The urolift was done i April and I am back to the same problems It feels like my uretha has closed up and I dribble now. I think that I should get the roto rooter done maybe.
I would suggest you look into the Focal Laser Ablation treatment. I was the first and it was very successful with no sexual side effects in my case.
The secret is in the doctor you select. If you want any facts or information, you can private message me. I am on the road now but will be home by in the morning and can reply again. Sorry to hear what you are going through but look around before you get that drastic.
I was having the same problem after my urolift last aug. Then I noticed that every time I took the Alfuzosin my symptoms seemed to get worse. I stopped taking the Alf. about 2 months ago and my symptoms improved immediately, especially the nocturia. I also started taking 15 mgs daily of zinc and 3-4000 mgs of pumpkin seed oil. I now have a solid stream and go 1-2 times at night. Billy
Forget turp. There is less bleeding with rezume
this coming wednesday will be 3 weeks since my TURP the progress has been as expected and the burning while urinating is decreasing.
you should consider the turp and get the operation done. 6 weeks of discomfort may be the answer to your problem. good luck.
I would respectfully disagree. My brother and I both had the FLA over a year ago, mine will be 2 years in October. And both are complete failures. Both of us have Retro ejaculation, and other sexual side effects. AND no improvement in symptoms. And we are out $20,000 or so each.
So wait for some of these procedures to be perfected. FLA is not the answer yet.
Good luck
Isn’t focal laser ablation for prostate cancer and not an enlarged prostate.
What, another Urolift failure???
All kidding aside. Sorry for your troubles. I would recommend a HoLEP or a HoLAP which I had 9 days ago, Good luck to you! JerryAC
I had my urolift done in April also. I am now only going once a night or not at all on occasion instead of three or four times. In addition I have been able to start and continue a flow without straining or trying to relax for 5 minutes before I could even start a flow at all. I am still taking alfuzosin. MY stream is definitely better. I’m 72 and although my stream is not like it was when I was younger it’s a lot better then before. I still feel the urge to go when I’m out but at least now I can go. I believe my bladder is damaged to a certain degree in terms of being stretched but I can live with it. I am not going to SC myself. No way. Don’t feel I need to anyway.
I stopped reading the urolift comments here these past months because of so many negative comments and poor results from this surgery. I have to remain positive in order to help myself going forward.
So for me, although the procedure isn’t perfect it’s a hell of a lot better.
i had a failed UROLIFT also. i had the Grewnlight done subsequently with great results and no RE.
Also perhaps I had a better surgeon then others here who have had an unsuccessful urolift results.
At one of the countries best hospitals Johns Hopkins Hospital here in Baltimore (USA).
My Urolift was done in March and I have been progressively getting worse and hurting some. Tuesday I will be asking my Urologist to remove the clips in the Urethra and hope to get back to where I was before my Urolift.
I to have had fla twice. Although I have no obstruction I have retro, take flomax every other day and have some bladder issues.
Jim
Lew,
If you are considering other procedures you need to know that there are different types of TURP. The older style is monopolar and there can be a lot of bleeding and a hospital overnight stay. The newer types are bipolar and plasma button. Both use a plasma tip to cauterize the bleeding and, in most cases, no hospital stay. I had a bipolar TURP done in early April and was in and out of the hospital in 4 1/2 hours. No pain, only slight blood in urine while the Foley catheter was in for 3 days, then no blood after that. Once the Foley was out there was no need to self cath, my flow is 50% better now. My issues are no longer prostate but bladder from years of obstruction. The biggest objection here to TURP is retro, but that is not an issue for me. Some here will do almost anything to avoid RE.
Some here have had excellent results with REZUM but have had to endure being on a Foley for weeks, and then self cath after that. It takes a while for the prostate swelling to go down. PAE is also an option, no retro, a week or two of discomfort, but I had one and no Foley was required. My PAE was only minimally effective because I had a median lobe issue but now the IR doctors know about this and so PAE results are better.
Various laser procedures are also worth considering. Unless you are in almost complete retention and can’t sleep then you have some time to consider all options. You need to think about what’s covered by your insurance, how far away would you have to travel for the procedure and follow ups. My TURP was fully covered by my insurance, the hospital was 2 miles from my house and I thought the whole process was very easy and painless, even easier than my PAE.
Best of luck to you,
Tom
I’ll try again. Have no idea what terms of service were violated. It would be nice if the moderators told you why specifically a post was deleted.
FLA is only approved by the FDA for prostate cancer, but is also used for BPH, but it is self-pay, which I think I’ve seen is in the neighborhood of $20K.
I’ve seen mentioned a Dr. K a r a m a n i a n at the P r o s t a t e L a s e r C e n t e r in Houston being mentioned as someone who is expert at the procedure.
Also, if you search for “Sperling bph fla” there is a result showing information about FLA for BPH.
For clarification, the FDA approval for FLA is actually for soft tissue removal through laser ablation within the prostate. The approval is for the technology use and the laser procedure not the illness purpose so actually, ablation of the prostate is the approval provided and the FDA does not dictate it to be for cancer, bph, or any other specific condition. BPH is in fact as FDA approved as is Cancer and has been since the laser was approved for prostate tissue use was issued.
On another hand, FDA approval has nothing to do with the insurance coverage provided. They are separate and insurance acceptance and approval for payment is a situation that is dictated by the leverage applied either by patients and or medical lobbies. The leverage can be either positive or negative for the payment acceptance of the insurance company. i.e. the Urological Association lobbies are very large and powerful with the insurance companies. These Associations work hard to keep the medical treatments that Urology is not capable of preforming or controlling from being accepted for insurance payments. Interventional Radiology happens to be the medical group that can preform FLA. Urology Associations use this “insurance payment blockage” as a negative financial beachhead to keep other medical solutions out of their customer base.
I am so sorry to hear that. All the procedures for BPH have a hit and miss percentage. FLA for bph has now had a little more than two and a half years of results to calculate and it is now settled into about a 15% unsuccessful rate in FLA for BPH. This appears to be consistent with the numbers of most of the procedures offered. So we have no absolute and I don’t see anyone working on the cure. Some Doctors have learned a lot more about recognizing which situations would benefit more for specific treatments.
This is a horrible condition. IT never stops, not even when you have it treated successfully. The gland continues to grow. The growth may not impinge the urethra again but it also can do just that and you would be right back to where you started. Our biggest problem is they do not know WHY we continue to grow even after a successful treatment of the condition.
I wish I had a recommendation that was a successful solution every time. We don’t and I feel lost for men that cannot get treated successfully. Rezum seems to be the same but it is a little early to tell what the numbers really are.
As one top UK Uro said, We don’t have a cure only treatments.
I had GL for my 75 grm prostate in 2004 and by 2013 it had regrown to 135 grms. It was then reduced by 80 grms by Thulium/Holmium laser. I suppose it is slowly growing like the weed it is but I’ve had no need to have it treated again.
yes Derek, what you are saying is a reality that most of the men on this thread do not realize. they are still wanting to treat and deal with the condition they currently have. but the reality is after they do so the growing of the prostate never stops. the continued growth does not mean that they will have a urination issue again but they could have one. I think that the treatment you choose and the method of treatment used could have a lot to do with the results you get when the growth returns. but as I said earlier most people are not even thinking that way yet because they are trying to deal with the current situation and not aware that the growth continues regardless of the fact they had a treatment. as I said earlier this is a horrible and strange condition. I just feel that we have no Advocate really is trying to develop a cure. there’s too much money into the treatment and,. The Cure could interfere greatly with that money being spent. I’m glad your new growth is not affecting you urination I’m in the same boat so I’m pleased about that
One thing my PSA has not gone up in the six years since my last procedure. After my GL it dropped from 9.8 to 5.2 as I recall. After the second procedure from around 7.0 to 0.74 and was 0.70 last year