My new Urologist said that, I have a choice of a Urolift or a button turp to cure my bph, which one do you guys suggest.?
Dear Lew, There are many more procedures to choose from. These are probably just the ones he does. I would seek a second and even third opinion before committing. Take a look online for local uros who have good reviews and make appointments. Look up BPH treatments online and read about the efficacy and side effects. Then decide. In the meantime, if you can't urinate, learn how to self catheterize. Good luck, Fred
I agree totally with Light1 that there are many more options out there, including self catherization, that you should consider. However, if you are limited to only two choices above, the answer depends on whether or not how much dry ejaculation concerns you. Much concern, go with Urolift. Little concern, go with button Turp.
As a follow-up to the preceding comments, if you are fortunate to find a uro who has personally undergone a BPH procedure and was satisfied you might consider that procedure if it is appropriate for you. However, doctors find it unprofessional to discuss their own medical conditions with their patients,
yes, i would ask for a second opinion as well.
Did he do any kind of inspection of your prostate and explain why is choosing those two options? Why not Rezum as an option?
Good Afternoon:
Steering Patients in Medicine
In real estate, steering clients on the basis of characteristics defined under the Fair Housing Act is not only unethical, but, it's illegal because it limits housing opportunities available to a buyer.
The same philosophy could be used on doctors in medicine.
Everybody wants more money. Nobody (even doctors), are immune to the disease.
Just because a doctor is only qualified in certain procedures is no excuse for not giving their patient as much information as possible on what procedures and who does them are out there and available for s/he to choose from.
Why should a patient have the possibility of a lifetime of misery forced upon them when the doctor knows there are other procedures out there that might offer their patient a better outcome.
Steering a patient to a specific practice for monetary gain over best possible patient outcomes, is unethical and should in this man’s opinion also be illegal.
It’s time the medical industry stopped preying on patients for their own and their practice’s monetary gain and started concentrating on making sure s/he has the most qualified doctor available for the best possible outcome from their ordeal.
Regards, Raffie
I'm curious how much experience your Urologist has with the Urolift procedure. My urologist is suggesting Urolift (for $11,000 USD, some of which is paid for by insurance) and says he's done "80" or so procedures. (for Urolift, a typical number of "toggle bolts" as I call them per guy is 5-6 so maybe he's only treated 14 men?)
He says that a rep from the Urolift company will be in the room to consult on the procedure which on one hand makes me feel good (the rep is theoretically an expert on the product) but also worries me that my care is in the hands of a salesperson. (no offense to salespeople in general)
I may "shop around" but I don't want to travel too far to get the procedure done in case follow up care is needed and I have alienated my local urologist.
I am pretty serious about doing Urolift in 2019.
I agree that you should research the other procedures first and go to another urologist for another opinion. That being said, I had Urolift done in June and have been totally happy with it. I believe Urolift is the least destructive of tissue of all the treatments. I now pee once a night, I have much more volume and force and no sexual side effects and not taking any drugs anymore. The choice is dependent on the size of your prostate though as most Urologists will not do the procedure if your prostate is over a certain size.
I'm trying to remember the number of Urolift procedures My Urologist did. I believe it was about 40 different patients/procedures. I didn't have a Urolift sales person in the room. I had an anaesthesiologist and a nurse. Make sure you're out for this. I was in alot of pain upon awakening. Was pretty much pain free though in about 48 hours
Ken, was the procedure painful? I have a choice of a general, what did you have for the pain? The first urologist would only give me one valium and some vicoden, so I found a new doctor who said, that I have a choice of what I can have during the procedure.
Hi there,
wondering if you did indeed have the procedure done and whether it was painful or not. My husband had the procedure done a week ago. It was very traumatic. The nurse injected lidocaine through the meatus, (penile opening)
and we paid extra for nitrous (laughing gas). He said he felt everything. 10 out of 10 pain. When i first saw him after the procedure he was pale, shivering and groaning. Completely in shock. They sent us home with an RX for percocet. pharmacy didnt even have it ready.
So i've been trying to research how others procedure went to see if my poor husband was not the only one.
Thank you.
I had urolift but it didn't work and had to have a TURP. The TURP was much less painful too. The answer depends on a lot of things so only you can decide.
Luci, you mean he had a urolift with nothing more than N2O? The lidocaine is only supposed to help with the instrument being inserted up the urethra. I was given N20 to help with discomfort from am in-office flexible cyctoscopy and it was very helpful, but a UroLift should be done under significant sedation. The N20 I was given was self-administered -- my doctor said when to start breathing deeply while I held the mask over my face. I did not become unconscious, just very light-headed and distracted. I was out cold from propofol administered by an anesthesiologist when I had my Urolift done several years ago. Did not have much trouble with pain when I woke up or afterwards. Just burning when voiding for a few days.
Yes. Only N2O and lidocaine. He screamed throughout the whole procedure. Nurse had to stop helping the doctor to calm him down. My tough husband.
Borders on malpractice, IMHO
Out of curiosity I reviewed some publications on UroLift and descriptions of the procedure from some urologists' websites. Apparently there is a good number of them who do the procedure without any type of sedation. One of them said most tolerate the implants being shot through the lateral lobes which I found hard to believe, but do not tolerate the sheath going up to the bladder neck. There's also a 35 degree bend in the urethra at the external sphincter that can be painful when they have to redirect the sheath to push it further in. I understand their motivation for avoiding twilight anesthesia or beyond so they can perform it in their office without an anesthesiologist...but doing it without a prostate nerve block and oral analgesic?
Sorry your husband had to endure that.
Neither, Do the rezum. Mine actually did not go initially well with a massive post infection. However, after 2 months Im beginning to see better results. Peeing stronger now. It seems that finally getting good resuts. Do the Rezum!!
My urolift was a failure and left me in constant pain. I recently had a TURP and that was a walk in the park (pain wise) compared to urolift and the results much better. With the TURP one of the urolift clips was dug out, I think it was the one causing me the pain. If RE is not an issue for you then just go with the TURP and you wont be left with those damn clips inside you.
Andrew I also have a failed Urolift with 4 months of pain. Going back next week for a scope to see what is wrong. Can u tell me a little more about ur failure and how turp was less pain. Thanks