Vous avez probablement à la fois un problème de vessie et un problème de prostate, mais vous avez besoin de plus d'informations. Que montrait l'endoscope ? Quelle est la taille de votre prostate, à quel point votre urètre est-il obstrué et comment avez-vous évalué vos problèmes de vessie ?
Où êtes-vous situé ? Alors je peux vous orienter vers quelqu'un.
À propos, je ne suis pas sûr que vous sachiez assez pour discerner à quel point votre problème est lié à la vessie et à quel point il est lié à la prostate. Vous auriez besoin de tests dynamiques de la vessie pour vraiment le savoir. Mais si vous avez une obstruction prostatique significative - assez pour avoir des difficultés à uriner sans difficulté avec une vessie fonctionnant normalement, il n'y a aucun moyen de réhabiliter votre vessie sans éliminer l'obstruction. Je suis d'accord, la TURP n'est pas la solution, mais il existe d'autres procédures, moins dangereuses, moins invasives qui pourraient aider si votre urètre est significativement obstrué par votre prostate.
Quel était le résultat de l'endoscope et avez-vous subi des tests sur votre vessie pour confirmer cette intuition ?
Had Urolift about 21 months ago at age 71. It takes time, but it got better and better and better as I healed. For me, I found out there was more to it and grumblingly did a sleep study that turned up restless leg and sleep apnea. Now have meds for the restless leg and a C-PAP for the apnea and I love it. Usually get at least 4 hours of continuous sleep minimum, often 5, 6, 7 or even 8 hours. Not saying your situation is the same. Just double check for other causes. Main thing is just time...let time heal. Surgery of any sort is no small thing.
I second your advice about the impact of other causes. In my case, it was my wife who has the sleep apnea machine. She switched just before my urolift procedure on 2/20 from a cpap to a bi-pap (reduced air pressure on exhalation). She wakes up less during the night. I woke up an average of 1 time less per night because of that (based on a 1 week sample - probably not accurate, but that's my perception). The urolift impact also reduced my wakeups. It's about a month after my procedure and I am heading in the right direction.
I'm almost 63 and I'm extremely active. Two years ago (January 2016) I had the Urolift procedure performed. I got off the BPH medications completely, but after about 9 months, I noticed that my old problems of incomplete voiding and increased frequency began to return. By the end of 2017, the situation became intolerable - getting up 4 to 6 times per night, unable to take long car trips and still be able to void, etc. My urologist performed a cystoscopy to see what the problem was and discovered that my Urolift had failed. The prostate tissue had grown to fill the void that the Urolift originally created. This is particularly concerning since my prostate has grown slowly compared to most. At my cystoscopy, I learned that my urologists only performed about 5 Urolift procedures and the entire practice only performed about 25 Urolifts before abandoning the procedure due to its consistently poor results.
This past week I had the "rezum" procedure done. My urologist's practice has had significantly better results with "rezum" as compared to the Urolift. It is too early to report any results from my "reaum" surgery, but I'd advise others to actively seek alternatives to the Urolift.
D'après ce que j'ai lu, les résultats des deux sont assez comparables, les prostates continuent de croître quelle que soit le traitement et parfois elles ne durent pas très longtemps et il y a des personnes sur ce forum qui ont eu un échec de Urolift, ont été refaites et ont obtenu de très bons résultats. Et certains qui ont eu des échecs complets avec celui-ci et n'ont obtenu aucun soulagement. Rezum ne fonctionne pas non plus sur tout le monde.
Je ne préconise aucune procédure en particulier et il y a des raisons de choisir l'une plutôt que l'autre et certaines raisons pour lesquelles Urolift n'est pas indiqué, comme un lobe médian élargi. J'espère que votre Rezum fonctionnera bien pour vous - cela a été le cas pour moi. Mais rappelez-vous que certaines personnes doivent subir des procédures tous les quelques années - il y a des hommes qui ont posté des messages sur la refonte de Greelight, TURP et d'autres procédures quelques années après qu'elles aient réussi.
Gray I seam to feel it was all on your doctor and the way he did it. If your clips failed he did not but them in right or did not put enough to hold your prostate apart. I would never consider a procedure like Rezum that there is a chance of retro. I don't care if I'm not having any more kids. I don't know how long you have been on this site but they have been more failed Rezum procedure then good between them not working and you have to do CIC and your left with retro. I had the Urolift procedure done over 3 years ago. I was number 20 for my doctor. My prostate has grow some but the clips have kept my prostate wide open. My doctor and his partner have done many over the last 3 years. I will also say any procedure will work has long as you have a good trained doctor. I hope your procedure works for you because once it done it. I am in contact with a few men that are going to other doctor now because they had the Rezum procedure and it did not work for them. They want to see what they can do now to re dew the damage. Heal well and may God be with you Ken