Benign prostatic hyperplasia (BPH) Surgery Options

Posted by wpasternak @wpasternak, Aug 4, 2020

I had a Urolift procedure last February for my BPH symptoms and it was a total failure. The implants are still in position though. I am looking for a different procedure to alleviate my BPH problem and Rezum seems to be a good alternative. Can it be done considering my prior Urolift procedure. If not, what would be your recommendation.

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@riverpark

I am 76 and am scheduled for Prostate Artery Embolization on Nov 23. You can click on my screen name above to see my previous discussions about and reasons for trying this least invasive procedure first. I will give you all a full report of the results for me.

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How did the pae go?

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@bobweb

People considering a surgical procedure would benefit tremendously in my opinion if they could read hundreds of post surgery results like yours Mark before they decided to choose a particular surgical procedure. Having read many dozens of after surgery Rezum reports I tend to agree with you that in spite of it being a short in office procedure, after surgery tissue trauma and healing might take longer than some doctors suggest. "All have possible complications." So at least I'd want a prognosis and options tailored to my particular medical case from a team of doctor specialists like might be found at the Mayo Clinic.

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I totally agree. Thanks for commenting. I believe that philosophy applies to all invasive procedures.

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@bill5letsfixthis

Well that’s about where I am today. I read somewhere that the best thing to do is nothing if your condition allows it. I feel I’m ok for now on 1 tamsulosin daily. Thanks for your comment, I would be fine with 2 tamsulosin in 10 years.

How long have you been on tamsulosin?

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Not sure exactly but I began having symptoms (urgency) around 2006 (age 65) and started taking sal palmetto (over the counter). That helped for a number of years. I think I started with tamsulosin around 6 years ago (age 75) with one a day. A couple years back I had a kidney stone and a lithotripsy and started on 2 a day ( age 79) . (morning and night). I found that the ibuprofen (400mg) before bed prevents getting up multiple times as it is a anti inflammatory and I guess that provides more bladder space. I usually get a good 5 hours before getting up to pee and occasionally sleep through the entire night.

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@rfherald

I forgot one step: Multiple ultrasound scans of the bladder. Not painful, but a hassle to go in to get smeared with jelly and told you have too much urine in the bladder and need to be re-catheterized or learn how to self-catheterize.

The best part of the whole week was when I was wearing a 2 liter cath bag and slept non-stop for eight hours for the first time in YEARS!

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Thanks. I hear you.

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@pablo81

How did the pae go?

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Hi Pablo 81,
Thanks for asking! As my urologist all along admitted he was biased against PAE (even though he referred me to radiology), and then, after my posts here, my primary doc expressed doubt and concern for possible aneurism and other risks involved with running a wire through my arteries from my wrist to my prostate, and finally I lost confidence in the radiologist for reason that he would not, at nearly the last minute, directly answer pressing questions I had after consultation with my primary physician, I cancelled the procedure a week before schedule date. So instead of such a procedure or something more invasive, I have decided to live with my symptoms for now and likely for the rest of my life, and I am fine with that.

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I'm going to chime in, as should anyone else who has had REZUM.

o I don't know about my median lobe and I should. I'll ask.
o Age: 76
o Size of prostate: 36 cm.
o Sedated, but not general. It was light; I was aware and could feel his "work." Some discomfort. but not unmanageable. I also had a Vicodin.
o I had a Foley catheter for three days. It was equivalent to having a one liter bladder. Best nights of sleep since before and after the procedure.
o I have relief now, but I have an OverActive Bladder. I still get up at night, but I get four hours sleep for the stint. I am at eleven weeks. The urology doctor said after three months I will think of him as a friend again. He set my followup appointment at 17 weeks. I will give him the extra month and see how I feel then.

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Had the green light laser treatment, this morning. Doctor said all went well, and have a clear path, etc. I was in the recovery room for quite some time. I could only pass blood from procedure. Hospital gave me liquids, which I could not pass. After 3 hours, the doctor installed another catheter. I had the previous FOLEY catheter in/replaced from June 30 till today. The catheter I have now looks like a much larger diameter hose, and two chambers with a long piping lead. It has a coathanger? Type connection. Huge compared to FOLEY. Urologist explained that since I had Foley 5 continuous months, he suggested the urinary track is small, and little used, makes it difficult for the body to immediately begin flow. He also explained it is not out of the ordinary for this condition, to be patient. I am so Disappointed, and hopeful. I go to Urologist Monday next (5 days), to see if I can pass at that time. Trying to stay positive....just wanted to update folks
?

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UPDATE: One week after GREEN LIGHT LASER....revisited urology. Had a test to see what the bladder could hold and expel. I was able to do a constant drip flow, so doctor removed catheter and sent me home. All was going along...had not a flow but a consistent drip of urine....then at 2 AM, my drop stopped and completely plugged again. Back to ER for catheter again. Had another visit to DR, and we are looking at another 2 weeks of catheter and then retry. I was really disppointed, in a bad place. I guess I read too many articles about having the Laser and then "...I was back at work in just 3 days" Lots of this type of comments on the procedure. Dr. explained some people take up to 4 to 6 weeks to recover....Hoping this works out, very depressed.

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@cent66

UPDATE: One week after GREEN LIGHT LASER....revisited urology. Had a test to see what the bladder could hold and expel. I was able to do a constant drip flow, so doctor removed catheter and sent me home. All was going along...had not a flow but a consistent drip of urine....then at 2 AM, my drop stopped and completely plugged again. Back to ER for catheter again. Had another visit to DR, and we are looking at another 2 weeks of catheter and then retry. I was really disppointed, in a bad place. I guess I read too many articles about having the Laser and then "...I was back at work in just 3 days" Lots of this type of comments on the procedure. Dr. explained some people take up to 4 to 6 weeks to recover....Hoping this works out, very depressed.

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Hello Cent66, thank you for sending out your updates on your progress following green light laser treatment. I, and others, appreciate your thoughtfulness in sharing your story. I hope that in a few weeks you are much better. We all support you brother!

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@kayak461

Hello Cent66, thank you for sending out your updates on your progress following green light laser treatment. I, and others, appreciate your thoughtfulness in sharing your story. I hope that in a few weeks you are much better. We all support you brother!

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Thanks....Dr. Prescribed Tranadol for pain....side effect....Constipation. Gettin tough to get thru the day. Thanks again...

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