Going in for the Greenlight procedre after 2 previous surgeries failed

Posted by danilo1m @danilo1m, Nov 11, 2025

My story: For 3 years, I saw a urologist who put me on a medication that didn't help, and we decided to do Urolift. That never happened after 3 attempts to secure a facility where he could do the procedure (it was during the COVID time, so perhaps it was a blessing in disguise).

I pleaded with my second doctor to do the Urolift in mid-2021 - the positive results declined after 2 years, so he did the Rezum in mid-2024. It helped at first (much less urgency/frequency), but after a year, results declined rapidly, and NONE of the meds worked (Uroaxatrol, *Cialis, Proscar, Rapaflo, and lastly Avodart). * This urologist preferred Tadalafil over Flomax!

I continued to experience a very slow stream/dribbling, and literally had to force/push my bladder to empty to have a bowel movement, which resulted in hard, painful stools, followed by having a proctologist band 4 hemorrhoids! That same urologist did a pelvic MRI that showed the prostate was still 4cc in size. He explained that Rezum only "vaporizes the inside cells", but the outside shell/capsule remains, and then said, "I told you why I prefer TURP instead."

2025 I went to another urologist for a 3rd opinion, and he insisted on doing a cystoscopy under anesthesia (supposedly to get a better look). There was indeed a blockage, and after discussing the many options, we will do the GreenLight procedure next month (DEC 2025). I relayed to him that the prior Dr said TURP and Greelight were "both the same" (he shook his head). I also asked why this was happening, and he hesitated to say perhaps that doctor did not do either procedure properly. Before scheduling my new GL date, he contacted the manufacturer to learn what type of staples were used with my Urolift (as they will have to be removed).

Once done, I will report back here on both my immediate and longer results (ED, retroE?). I feel so exhausted and simply want to pee like a man again! Fingers crossed, and thanks for listening to the longer story.

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Profile picture for danilo1m @danilo1m

OK, I finally have an update. As mentioned, the Urolift failed after about 3 years, and the Rezum only lasted 1.5 years. This is my third urologist and procedure, AND it was rescheduled three times - DEC I had a really bad chest cold (not a good idea to go under), JAN was cancelled due to the huge snow storm on the east coast, BUT Friday FEB 6th, I got the Greenlight so hopefully third times the charm!. I could not wait as my peeing got even worse (like slow dribbling, forcing my pelvis to empty). The Dr wasn't sure if it would include TURP if he couldn't totally remove the Urolift staples. So happy he did remove them, as TURP can have more complications, risks and a longer recovery time. The Dr gave me an antibiotic in the OR so there was no need to fill a prescription.

It has only been 4 days later, and the fact that it was done on a Friday, there was NO WAY I was going to keep the catherter in for so long (this time seemed to be more painful than in the past). I watched a video and removed it myself without incident. What a relief! It is too early to tell, but so far I feel a little better - still a slow stream, but not at all like those baby tinkle squirts! There was a little blood, especially at the tip where the catherter was inserted, but I continuely had to empty the urine bag (it was clear yellow, no blood), so I must have been holding so much water all this time. The burning is subsiding by each day, and my follow up in 6 weeks will reveal the true final (?) results, which I will then give an update. I hope I get at least 10yrs before a repeat ,and I also hope this will improve my stubborn constipation.

Good luck to all of you.

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@danilo1m

I had TURP about 15 years ago
I had green light in 2024 and am peeing like like a 30yo
I also had catheter for 30 days waiting for green light appt …miserable
I’m 81
GOOD LUCK NB

REPLY
Profile picture for jimkellyog @jimkellyog

@danilo1m

I had TURP about 15 years ago
I had green light in 2024 and am peeing like like a 30yo
I also had catheter for 30 days waiting for green light appt …miserable
I’m 81
GOOD LUCK NB

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@jimkellyog Oh My! - I could never have lived that long with it in - I was going mad after 4 days!
Why did the TURP eventually fail?

REPLY
Profile picture for danilo1m @danilo1m

@jimkellyog Oh My! - I could never have lived that long with it in - I was going mad after 4 days!
Why did the TURP eventually fail?

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@danilo1m
Don’t know
Probably age
I was entering the stop and start phase during urinating
But very very content with green light

REPLY
Profile picture for jimkellyog @jimkellyog

@danilo1m
Don’t know
Probably age
I was entering the stop and start phase during urinating
But very very content with green light

Jump to this post

@jimkellyog Thanks. I just hope my GreenLight improves over the next 6 weeks. Right now, I see very little difference.

REPLY
Profile picture for danilo1m @danilo1m

OK, I finally have an update. As mentioned, the Urolift failed after about 3 years, and the Rezum only lasted 1.5 years. This is my third urologist and procedure, AND it was rescheduled three times - DEC I had a really bad chest cold (not a good idea to go under), JAN was cancelled due to the huge snow storm on the east coast, BUT Friday FEB 6th, I got the Greenlight so hopefully third times the charm!. I could not wait as my peeing got even worse (like slow dribbling, forcing my pelvis to empty). The Dr wasn't sure if it would include TURP if he couldn't totally remove the Urolift staples. So happy he did remove them, as TURP can have more complications, risks and a longer recovery time. The Dr gave me an antibiotic in the OR so there was no need to fill a prescription.

It has only been 4 days later, and the fact that it was done on a Friday, there was NO WAY I was going to keep the catherter in for so long (this time seemed to be more painful than in the past). I watched a video and removed it myself without incident. What a relief! It is too early to tell, but so far I feel a little better - still a slow stream, but not at all like those baby tinkle squirts! There was a little blood, especially at the tip where the catherter was inserted, but I continuely had to empty the urine bag (it was clear yellow, no blood), so I must have been holding so much water all this time. The burning is subsiding by each day, and my follow up in 6 weeks will reveal the true final (?) results, which I will then give an update. I hope I get at least 10yrs before a repeat ,and I also hope this will improve my stubborn constipation.

Good luck to all of you.

Jump to this post

@danilo1m update. Now 4 weeks out. Still a little burning when first peeing (subsides seconds later), but the flow is beginning to get stronger. Hopefully, by my 8-week follow-up, I will see better/final results.

One odd thing I noticed. I urinate to the right! I read that perhaps since my catheter was tied to my right thigh, it could have stressed the urethra. I am hoping it is not permanent damage and it will straighten in time.

REPLY
Profile picture for danilo1m @danilo1m

@danilo1m update. Now 4 weeks out. Still a little burning when first peeing (subsides seconds later), but the flow is beginning to get stronger. Hopefully, by my 8-week follow-up, I will see better/final results.

One odd thing I noticed. I urinate to the right! I read that perhaps since my catheter was tied to my right thigh, it could have stressed the urethra. I am hoping it is not permanent damage and it will straighten in time.

Jump to this post

@danilo1m you could consider sitting down when you pee so your aim doesn’t matter.

REPLY

Yes, even with that, it turns to the right only. Very odd.

REPLY
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