Cystoscopy, mild prostate enlargement, transurethral resection 65?

My experience is Urologists push the procedure they or their practice is qualified to perform. The TURP you describe is effective but does have side effects, specifically retrograde ejaculation. Have you considered Aquablation? It has a much lower chance of RE. I would at least consider it. I had a large median lobe which was obstructing my prostate like ball valve. I had aquablation in September, recovery was quick and results very good. There may be a very good reason he recommended TURP, just offering potential alternative and recommendation for second opinion, once it's done you can't undo it. There are less invasive options, but would work for a large median lobe. I wish I had aquablation years ago. All of these procedures sound scary, but delaying will only make it worse.

My first thought would be to get a PSA, then if it is high, do an MRI. If no sign of cancer, go to an interventional radiologist that does prostate artery embolization. The urologist does not do PAEs…..they want to do surgery. Some won’t even mention PAE as an option.

@vtredwolf typo correction: less invasive options "would not work" for large median lobe.

I’m in agreement with both @vtredwolf and @plynhky about checking into other options. Ask questions about what you don’t quite understand both on here and with your urologist. For the potential surgery find out how many they have done and what is their success rate.

It takes weeks to get appointments and, thus, answers. In the mean time read posts and ask questions on this Men’s Health Forum. There is a lot of helpful information.

I had the TURP 10 years ago. I am left with retrograde ejaculation. I would recommend you at least seek another opinion about Aquablation as an alternative. It's nice to ejaculate externally if possible.

I agree, ever Urologist that I have seen pushes their preferred remedy. My local guy tried to push Eurolift. My prostate was 134 g. I had Holep instead. Now I feel great and glad that I did not listen. Do your own research. Talk to other docs. I have RE now but who cares. My pee issues are 100% gone.

@plynhky I would add i had a PAE/aquablation combo procedure. I had PAE then aqua 5 days later. It reduces bleeding significantly which is an issue with aqua. As a result I only had the catheter 24 hours and recovered perhaps a little quicker. I will say that the PAE was more uncomfortable post procedure than the aquablation. There's a great deal of inflammation and even though it was only 5 days until I had aqua I struggled to urinate and it did hurt some, more than the aqua. Iwas relieved to get the aqua at that point. Again I had a large median lobe so PAE alone was not an option for me. I asked about all the less invasive procedures including PAE and urolift, they weren't options and I was very appreciative of my urologist who performed urolift in his practice who referred me to a Uro in his practice that did Aqua and he recommended the combo procedure. There are risks with PAE as well so you would want a radiologist who does a lot of PAE and is experienced.

@wally920 shocking how many people will avoid treatment and suffer just to avoid RE. Unless you're planning more children it's not a big deal.

I appreciate everyone's comments and insights. I was in a yes/no decision-making state vs. an exploratory one of options. Thanks for broadening my view!

Joe

@josephpreid Whatever you do don't choose the do-nothing alternative. The longer one delays the more permanent the damage to your bladder after you ultimately are forced to choose an option and that results in things like increased urgency and frequency. The idea of any of these options is scary, but I can tell you in my case the procedure was not difficult, the recovery pretty quick and the results a huge improvement. I only wish I had done it 5 years earlier. Good luck.