Has anyone on here had their Drs. talk them into a TURP?
You probably realize that most docs will favor what they can and have been doing. Turp has been the standard for some time. I was going to have Turp before I found out about HoLEP. Not all docs do it because it takes special training. But, IMO, it's a far better procedure. Fewer days in the hospital, less blood loss, faster recovery, less chance of needing a repeat procedure, and they biopsy the tissue removed (not possible with Turp or Green Light Laser. Do the research on the docs to see what they can do.
After reading on here by alot of men I think they do . It was something that was done for many years so they think it is right. I think we should ask them would they have it done to themselves. The Gold Stander as it's called.. I'm happy that times have changed an there are more procedures that are less barbaric. Information is the key Ken
It still give you retro ejaculation. And there are some men that don't want that. They would just rather put up what the problem Take care Ken
As the benificiary of the benefits of a HoLEP I'd ecommend it over a TURP any day and fully endorse the comments made in Steven's reply.
I put up with everything that goes with an enlarged prostate for several years and despite being offered a TURP on several occasions I refused each time on the basis that something better would come along eventually and it did.
Retrograde ejaculation is no problem for me and if others would prefer to put up with nocturia, hesitation, frequency and urgency just to be able to ejaculate normally, then that's their choice and good luck to them. When their bladder begins to suffer as a consequence of incomplete voiding over a number of years, they may wish to reconsider their option to reject surgery and put up with the problem.
One last comment on HoLEP, I opted for a spinal anaesthetic which allowed me a quicker recovery and out the same day without a catheter.
HoLEP, it's a no brainer!
I did of course mean Paul's reply not Steven's in my previous post. My apologies for any confusion it may have caused.
It is up to every man to pick the procedure and the side effects. I myself pick a Uro-Lift. It has been over a year and I'm great . I'm 60 and enjoy every thing I can Good health to you Ken
I did 18 months ago. Was going to the bathroom alot and had all the medications were not working any more. Could not completely empty my bladder and had a hard time starting the stream. If they told me ahead of time what I had to go through I probably would have never done it. It took me 4 months to get back to work. It solved one problem but found or created another. My bladder only holds about 6 ounces now so I still go to the restroom alot. The urologist tried resetting my bladder with a procedure where they fill your bladder with water while under anesthesia. It didn't work because I have Interstitial cystitis for which there is no cure. Vesicare is about the only thing that offers some relief. I know everyone is different but it's very frustrating. I am 57 years old. Good luck finding a good urologist.
Tampafd. Sorry about the problem. There are alot of men that some procedures will not work or that;s not even the problem. A good urologist is the key. And it takes time to fined one. PS. They will only tell you what they think you need to know Ken
Yea, I don't want any surgery that will alter my sexual function. I would rather put up with it as long as I can. Seeing what my dad went through and is still going through I would never consider TURP.
I went to 5-6 Urologists and they all pushed TURP, some of them very aggressively. The reasons are: 1) it is their go-to procedure, and 2) it is their go-to money maker. Skip TURP, go to an Interventional Radiologist who can do PAE (which is currently not covered under Medicare but is the only "non-invasive" procedure out there), or go talk to a HoLEP Radiologist.
Steven, skip TURP and Holep. I was lined up for Holep after rejecting TURP. Then I found about PAE...prostate artery Embolisation.
Im so glad I did. I had mine. 9 months ago. No cutting, no bleeding , no incontinence, no impotence, no retro and on top of that I have improved sexual function and I now pee like a horse and only get up once a night and that's only because I have two mugs of tea before bed.
I already had the TURP done. It's very frustrating !
I agree the urologist has his or hers best interest in mind and they profit from this but not from PAE. After all I have read I would opt for PAE. Currently I have found that taking Cranberry pills three times a day keeps my symptoms at bay. It stops the pain and gives me a normal stream. One shouldn't have to sacrifice function for relief. My dad was butchard and is paying for it. It has put a strain on a 50 year marriage. Not Cool. Maybe his doctor was a quack, not sure but I would avoid TURP.
I was never given an option as they could not get a large enough catheter (16) in after failing to pass water and a 10 just kept blocking in hospital.
I am SO very sorry to read this, Steve, after all the other replies. Yes, I too had a urologist try to talk me into TURP, as did his PA. I declined, as I knew of the likely and possible AND definite side effects. For a year, I searched and learned, eventually finding Urolift. A couple of months later, I chose a doctor in Salt Lake City (3,000 Km from wher eI live in Pennsylvania), as he had doen the trials before it was okayed for use in the US. By then, my uro had also discovered the Urolift, and was in training for it. He---get this--- said, "Keep on cathing, and when I'm certified in a few months, I do you!" The doctors just don;t know what they sometimes sound like! I had it done in Salt Lake, and he did the best he could. I am back to normal re peeing, and was back to stacking firewood and hauling, THREE DAYS after the procedure!
Re "stretched bladder:" Because of years (decades???) of incomplete emptying, as I've mentioned elsewhere, my bladdder is stretched out, never completely voiding. Since I'm used to cathing (one-time use pieces!!!), I cath before retiring each night, and as a result SLEEP THROUGH THE NIGHT, EVERY NIGHT. It's a solution I HIGHLY recommend; nothing like the uninterrupted sleep of the blessed, even if I haven't earned it! :-D
Steve, I'm so sorry to hear that.
I have formed a very low opinion of urologists since my m troubles with BPH began. I always knew I had a large prostate. My PSA was over 9.
My doc sent me off to a urologist and that's when my troubles began. The uro told me that I needed a biopsy ....I had a 30 core transperineal biopsy and that's when my troubles began. I couldn't pee properly anymore !
The uro gave me Flomax and said I should be ok....well 8 months later I still couldn't pee properly...up 6 times a night.
I saw two more urologists. One wanted to do Holep and the other, a woman, wanted to do open surgery on me for Gods sakes.
I didn't want to risk incontinence, impotence and retro.
I stumbled onto PAE on this website by accident and its here I found out about PAE.
In my opinion urologists are:
Cavalier...they re arrogant. They've had the prostate franchise to themselves for far too long.
Ignorant: Most of them have never heard of PAE.
Deceitful: If they have heard of PAE hey will wrongly bag it. I have only heard of one uro who reccomended PAE.
Greedy. They are more concerned about their wallet than the truth and the best outcome for their patients.
I owuld not assume motives, myself, but I too know the results: les-than-informed, too-busy know-it-alls who would rather you just shut up and do what they say. When I told my guy (Aug 2014, when I couldn't p[ee AT ALL) that I wouldn't let him TURP me, and that I would seek out alternatives, he smiled smugly and said, "Go ahead; you'll be back..." As if! :-P
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I had not heard of PAE when I chose the Urolift (3 months ago), so I did not compare the two. I would strongly suggest compare-and-contrast, INCLUDING POSSIBLE AND PROBABLE AND CERTAIN SIDE-EFFECTS!!! PAE sounds good; Urolift has worked very well for me, as mentioned, with very little down-time (2 1/2 days!).
Wow, that is really arrogant of your doctor. They act like they are the only game in town. Not so.
That is great. Did insurance cover the cost? If not what does something like this cost?