Would you go ahead with a Prostate removal?

Posted by casd57 @casd57, Sep 19 9:43am

Long story... 69 year old Male
I've had a enlarged Prostate for a few years....PSA has been as high 16's and as low as 5.27 on finasteride.
3 biopies the last one MRI-computer guided they only found a couple small lesions but no cancer... that was 2 years ago
July this year in the middle of the night..I couldn't pee... went to the ER
they did the optilume processor and catheterized me and sent me home...3 days later they removed the catheter and that night I stopped peeing again....Back to the ER..back in went the catheter..this time 7 days in.... 2 day after removal I couldn't pee back to the ER
and I went to see my Doc within a week..They taught me to self catheter until I could see the surgeon ... I catheterized a couple times and then I just said nope..lets wait and see and it was fine, no problems for a 10 days...Saw the Surgeon he set up my next appointment for Oct 7th..for all the test...
He does the robotic..removal through your penis Yikes...lol
So I've only had to catheterized one time in the last 3 weeks but I do get blood once in a while and I think maybe it was a clot that caused that...
My question is this.... Since everything seems to be working and if it does stop I know how to self-catheterize ...Should I go to the extreme and remove the prostate..if they don't find cancer on the 7th..I mean I don't know if they are looking or doing a MRI or ?..
I just feel like maybe I'm going to far and maybe the end results will be worse then the present problem..which other than maybe stop peeing, there isn't nothing new.
One other kicker.........I've hit my Out of Pocket max with my INS..so this would be 100% paid......LOL jeeezzz

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@jeffmarc

Again why TURP when there are other kinder gentler procedures? I'm already on dutasteride [maybe soon to be disasteride] and will find out pretty quick if it's helping. Also, I'll keep on the way it is for as long as I can. Anything that will avoid a catheter.

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@bajjerfan
You are right that you only want to use the TURP If there is no other option that works for you. If you’re going to have radiation, it may make sense to do that since the prostate gets pretty melted down after radiation.

For someone that has a continuous problem of not being able to pee, without standing there for a long time as it dribbles out, a TURP is a good solution.

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