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I have a benign prostate that is now 580grams and needs attention

Posted by 580grams @580grams, Jan 21 3:08pm

I am looking specifically for surgeons who have any significant experience with RASP procedure in giant prostates like mine at 580 grams. Yes thats not a typo. Five hundred and eighty grams benign. Any specific surgeon or program information would be very much appreciated. Thanks.

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jiminos | @jiminos | Jan 22 3:31pm

I had HoLep in 2022. I thought mine was very large at 210gr. I was told by multiple urologists that I had one of the fastest growing they had seen. I see that the largest recorded is about 700gr and the largest for HoLEP was 696gr. The surgeon that did Urolift in 2014 and Greenlight in 2019, both a waste of time (from my perspective) referred me to another surgeon to do RASP. That surgeon said he thought I would be a good candidate for HoLEP and I liked that HoLEP has no incisions and has the highest rate of success. My HoLEP surgeon was very skilled and I have had no issues. That was in San Diego. Whichever procedure you go with, I would research to make sure the surgeon is highly skilled and has performed a high number of procedures. Looking at the pros and cons for a 580gr prostate both procedures are good choices. RASP would go faster with Robotic assistance where HoLEP would be a longer procedure but an experienced surgeon should handle successfully. I was still working when I had the surgery and the fact that I would be back to work in a few days factored in my decision to go with HoLEP. Whichever procedure you have I wish you success.

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580grams | @580grams | Jan 23 1:00pm
In reply to @jiminos "I had HoLep in 2022. I thought mine was very large at 210gr. I was told..." + (show)
Profile picture for jiminos @jiminos

I had HoLep in 2022. I thought mine was very large at 210gr. I was told by multiple urologists that I had one of the fastest growing they had seen. I see that the largest recorded is about 700gr and the largest for HoLEP was 696gr. The surgeon that did Urolift in 2014 and Greenlight in 2019, both a waste of time (from my perspective) referred me to another surgeon to do RASP. That surgeon said he thought I would be a good candidate for HoLEP and I liked that HoLEP has no incisions and has the highest rate of success. My HoLEP surgeon was very skilled and I have had no issues. That was in San Diego. Whichever procedure you go with, I would research to make sure the surgeon is highly skilled and has performed a high number of procedures. Looking at the pros and cons for a 580gr prostate both procedures are good choices. RASP would go faster with Robotic assistance where HoLEP would be a longer procedure but an experienced surgeon should handle successfully. I was still working when I had the surgery and the fact that I would be back to work in a few days factored in my decision to go with HoLEP. Whichever procedure you have I wish you success.

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@jiminos, thanks for your detailed information. Very helpful.

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