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HoLEP vs Aquablation, which is better?

Men's Health | Last Active: 1 day ago | Replies (15)

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Profile picture for amishboy51 @amishboy51

Good morning. I don’t know if this thread is still active, but if so, thanks for welcoming me to this club I didn’t want to join. 😁

Anyway, here are my details: 75 in a few months, married; diagnosed w/BPH years ago, on Tamsulosin and now Alfuzosin for ~5 years; long history of elevated PSA, but no cancer, knock wood.

Had surgery 2 months ago to remove growth from back, bladder didn’t function, & on catheter since, with mixed results (voiding but not emptying). I think initial diagnosis of “post-operative urinary retention” has now been “abandoned.”

After UTI cleared, I finally had cystoscopy yesterday that showed “clean” bladder. Urologist recommends HoLEP rather than aquablation (no mention of PAE).

Thoughts, comments, etc.? Thanks in advance.

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Replies to "Good morning. I don’t know if this thread is still active, but if so, thanks for..."

@amishboy51

While I’m hopefully waiting for replies, two other questions occurred to me:
1-did your urologist recommend one procedure over another?
2-also, did anyone seek a second opinion before proceeding?

I’m a little concerned because I’m starting to feel as if my urologist isn't very “forthcoming” in terms of information and advice.

@amishboy51 Urologist do not bring up PAE because they don't do them, and they want to make money. A lot has to do with the size of your prostate and the anatomy. Median lobes are a real problem for PAE, otherwise that's the direction I would have taken, Unfortunately I am wasn't a good candidate for it. I would get some imaging done (MRI) that's the first step