Hi, @ch665296f. I ran across your April 19 posting while looking for men who have had experiences similar to mine and wanted to see how you're doing.

In my case, after 5 years of medicating to control urinary incontinence, my bloating prostate got the best of me. The always-unreliable meds and supplements failed me completely. My new urologist recommended TURP, which was performed 7 years ago. He's retiring in August, so I'm looking for a successor, and knowing the current state of medical treatment is vital to making that choice. As usual, I turned to Mayo for advice and found the web page provided you by @aliskahan in this thread. It's highly encouraging to me, and to you as well, I hope.

I'm facing a decision on whether to have additional tissue removed from my prostate. My first impulse is to undergo another TURP. After my first TURP, I have had regular cystoscopic examinations of my bladder and prostate after discovery six years ago of a small tumor on the surface lining of my bladder. Those repetitive exams showed me I need not fear another TURP.

However, today I'm looking for a urologist who administers HoLEPs -- laser surgery removal of excess prostate tissue. I got this from the National Institutes of Health earlier today -- specifically from the following web pages at the National Library of Medicine: At http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4446381/ (an article entitled "HoLEP: the gold standard for the surgical management of BPH in the 21st Century") and a related article at http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3763780/.

I hope you can call up these three web pages and give them a read. If you have trouble with that, let me know and I'll figure out another way to get them in your hands.

It's been more than two months since your initial posting, and I hope you have made progress against your prostate problems. It would be very helpful to me and many others on Mayo Connect if you could give us a brief update on your situation. I will be appreciative, and I suspect others will as well -- and together we may find more answers to our common problems.