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ch665296f avatar

Prostate and Bladder Issues: What to do?

Men's Health | Last Active: Jul 7 10:45pm | Replies (176)

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Profile picture for blapro1 @blapro1

I am a 75 year old male with a history of high blood pressure, an enlarged prostate, and chronic kidney disease (b). I have not been the prefect patient (always keeping appointments and keeping every appointment as scheduled) however I have been a daily jogger/walker and reasonable diet conscious senior. One morning in September I woke up for my morning run and went into the bathroom, feeling my daily need to urinate but nothing came out. Long story short, nothing came out ALL DAY! That evening I went to the ER and they TOOK CARE OF BUSINESS - to my horror but eventual delight at finally being able to pee again - though via a foley catheter. According to the doctor I have a very large prostate and a pretty large bladder diverticulum. For TWO AND A HALF MONTHS I've been wearing these contraptions along with their little bacterial friends as my doctor and I go through discussions of types of surgery and (with the Holidays approaching) time in his schedule to perform the surgery. About two weeks ago we agreed upon a 5 hour robotic diverticulectomy combined with a prostatectomy . However, a day after we set the date I received a message from the health care company stating that my payout would be in the tens of thousands of dollars - not to mention unlisted costs for "supplies" "anesthesiologist" and other things. I would have to make major adjustments in my life just to make their monthly patment requirements and at my age that would be difficult to do. This started me thinking about other means of getting the job done. My question to you guys is, do you think this surgery could be split (diverticulectomy then 3 maybe four or more months later for the prostatectomy). My thoughts on that is not only monetary but also because I read and heard that a 5 hour surgery would be "risky" for a man my age strictly due to the possible long term cognitive effects the anesthesia alone may take on the brain. I also read and heard that proscar and flomax (which I have been on for two months and already seeing positive results has been known to do a good job at shrinking the prostate so that both surgeries may not be necessary and the diverticulectomy may be the only surgery that may be needed and may not even require the costliness of the robotic process. I just got home after a third hospitalization due to a third UTI related problem. I would appreciate your thoughts on this matter.

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Replies to "I am a 75 year old male with a history of high blood pressure, an enlarged..."

@blapro1

I’m sorry this is happening to you…..life just keeps on happening doesn’t it? May I ask what type of Health Insurance you have! Do you qualify for Medicare? Do you have a supplemental plan? Have you considered a second opinion? The Mayo Clinic has a fantastic Urology Department and I highly recommend them. I had an enlarged prostate that was growing up and into my bladder. I was told I needed a Prostatectomy. I sought another opinion. The next doctor wanted to do a different procedure. I ended my search for a solution after reaching out to the Mayo Clinic Urology Department in Jacksonville, FL. Dr. Dora performed a HOLEP Procedure on me, I could not be happier about it. Mayo Clinic does accept Medicare and a Medicare Supplemental Plan. They do not accept Medicare Advantage Plans. I would strongly suggest that you consider a second and third opinion, until you feel that you have made a good decision.

@blapro1, I hope you saw the helpful replies and questions from members like @kayak461 @ch665296f and @slr123, who have experience with prostatecomy and diverticulotomy surgeries.

@blapro1, how are you doing? What have you decided?