Hi, Has anyone had TURP on the NHS and needed aftercare? I'm 68 and scheduled for a TURP op but, as I live on my own and also have COPD, I'm worried that I won't be able to look after myself after the operation . I have no-one to help me back from hospital or help me round the house when I get back home. I might not even be able to go shopping as I gather I will be encouraged not to do any lifting for a while. Does the NHS provide assistance in this sort of case? Thanks
in the US we have a level of care called skilled nursing facility or SNF. you can stay there until you’re strong enough for home. ask you UK doc if they have something like that by you.
in the US we have a level of care called skilled nursing facility or SNF. you can stay there until you’re strong enough for home. ask you UK doc if they have something like that by you.
Hello My Friend
I do not know how they do things in England. But with you having Problem with your lungs. You can’t be laying down all the time. A Turp is a very hard procedure you have to watch with the bleeding. Some men have no problem but there are others that it can take up to a year to heal.
Was there any other procedure you can have or they told you that was all they can help you with. In the US most doctor call it the last resort procedure. But if that’s what you have to have so be it.
Check with your hospital How long are they going to kept you and is there anyway you can go to a rehab center for a couple of weeks so you can heal some.
You may want to start stocking up on things and put them in you freezer to get ready if you have no one that can help you.
I am sorry but if you were here in Orlando and had no one I would find a way to take you and help you out. I worked in the 80’s in a nursing home for 5 years
Maybe you need to check into a different procedure that is less evasive. Take care Ken
As Kenneth has said TURP is the last procedure you or anyone should be offered. Apart from your condition it is outdated and has a long recovery time. There are several newer laser procedures like GL PVP and HoLep that have better results, gentler, less stressful and quicker recovery. There is also non surgical Urolift. The latest one recently in the media that will be first choice for the NHS is non surgical Rezum.
Google them or use search button at the top of the page after community. Once you are more informed go back to your GP to discuss the better options. Your GP knowing your situation should be getting Social Services involved in post procedure care. Which part of the country do you live in as much help and procedures are ‘Post Code’ related.
I see from one of your other posts that you have an enlarged median lobe. Sadly that is the area that creates problems with most procedures as it is in the bladder neck area where retrograde ejaculation is most likely caused.
Thanks for all the replies. I have tried to get HoLEP but it’s not available at my local hospital, the Lister at Stevenage, Hertfordshire. My urologist said he would discuss referring me to Luton & Dunstable Hospital for HoLEP but that was over three months ago. My urologist was not present at my last appointment (it’s a lottery who you see at the Lister) but the urologist I saw told me HoLEP was reserved for patients with prostates over 100gm and I didn’t qualify despite my other health issues. I’ll take it up with my GP anyway. My main concern is that even with HoLEP I may not be able to cope on my own.
Hi Derek76,
I’ve been on Tamsulosin for so long I have retrograde ejaculation anyway. I’m not too concerned about that as long as I can still have a decent orgasm!
whereabouts in the UK are you Grunthos ?
Darren
As far as im aware you should have a district nurse help you out . . However , you will be evaluated after your op so please exaggerate your need for home help or i guarantee you wont get any. i think its only 5-6 weeks at best . Make them know you live alone . The NHS is in an awful state , ive had a gut full of it recently. Usually great care when you are in the hospital and then appalling once you are out .
They make up the rules as they go along. Rules and reservations are made to be broken. Get on to your MP.
I agree with Ken that Turp is an option of last resort . There are many new less invasive procedures available now but not many are available in EVERY uk hospital ., so you may not be offered something that would suit you with less recovery time etc .
Do your research on the internet for BPH procedures and if you find something that is less invasive with less complications and shorter recovery time, ask your urologist firstly if its suitable for you and secondly if your local hospital offers it on the NHS. If you are fortunate to be financially secure you can go private and have every procedure available and done within a week providing it is suitable for your diagnosis .
Grunthos
Hey buddy. Just was sitting watching TV waiting for my sister and her family to come in. I don’t know how the health care symptom is in England But you should be able to have any procedure you want. And not be force to take want they give you. Yes what you say is true you will have a problem with any procedure you have. But stay away from the TURP Procedure. Remember it is your body
If you want the Holep procedure it is some what like a Turp but done with a laser and there is less bleeding and healing would be faster. You can still look up getting a home health care worker if you have them there. Keep bugging them. Go for the procedure that you feel would be better for you.
Now being on Tamsulosin and your retro ejaculation how is it. Do you have the same feeling. I know when I was on Flomax & Rapaflo I had RETRO. And it sucked. There was no feeling at all. The built up was there but went flat when it hit. I don’t know if your doctor told you anything about it. But some men have no change in there orgasm and some say they are better.
But it also depends on how up front your doctor is. If you read some of the articles on any of the procedure that cause retro. Doctor will tell you that it can cause your orgasm to go to a 1/3 of what they were before.
Please don’t give up. Fight for the procedure you want. Good luck Ken
HI Ken
unfortunately . I don’t know how the health care symptom is in England But you should be able to have any procedure you want
that is not often the case here in the Uk . I dont know our friend’s situation but unless you are willing to travel some distance ,and wait a very very long time ( or pay for private treatment ) you will not automatically get a full range of options . The NHS offers free treatment from cradle to grave and is amazing with superb care but is behind the times on many new procedures . I know from personal homework that Urolift for example is not available on the NHS at any of my local hospitals . However there are several private hospitals within a 15 minite drive that offer it with one week notice . We dont have medical insurance so it depends on your situation whether you can opt for this . OR , you wait a very long time for your local NHS hospital to provide it .
Thank you for getting back to me. So I guest you can have anything you want but in the end you have to pay out of pocket. Which is wrong. Yes we don’t know the whole sorry but it may be a simple fix. If his prostate is the problem. The Urolift would open him up and take the pressure off the bladder.
I wish him luck but he needs to have something done that will not take so long to heal
Ken
I am sorry my friend. It is go for small and large prostate. You have to put your foot down. With your other problem tell them this is what you want. It would be a lot easier for you to cope with a Holep procedure. Do what you can. I would fight to the death before I would put my body through a Turp.
Good luck…Ken
There is “Patient Choice” where you should be given NHS or even private hospitals and consultants to choose from. For some reason it is not always offered and I have never been sure why. It may be some Area Health Authorities don’t do it or some do not want to accept patients from out with their area. In South East England there is even the option to go to French hospitals for NHS paid for treatment but you have to pay for your own travel expenses.
Letchworth Garden City, Hertfordshire. My local hospital is the Lister at Stevenage. East and North Hertfordshire NHS Trust
I’ve had two anaesthetic checks so far (April and November this year) but I haven’t had a pre-op yet so I’m hoping to raise there issues at the pre-op.
these issues not there issues