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Enlarged Prostate: What are treatment options?

Men's Health | Last Active: 4 days ago | Replies (14)

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@kayak461

Hi @sandraazeez! First of all, BPH (Enlarged Prostate) is a common problem with many, many men especially if he is over 50! Urologists can treat this for many years with prescription drugs! It is important to see a Urologist. It is also important to understand the size of the enlarged prostate and just how it is affecting your husband. It is important to research all of the options out there in terms of medical procedures to lessen the impact of the enlarged prostate. My experience was that I took medications for years for the enlarged before I had to choose a medical procedure to deal with the impact it was having on me. After 5 or six years of medications, I decided to see a different Urologist. That Doctor immediately did a sonogram of my bladder, after I had urinated, to understand how well I was emptying my bladder. Next came procedure called a cystoscopy; this is where a small camera on the end of a tube goes up the urinary track to the inside of the bladder. In my case, the results of the cystoscopy indicated that my prostate was growing up and into my bladder, posing a risk of urine backing up and affecting the kidneys. This is where things get tricky because I had to choose the best procedure to deal with the enlarged prostate. In my case, I did what everyone does…..I googled questions, I looked at YouTube Videos on prostate treatment procedures, I sought another opinion from a Urologist. That Urologist want to perform a treatment on me the following week……but it would have been the wrong choice. After I had made my own decision about a procedure called HOLEP, I went to see another Urologist for his opinion. That Doctor looker at my Cystoscopy result and said….there is only one procedure for you, and it’s called HOLEP! I was very happy has this represented to me I had made a good decision. I contacted the Mayo Clinic Urology Department online, sent them the Cystoscopy result, I had also had an MRI so that they could view my condition. For your reference mine was not severely large….it was 83 cc’s. But it was growing up into the bladder, which really meant that there was only procedure for me. HOLEP. I encourage you to watch a YouTube video on a Doctor Dora at the Mayo Clinic in Jacksonville as he describes the procedure. I have no regrets at all. Hope this helps.

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Replies to "Hi @sandraazeez! First of all, BPH (Enlarged Prostate) is a common problem with many, many men..."

I should have summarized….my apology. My point is….don’t over react. Do your homework and research your options. Don’t be afraid to get a second, third, or fourth opinion. Reach out to this forum….allot of us have gone through the same thing and we’re ready to help!

Wow. We could be the same guy lol. My experience is very similar.
My postop though has left me with survivors guilt because I keep reading about all the things that happened to other people I have not experienced yet it’s been almost 5 months since the procedure.
In my case, my local doctors did not know it was my median lobe. They said it was the prostate in itself. I needed to have turp or PvP. After seeing recently, some friends go through TURP I said no thank you. ESPECIALLY nowadays my job requires. I walk at least 28,000 steps per shift. This would not work out and I could not wear a catheter.
PVP does not give you the ability to check for cancer so that was a no go for me too.
Finally like you, I decided to advocate for myself and look around, and I found a wonderful doctor in Boise, Idaho, who, in addition to medical school, went on a fellowship to really dedicate himself to people like us, and it was a complete success
This is not a flex, but I want to be truthful
Zero complications during and after
Even after an extended time of recovery, I’m doing better than before the surgery.
I had zero ability to urinate without standing in the bathroom for 40 minutes pushing and even that I had reached its final push. My catheter was removed almost before I woke up. And within 24 hours, I was walking around downtown Boise, Idaho as if nothing happened.
Medium lobe is a specific kind of BPH. That’s actually the one everyone should wanna get. But some guys get the entire package of BPH some even with cancer. And that makes holep a little less, likely for them for whatever medical reasons won’t allow.