week to do the Focal Laser Ablation procedure. I could not do a Uro-Lift as my prostate is 125 cc.and classified as too large. Preserving all sexual function, fast effective results, safe, and long term benefits were the criteria I chose to look for. FLA will work and it will provide longer results as well as reduce the size and PSA score. It is very precise in technique and results. Dr. Karamanian diagramed the ablation area for me and showed exactly what would be removed in the laser ablation. In this diagram, it shows that he does not have to touch the Urethra, or any of the sexual functional areas of the prostate. There is no to little blood especially as compared to other BPH treatments. As tissue is coagulated in the areas of the prostate it will be absorbed by the body and passed off as waste leaving three vacant areas or pockets running along the side of my Urethra that will not regrow tissue next to my urethra.
FLA is considered a new treatment for BPH but FLA is done very successfully for PCa in low to medium grade cases up to 3+4 Gleason situation. While getting this done, I am also getting an area of the prostate removed that is causing my bladder retention and also a spot that has been on active surveillance in the medial lobe as dark and suspicious. It will be biopsied then removed as it is best gone away. So I feel like I am getting “three birds with one stone” if you know what I mean. They will ablate about 30% of the prostate tissue. Dr. Karamania is very communicative and diagramed and overlaid on top of my MRI exactly what and where the ablation would happen. He showed me in graphic detail on the image three areas along and beside my urethra that would be removed without touching my urethra and the area that would be taken out that was pushing up into my bladder.
This doctor also uses a conscious sedation more like a colonostomy procedure instead of a Valium pill which is what Sperling uses. I am not interest in that light of sedation as I want no pain in the procedure.
Yes the procedure will cost me money out of pocket with only some items reimbursed by insurance or medicare but it is worth it to me to go NOW with the treatment I cannot lose time at work any other time of the year. I have a window before the first of the year with my employment to get this procedure done and back to work.
As a side note, I think this Doctor is about to offer significant saving on a trial effort he will be starting for study with 10 patients in January and he told me about it. But, I am not waiting as I don't care about the cost. I want only one think. RESULTS. I got to have some help and I have been given this extra time window opportunity with my job of doing it before the first of the year. So here I go.
I will let you know how it goes as if you start researching the other options this is something you should know about. I cannot put out as much detail as I like as most of my post have been block by this moderator as you can see in this tread of messages. But I can personal message what anyone wants to know more. I really think this is the answer at least for me.
Tried to send you guys the info update but for some reason this site moderator will not let me send it AND they dont even explain or educate as to why?
yes for 2 to 5 days usually though S tell you no. Understand you will swell and pinch off the urethera for a short period of time.