Resecting the median lobe and Urolift

Hi I have a large median lobe and a prostate of 57 cc. I have seen two urologists that say that in order to do the Urolift I have to resect the median lobe by Turp and then they would proceed to do the urolift. One of them says that when they resect the median lobe, I would not get Retrogade Ejaculation because it is not part of the prostate sphincter and therefore it is safe. The other urologist says that there is no guarantee and I may have retro after the median lobe resect. He also said that the Urolift does not guarantee that you will not get retro and there is a  between 2 and 5 % chance of retro. Any thoughts on this would be greatly appreciated. I would like to hear from someone who did the median lobe resect and the urolift. Thanks

Patrick

Have you looked into prostatic arterial embolization (PAE)? There is no chance of RE, impotence, or incontinence with that procedure.

I have not had resection, but I had a large median lobe and a large prostate size of 130g. I had the PAE procedure and it worked wonderfully Inspite of median lobe and large prostate.  No pain, no bleeding, no sexual side effects, great urinary recovery.

Patrick you have to research. Anytime they do a Turp retrograde Ejaculation is a given That is one of the side effects. With the urolift no side effects no cutting of the prostate. I just read some information. That they can do a urolift when the prostate is 20 cc to 100cc. The bigger it is the more implates they have to put in. I had mine done 7 weeks ago I'm fine.It worked great. Don't remember the cc of the prostate but it was the size of a lemon Put in 4 implants. If I were you I would tell them that you like to try the urolift first before thay start cutting away once they do the side effects are for ever. Ken Any question just e-mail me

Patrick;  Iam having the "Urolift" on tuesday morning the 23rd of June.  Once I have had a few days to recover I will start a post and tell everyone what the "whole experience" was like and talk about the recovery time, etc.  I have not heard of a  2% to 5% chance of retro from this procedure.  That seems a little strange since there is "no cutting" involved.  All they are really doing is just "rearranging things a little".

Pat what Chuck is saying is true. Look up the Urolift procedure there are no side effects. You looking for side effects have a Turp. Don't let them cut you. I would either tell them you would like to try the urolift first and if they say no I would get a diffrent urologist. It's your decision to make. And why have something done that you may not need. Also Chuck had a PAE done and it did not work for him. Ken

Hi if you are from Europe then I would try the Memokath. The only solution which are 100 percent reversible. So if you are not satisfied then you can always get it removed and the insertion is also easy no need for anesthesia or resection before. By far the most safe procedure regarding BPH.

Hi Casper

I am not in Europe. I am in North America. Here the Urolift costs around $10000 USD. I had never heard of the Memokath before. How much does in cost in Europe?

This is a really great forum and we can hear of dirrent types of procedures in regards to BPH.

Hi yes indeed it js a great forum - it costs around 2000 dollars and has a great track record. Guess urolift is that expensive because full anesthesia.

Patrick, I'm with Chuck on this. If you Google South Coast urology Australia and look at the Urolift section there you will see a video on how to do a middle lobe as part of the other lobes with Urolift devices. Dr Peter Chin who along with another Australian surgeon invented Urolift has done this video. Send it to your Doctors. I have had Urolift and before I had it Peter thought there coudl be a problem with my middle lobe but he was pretty sure he could pull it back using a Urolift device. He has done this many times.His last option was to use the knife if he had too. In the end the middle lobe was no issue at all. Seems like no one really knows what it is like till they get the hubble telescope up there. The Urolift is well worthwhile and I have a new life now - improvement started in a week. It has been almost two months now and it's even better. One thing to watch out for is infections - especially if you have to have a catheter afterwards. You need to get on top of it quickly with Antibiotics. Good luck.

Kevin

Kevin  I had mine about 6 weeks ago.  Most of the time they do not use a catheter but my urologist used one on me because I have a problem with peeing on demand. It can out in two day and my doctor gave me antibiotics before I left the hospital  My insurance covered it.  The best thing I ever did.  It is always best to have a less evasive procedure thay have them start cutting away. and tell you it will be the same which its not Take care  Ken 

Casper and other men on here. I have been reading about The Memokath procedure.  It is use mostly for urethral stricture but can be used to open the prostate.  For short term only. If you have it in to long you can have ingrowth of the tissue.  It would have to be removed before it could cause you more problem.  Just be careful over there in the UK or in US.  This has nothing to do with the prostate but I read this while I was looking at some of the procedures  I came across this  In a Liverpool hospital a man went in to the hospital for a simple urology procedure and when he woke up they gave him a vasectomy.  He was p*ssed I think I read in was in his early 30.  What is going on with the hospitals.  Please guys if you do go in for a procedure make sure it's the right one with no surprize.  Take care  Ken     

Emis Moderator comment: I have removed the comment saying this happened frequently in this hospital as that is not true. This was an isolated case and the figures you were quoting were for the whole NHS and not just in regards to uro procedures. Please do not misquote these types of stories which can cause unnecessary concern for other users.

Hi - I have read this conversation and have some comments I would like to add regarding Memokath as the information is wrong and I think that all facts have to be correct so it is possible to take a decision based on correct data. Memokath consist of stents to different places in the urinary tract, and there is a speciel Memokath to the prostate. The design is made so tissue in-growth is not possible. It can always be removed if needed, even after several years and no harm is done at all and no materiel is left in-side the body. Whereas when you need to remove the Urolift the metal achors always will remain in the body, as they cannot be removed. The Memokath is the best documented BPH treatment of its kind as it has been available for many years and in many countries.Despite many Memokath are inserted there hasn't been reported any serious side effects. Unlike Urolift which has limited evidence because its limited time in the market.

Take care - the sister  

I will look for the sites that I read that information There were 2 of them that said the same thing about the ingrouth of the tissue.  Short term only  But I think its better then having your prostate cut away at.  If you don't have to have that   Ken

I will look forward to read it. Previously prostate stents had huge issues with tissue in-growth. But as written not the Memokath becaus of its design - I think they learned from the others.

Barra wink

The other day I was looking up the memokath stents.  I read 2 articles that said that it can be use but for short term because after a while you have to deal with tissue in-growth  will research more  Ken 

Looks like the Memokath is quite a good alternative for BPH problems. As time goes on they will keep on improving the procedure. But does anyone know if they do it in the US or Canada? I don't seem to see it being done anywhere in North America. Is it done only in Europe for now? Has anyone in this forum done this procedure and willing to share his experience?

Hi and Asia and Australia and especially in japan.

I'm not sure, but I think that you are reading about another prostate stent. The design of Memokath is made so tissue in-growth is more or less impossible. I have tried to google it and so many articles appear, and those I have read emphasize that Memokath unlike other stents NOT have tissue in-growth, because of it design.

I will look it up again. The 2 articles were om the same page  I will let you know   Ken