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← Return to Going for Tulsa Pro Jan. 7th
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Question for the guys who have already had the procedure. On Tuesday I'll be 4 weeks post procedure and 3 weeks post catheter removal. I'm wondering if my recovery to this point is typical. My urine stream is better than right after catheter removal but not as good as pre-procedure. I'm still getting a splash of blood when I first start my stream, but it clears up with a second or two. The last bit of voiding slows to a dribble/drips. I'm taking .4mg flowmax and 1mg Terazosin twice a day. I experimented with 2 does of Flomax a day but it didn't seem to make much of a difference. I feel like I've reached a plateaue. If it is getting better, it's so slow that it's not noticeable. I'm a little paranoid given the fact that they used a malfunctioning Tulsa probe at first then removed it and inserted a functioning one. I'm worried that either they may have ablated an area of my prostate that they didn't intend to ablate and/or caused extra trauma due to having to insert 2 probes. Anyway, very interested in hearing about your recoveries. I realize we are all different but still would like to hear from you. I haven't found much online.
Replies to "Question for the guys who have already had the procedure. On Tuesday I'll be 4 weeks..."
I wish I had kept notes! It was at least 2-3 months before my stream was back to pre procedure and I only had 30% ablated. I was ok with that as I still had full control and no pads. It is better than pre procedure these days (nearly 7 months).
It's been 5 weeks since my catheter removal after TULSA and my stream is about back to normal. I was diagnosed with BPH years ago mainly because of weak stream. I think you are recovering normally. In my opinion the re-insertion of the probe and the longer time taken for the procedure probably caused more trauma and will take a week or two longer than normal.
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I worked medical devices a lot of my life, and on experimental ones in medical research (never in urology), but taking the probe out and in, is unlikely to have anything to do with an ablative process that is done with an ultrasound beam. The beam is the process. The taking in and out is a mechanical unfortunate event, but unlikely to to have contributed to much of any issues, maybe small or something that quickly healed. Some small tissue scrapping or who knows but probably not a real lot of issue, this is fast regrow tissue so that would be gone now.
I had a ton ablated but it is a ton of tissue in there that will take 6 months to reabsorb. You have a bunch of tissue that takes time to absorb. 6 months come back and ask some of these questions, you will likely be fine till then. I was about the same as you at this stage, so I think no concerns. I wanted off alpha blockers and did get off at two months since I don't like them, but to be honest I could have taken them much longer.
Now the thing is if BPH was active and prostate enlarging prior - that is still in place. I am finding that out. My MRI shows no concerns for cancer but my BPH is still active. So I am changing my diet and stuff to arrest the BPH in its tracks, but you will have to find out if that plays into it at all because it can slow down things again if one doesn't get ahead of it.