Hi i am 63 years of age with local advanced prostate cancer, I have gone all through the test and Im on the hormone patch trial and doing pretty good..
My problem is that I have been told by my urologyst that I would need to have the turp proceedure done...I have had the flow test done twice and each time ...to me the flow was good but I retained some urine in the bladder about 200ml...which on leaving the hospital 10 minutes later I am sure having gone to the toilet i emptied the rest out...on both occasions . Ok I cant fill a bucket in 3.8 seconds I never (so far ) felt any urgency to have a pee...nore do I get numerous time int he night ( only if Ive had a couple of pints) ...I was told by the Oncologyst that if I didn't have the turp and had diffuculty half way through radiotheraphy i could have a catherter put in place until treatment was over.. So what do I do go with my gut feeling that im happy with the way I pee not brill but good...or do I have it done with the possibilties of further problems ( am sure there is more succesfull ops out there than not so ) but I need to be sure that im doing the right thing ..has any one else been face with this dilema and what did you do ?.
Thank for hearing me out....got it out there
Del
Delboy. Did they tell you what kind of cancer you have is it slow growing. If you feel your doing good watchful waiting is good. There are cancers that take 10 to 15 years to cause a problem. I think they are trying to scare you into a surgery that you don't need. Alot of doctor will do that just to get you to have surgery. It's not right but they do. Not saying that you may need something later on. But why have the surgery now if your doing good. At 63 your still young enough to still enjoy your life but after a trup you may have more problems they what you need Have you look into FLA ( try this later on this will save all the good part of the prostate and get rid of the cancer) Go on the internet and read this story about this man. It's call I want my prostate back Good luck Ken
Hi Ken T3b is my cancer stage local advanced they say..slow growing...I am waiting on radiotheraphy but is on hold until the TURP is sorted out ..I will indeed have a read up on FLA..
Thanks for your input much appriciated.
Del
To me it seam like they are forcing your hand. Im going to hold off on one until you do the other. Tell them no. It is your body and you will have to go through the side effects. Not them You do not want the turp and want radiotheraphy now. And if you have a problem peeing do CIC many men do But I read up a little on radiotheraphy and that is very rare to have a catheter during. Please read that story it is about a man that was talked into have his prostate remove because he had cancer bit did not ask what kind. He lost his wife and his sex life because of it. Please read it. Ken
Del are you in the U. S. Or E U. ??
Hey there I was hoping you would come in and say a word of 2 I have to look it up but if he has to have a procedure FLA is apporve for cancer I think. I also think they are trying to force his hand. He is still doing great and it slow growing. Help him please. To many doctors are doing surgery that they don't need to to on to many men Thank you Ken
I believe what I have read about FLA is only applicable to cancers local to prostate and not outside which mine is just!😊
I good doctor can still get rid of it without doing much harm to the good section. But if it slow thell them no .. Ken
Thankfully Ken.... surgeons in the UK don't find it easy to profiteer from needless surgery. ..except where people go private.
Del😊
When my Uology Dept tested me for retention, part of the test was waiting for several minutes to try again. The end result was what counted and so I was not scheduled for surgery.
Like wise I did a second flow shortly after the 1st.....but still retained some but as explained before leaving hospital I went a 3rd time and I am sure emptied bladder
So what exactly is the purpose of the TURP? If it's just to smooth things over during radiotherapy, I'd choose that over TURP every day of the week. And btw, should you need a catheter for bladder emptying, there are two better alternatives, namely self cathing (CIC) and a suprapubic catheter. I personally would choose the former, but a suprapubic is much more comfortable (no tube in urethra) than a Foley and accomplishes the same thing.
Jim
Sorry, Please disregard first paragraph in my last post to you.
What I meant to say was:
"So what exactly is the purpose of the TURP? If it's just to smooth things over during radiotherapy, I'd choose a temporary catheter over TURP every day of the week."
Jim
Hi Jim thanks for your reply....I have to admit I am getting g a little confused...as I have not seen any information about cic or suprapubic is it available in the UK or is it as I suspect in the US ?
Del
Sorry missed 1st part of your reply ....understood but still unsure about cic or supra public. ...gotta bit of bedtime reading to do....
Thanks Jim
Yes. Both are universally available and have been around for many years. Lots of info here on self cathing (CIC). I've been doing it for 3 years. Do NOT have a TURP if they gave you these alternatives. As to suprapubic, it's a fairly simple procedure but takes more time than inserting a Foley so whether or not your heath system over there will pay for it is another question. Anyway, CIC should be enough if needed and I would go out of pocket for suprapubic over a Foley. But if for some reason -- and I don't see the reason -- the choice came down to a temporary Foley or a TURP, go with the Foley.
Jim
Here are the revised part 1 and part 2 of my initial reply you couldn't find. If Columbus had to use the navigation of this web site he would have missed America 
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So what exactly is the purpose of the TURP? If it's just to smooth things over during radiotherapy, I'd choose a temporary catheter over TURP every day of the week." And btw, should you need a catheter for bladder emptying, there are two better alternatives, namely self cathing (CIC) and a suprapubic catheter. I personally would choose the former, but a suprapubic is much more comfortable (no tube in urethra) than a Foley and accomplishes the same thing.
Jim
Have you ever throught that they have not told you about them because they are alternatives to surgery. You are doing fine leave well enough alone. You have very little problem peeing and your good at night. There is no rush for a turp. Stand firm and say no I want the radiotherapy now. If they refuse get another doctor they should do what the patient wants. Good luck Ken
Thank you He needs to get all the information he can. I still say they are trying to force him into something he does not need now. The cancer is slow growing and he has not that much problem going to he bathroom. He may hold some but it goes away. I don't want the same thing to happen like the guy in South Africa. The doctor told him that a PSA of 3.8 was very high and he need to have surgery now.Normal is 4.0 and under. He did the turp Now there is nothng he can do. And he wish he never listen to the doctor. Thank you again Ken