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Benign prostatic hyperplasia (BPH) Surgery Options

Men's Health | Last Active: Nov 4 11:00am | Replies (245)

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@rfherald

I am a standard issue 75-year-old man with self-diagnosed BPH. I get up in the night every 1-2 hours to urinate. I have considered take one of the processes that lessen the restriction of the urethra to relieve my symptoms. In addition to the good feeling that a full night’s sleep provides, my main concern is that disruption of sleep can advance Alzheimer’s Disease. There are many articles in the popular press as well as professional journals that provide me with the motivation to act. That insurance will cover of the procedure lessens any hesitancy. Today the Rezum process seems to be the most preferable to others. Have any readers tried it? Have you found success with other procedures? Both pros and cons would be helpful to any decision I would make.
I am taking the doctor’s recommendations on the way to a permanent action. So far, he has diagnosed an Overactive Bladder and prescribed Myrbetriq (mirabegron). I have taken it for about a month and it has reduced my urgency to urinate, which is welcome, but it has had no effect on my sleep interruptions, my main concern. I fully expect his next recommendations will be the non-medical steps of Sleep Hygiene (exercise, no caffeine after 4 pm, avoid alcohol, etc.) before offering a referral to a urologist. Any of your histories and recommendations would be welcome.

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Replies to "I am a standard issue 75-year-old man with self-diagnosed BPH. I get up in the night..."

Hi, you are describing exactly my symptoms almost to a tee. After much research I decided to go with the Green Light Laser surgery in 2018 at 72 and have not regretted it other than coming down with a serious sepsis infection within 24 hours that got quite serious. I believe the cause may been due to the difficulty of removing the catheter. It just kept filling making removal difficult. Never had an issue like that before and very rare apparently. I now sleep right through the night and when I urinate I am able to empty my bladder fully and easily. No more sitting on a toilet for 10 or so minutes dribbling. This is just my experience of course but certainly happy I went the way I did with absolutely no regrets. Good luck with your decision whatever you decide.

I am 82 with BPH. Have and still am considering REZUM but for some reason every time (twice) I was ready to do it, something prevented it. First the urologist lost access to machine, then it was my PSA at 4.3 leading to many PC tests etc......Tamsulosin still works and Ibuprofen helps sleep at night. Now I take multiple supplements that help prostate and it actually shrunk from 87 ml to 73 ml in one year. Go figure. Lots of info and mis info out there. Tough to decide. Good luck.