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Surgery advice for enlarged prostate (BPH)
Prostate Cancer | Last Active: 15 hours ago | Replies (44)Comment receiving replies
@heavyphil
I am a 66-year-old BPH patient in metro Houston, Texas. I have an elevated PSA number of 7.7 - 7.9, 14.1 % free PSA, 47.1 gram prostate. I received a prognosis/recommendation from my current urologist that differs from the advice I received when I resided in California (having left there in April 2025). I was strongly encouraged in California to undergo a TURP. My Texas urologist, however, feels that as long as my tadalafil medication manages my ease and comfort urinating, and my PSA level is stable, then the status quo is acceptable for the foreseeable future. My concern is the impact on sexual functioning and desire. What has your experience been, if I may ask.
Replies to "@heavyphil I am a 66-year-old BPH patient in metro Houston, Texas. I have an elevated PSA..."
@samsmydog2
I had the green light laser surgery performed on my enlarged prostate 2 years ago without any complication. My PSA level has been holding at 0.33
@samsmydog2 I had an in-patient, trans-urethral TURP at Scripps in San Diego in April 2009. (I don't imagine the procedure has changed much since then.) For a few days afterward, the catheter was awkward, and after that a day or so of blood gobs with my urine was weird, but not painful. The enduring side effect has been retrograde ejaculation. Apart from permanent (and beneficial) reduction of my prostate, an important result was that the biopsy of the debris revealed low-grade malignancy. That prompted active surveillance, which finally resulted in ADT and radiation in 2022. Without the TURP, I might not have known.
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@samsmydog2 I never had a TURP so I cannot answer your question.
I did, however, undergo Green Light laser surgery which had ZERO side effects - sexually or otherwise.
Search TURP on this forum and there are plenty of comments from members who’ve had them. You can even reach out privately to contact anyone individually. Hope that helps!
Phil