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HoLEP vs aquablation vs ? which is best procedure to preserve all func

Posted by learning123 @learning123, Jan 20 12:35pm

60 yr male. 15+ years ago Total colectomy with reattachment. Salt kidney stones a couple of times, lithitripsy. 1 small area biopsey positive prostate cancer. Following year negative biopsy. No biopsy following 2 years. Low PSA. 1 month ago blood in urine went to local ER. UTI led to foley catheter, antibiotics, finding kidney stone, . Radiologist said not blocking. 1 month later fever, low blood pressure. Went to Chicago hospital another infection, different radiologist same kidney stone is blocking, bladder wall thickened is 2cm, normal is .5 . prostate 63cm. Neph tube, antibiotics, still have catheter. New urologist wants to break up stone and do HoLEP remove All material in prostate. I want best procedure to resolve issues, preserve bladder function, urination control, and sex function. Least amount of risk. Of course optimum goals most would want. In a few days urologist wants to break up stone (will eliminate all in that kidney); and HoLEP to remove all tissue in prostate. He says alternative procedures fail in a few years and is concerned about bladder getting worse if that happens. 1 and done for enlarged prostate. I am not against retreat at a later date if better results and less negative side effects. He Strongly advises Holep. Another Chicago hospital says they offer all options. Is Aquablation, Optilume, or anothet procedure, research trial procedure better option? Anyone have info. Any Dr with info. Thank you for any help, Truly appreciate You!

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Profile picture for icorus1959
icorus1959 | @icorus1959 | 8 hours ago
In reply to @markbph1 "@icorus1959 That's great. Out of curiosity, did you have a large median lobe? That and my..." + (show)
Profile picture for markbph1 @markbph1

@icorus1959 That's great. Out of curiosity, did you have a large median lobe? That and my high retention rate made it a very difficult decision. Yeah finding a good woman is not that easy.

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@markbph1 I did have a large median lobe...with a much larger prostate at almost 120.

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markbph1 | @markbph1 | 7 hours ago

Interesting. Was the median lobe causing the blockage? That was my issue, it was like a trap door, plus I had to make absolutely sure that I could completely void - carrying 500m of urine is no joke to your kidneys - so I chose complete tissue removal long-term over the RE - I hope don't regret it, but it's obviously too late now. Did Kellner try to talk you out of Aquablation? He did to me...

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jiminos | @jiminos | 3 hours ago
In reply to @markbph1 "@jiminos I had HoLEP last week. I'm 68 and really wrestled with the retro-ejaculation aspects of..." + (show)
Profile picture for markbph1 @markbph1

@jiminos I had HoLEP last week. I'm 68 and really wrestled with the retro-ejaculation aspects of it. I had a large median lobe even though my prostate was not huge, 64 grams, but it caused a significant blockage and had high retention of urine which could really damage my kidneys long term. I thought they say not to have sex for at least 3 weeks? Are you experiencing the the retro issue? Thanks.

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@markbph1 Yes, it took a little getting used too but it does not take away from the pleasure. At times, when I feel a strong orgasm coming it feels like I will erupt, but it's always internal. I get a good amount of pre-ejaculate fluid. HoLEP was a blessing for me and I hope you enjoy the benefits from it.

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