Posted on 11/10/2023 8:01:10 AM PST by far sider
I am a 250-lb, 6-foot, 65 year-old Freeper from southern Ohio. I have been on 80 mg FloMax since summer and I don't like it. And it doesn't seem to work that well.
I have seen that there are several different surgical options. I would appreciate anyone who could share their experience and/or advice. Thanks.
I can tell a difference but I'm not home-free yet. I'll be able to give you an up date, mid December at my three month follow-up. I was not admitted to a hospital but was put to sleep in an outpatient surgical center in the same building as my Doctor's office and had a catheter leg bag for three days. My Doctor and staff are great.
I had a debilitating reaction to Flomax (Tamsulosin) when it was proscribed a few weeks before the surgical procedure was scheduled. I could hardly walk from the joint pain and I told the doctor that I had to stop taking it. I have a base metal allergy so that might have been related.
If it is benign prostate hyperplasia or not benign- the simplest and most advanced surgical removal, surpassing the last 20 years of ham-handed surgery is now.. Aquablation. Ultrasound and robot guided mapping of the offending overgrown organ. This is robotic surgery using high pressure water, locked down robotic device on immobilized patient- nothing moves but the device.
The area is plotted using ultrasound, and visual cystoscope. The device in minimal invasive- goes in from the outside down urethra and positioned before the bladder intersection.
1 hour procedure preserves bladder sphincter (no incontinence, and also preserves sexual function (just no prostate to store semen). Urination restored- antibiotics on board IV during and after (12 liters of sterile water flushes through the area and out. Laser cauterizatio of all bleeding small capillaries. Overnight before day of, and overnight after the procedure— then home.
Ignoring or delaying progressive hyperplasia can lead to bladder expansion to well beyond normal 350 cc retained, and also to emergent stretching of the bladder walls to over 700 cc to 1K and then, potentially bursting.
TURP has nothing on this brilliant procedure.
www.aquablation.com
Sounds similar to HIFU...but maybe better
For a cancer diagnosis I heard that proton and photon therapy were the latest and greatest things. As for me, I have been on one 5mg Finasteride for maybe five years now and that has kept my PSA down (though slowly rising).
I have been doing fine for 25 years on saw palmetto.
yeah I saw this one and gave my solutions. thanks for the heads up.
What about that “Urolift” thing they can do?
Agree, but it's not permanent. I'm having issues again after 8 years but it was good while it lasted.
What milligrams and how many/often do you take your saw palmetto?
we were told he would be good for 15 years...
hubby would disagree with you about painfulness... Can’t wait to go to dr ofc Monday to get “it” out!
I know what you mean. I remember I also had to “wait until Monday to get “it” out.” LOL.
320 of the concentrated once a day or 160 twice seems to be the base amount. As 320s are harder to get you have to experiment with the other measurements. I am currently using 3 260s a day. Don’t mess with the plain unconcentrated because you have to take as many as 6 a day.
When we were taking care of my FIL (dementia), he did not do well on Flomax and after some research on supplements, we landed on https://www.lifeextension.com/vitamins-supplements/item02029/ultra-prostate-formula
It did as well as Flomax (if not better) with zero side effects. It was so good that his hospice nurse and doctor started recommending it to other patients.
I think it’s worth a try (before surgery anyway)
May it be so.
Does not work and does not last.
And they have to do a TURP to get it out anyway once it fails.
The TURP is not fun. BUT it works and you only need to have it once. Probably you will need to have it done in any case at some point in the future when it will be a lot more painful and harder to heal from.
Free advice and worth every cent you pay for it.
So far so good after a TURP yesterday. No pain to speak of except some discomfort when actually urinating, probably due to irritation from five weeks with a Foley catheter before the procedure. It is a little disquieting seeing that much blood in the urine, but at least I can pee when I want to and not when I don’t. The surgeon said there might be some urinary incontinence for a few days, though that doesn’t seem to be happening. I’m still going to wear geezer britches for a day or so just in case.
My urologist did not recommend the Urolift. I have no complaints regarding the TURP, though recovery is by no means complete at this point.
About 4 years ago I was diagnosed with a very aggressive case of prostate cancer. I was advised at the VA of several options. Radiation was one, chemo another or surgery for a complete removal. Being in my mid 60’s, I chose the surgery knowing it would change my lifestyle forever. No sex life, wearing a diaper for about 6 months to get my bladder under control, and a whole different attitude about bowel movements. What it did give me was a complete removal of all cancer, no worries there anymore and a different outlook on my future life. Do what you think is best, I know I did.
What did you do when you were diagnosed with prostate cancer? It sounds like you are cured? Thanks.
It will help prevent UTI's which are not uncommon after a TURP.
Glad everything turned out all right for you. May your recovery be swift.
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