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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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@jetjock

I am 69 yrs old and have been dealing with BPH for at least 15 years. Symptoms finally bad enough that I am ready to have surgery in hopes of some relief. Had a cystoscopy and TRUS recently. Prostate at 90ml. Cystoscopy showed narrowed passage through the prostate and also a median lobe blocking the bladder outlet. That doctor only does traditional mechanical TURP surgery. I had read online about HoLEP, PVP and Rezum. Had a video conference with a Mayo Clinic doctor to get a second opinion. Mayo Clinic doc recommends 1. HoLEP 2. BiPolar Enucleation and 3. Robotic Simple Prostatectomy. Wondering if anyone has had a procedure done for an obstructing median lobe in addition to standard BPH, what procedure(s) were used and what was your outcome? Thanks.

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Replies to "I am 69 yrs old and have been dealing with BPH for at least 15 years...."
rfherald | @rfherald | Nov 13, 2021

@jetjock , I have never heard of "median lobe blocking the bladder outlet" so I looked on mayoclinic.com and found:
>>
Possible causes of bladder outlet obstruction might include:

o Enlarged prostate, also known as benign prostatic hyperplasia (BPH) — this is the most common cause of bladder outlet obstruction in men
o Scarring of the urinary channel (urethra) or bladder neck, as a result of injury or surgery
o Use of certain medications, including antihistamines, decongestants or drugs to treat overactive bladder
o Prostate cancer
>>

Has the doctor defined the blocking to be other than BPH?

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