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Benign prostatic hyperplasia (BPH) Surgery Options

Men's Health | Last Active: 7 hours ago | Replies (279)

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@amishboy51

One factor that can determine choice of procedure is whether patient is on blood thinners. Ask your doctor. I had to stop my blood thinners for a total of 10 days, starting, 5 days before procedure then another 5 days after procedure.

When I had Greenlight in 2012, I wasn’t yet on blood thinners.
Since having Holep, on June 19, I have resumed running, on July 17( 4 week ban on exercise post Holep) with NO side effects - no bleeding. No wetting of pants.

Whatever you do, stay away from TURP, or even Greenlight. TURP is old school method, very cheap requiring no special equipment, and taught in medical school. All other methods like Holep, Aquablation, Rezum, etc require extensive training for already qualified doctors/ urologists to master. Holep, for example require very expensive, advanced robotic equipment for the surgeon to perform it. Not taught in the basic medical degree. Practising surgeons have to learn it.

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Replies to "@amishboy51 One factor that can determine choice of procedure is whether patient is on blood thinners...."

@heath2026 Thank you for your very informative replies. At the moment, I've recently started on Finasteride, which hopefully will make surgery unnecessary. However, as I've said, my urologist in South Florida only referenced aquablation and HoLEP, never mentioned Greenlight, TURP, or Urolift (in fact, he didn't even mention PAE until I, alerted by a friend, inquired about it).

Regardless, thanks for sharing, and best wishes for continued good health!