So clear. I undergone this procedure 2 years ago at the age of 69 after 2 years on medication but with little result. After 4 days in hospital, I was discharged, rested at home for one week before beginning walking exercise. After one week, no more blood coming out. Now waking up only once to pee, compared with 5-6 times or practically every hour before surgery.
I had TURP procedure done about 10 yrs ago. Went home same afternoon with catheter. Just had to empty it 2 times daily for about 10 days. Then nurse removed it. No more issues since.
wow man, you were lucky. I just had this done 2weeks ago and was emptying my Foley about every 3 hours, day and night! luckily only four days. The bag seemed to automatically fill with lots of air also, like a small pee/blood balloon.
So, do people consider retrograde ejaculation a plus? I noticed that all urology clinics play down the side effects - such as REj - and some even deny the existence of the internal urethral sphincter (the muscle tissue at the bladder neck / top of the prostate that closes so that ejaculate is sent out), which most prostate surgery destroys. This is a new tack, saying that REj is a plus. Everybody I've talked with who has had prostate surgery is pissed that they were not told of such side effects. Supposedly, some urologists now acknowledge the fact the many patients prefer to keep the sphincter, but I haven't been able to find one, here in the medical backwater of Massachusetts. www.ncbi.nlm.nih.gov/pmc/articles/PMC7065283/ www.ncbi.nlm.nih.gov/pmc/articles/PMC6714584/
Very informative and interesting. I have already had the turps operation. after two years on a catheter and self inserting catheter, and it is the most wonderful feeling to be able to go for a wee without a struggle. I couldn't believe I had 2 litre of urine, in my bladder, and I only went to the doctor with a funny taste when I had anything to eat, I thought it was Covid. I went through urology tests, including a bladder pressure test, but it was all worth it. so it just goes to show, even when passing urine, you can still have a prostrate problems, so get checked out.
And don’t you think it would be a great idea that every time we older men get a routine physical, they include a quick bladder ultrasound to see if there’s any urine retention going on?
Ask your urologist if the treatment is carried out in combination with the Schelin catheter. This will make the procedure so much easier for you as a patient!
Just had the procedure and here are my results. Discharged after recovery room, felt groggy(fentanyl anesthesia0 and thirsty, kept catheter in for 48hr then self removed. Bleeding into urine and sever pain at the end of urination like a strong spasm then subsides. I imagine it is the urine passing over the open wound. This lasted for about 2 weeks then bleeding subsided as well as the pain. I had complete blockage so probably saved my life. I am happy for skilled surgeons. Thank you....., unfortunately at about a month after surgery I began experiencing severe bladder urgency especially standing after having been sitting or lying and in about 10% of the time pissing myself. My Dr put me on a drug for 2weeks, that didn't work and checked for a UTI (negative)...so there is this possibility
Oops...now that doesn't sound so good. I'm sorry to hear that. As a result of this operation I've got constant burning for about 10 to 15 seconds when I urinate because of the steel rod he had to insert right up to my bladder. THAT really hurt/damaged my urethral walls. It has never healed properly... :/ Also, My bladder's rentention capacities are not as good as before the operation and I'm sometimes incontinent. I have to wear pads once in a while... :/
I think all doctors want to convince their method is the best. I am looking int the PAE which apparently has a quick recovery period. Caution about these docs!
I’m 72 and have been using an indwelling foley catheter for the last four months! For me, the problem was not my prostate. It was my bladder which had lost all elasticity and lacked the pumping power to drain even when my prostate was clear.! Managing the indwelling fully catheter is easy leak proof, painless inexpensive, and absolutely awesome for me the real issue is my kidneys while wearing the catheter and leg bag. I am eliminating 3 L of urine per day clean blood is the real issue here.
How's it going? I'm not finding much hope in any treatments working for long term. Just sounds like long term agony and job security for dick Doctors. I'm not sure I want to let them do a thing outside of meds. As everything really sounds like it leads to worse problems. NTM, I can't find a Urologist that feels like I have any business knowing what they think, what they expect to do to me or anything. Only specialists I've ever seen that I leave every visit not knowing one new thing. At all. About to move onto my 4th Urologist. As I asked this Guy one question and tells me a procedure that I can expect to be at for 3 hours and involves multiple catheters as nothing and gets annoyed when I want to know what he plans to do to my body. He don't want to answer my questions so bad that he told me that in 45 years, he never heard my symptoms. It takes 30 seconds to find out he's full of BS or is a total hack. If a mechanic just told you it was nothing, but bring your car to him. Would you? And would you expect better treatment from a Dr than a scam mechanic?
A 90 year old friend had a TURP, and his age, health status generally and the stress of the procedure led to his death in hospital so an autopsy was required. His prostate was examined and found to be full of cancer. Results like this in other cases led to the abandonment of TURP in favour of open surgery in which the entire organ was removed. The downside of complete removal is the loss of about an inch of penile length but better this than what my elderly friend experienced.
So sorry about your friend! However, that case is surely not the average one. I'm 70 and just 2 weeks ago had my TURP done. I was a risky case due to the blocking media-lobe/solitary kidney/acute&chronic urinary retention with bladder atony/chronic UTI's with antibiotic resistance. My urologist was able to "remove about half" of my prostrate, getting rid of media-lobe and shaving away the enlarged sides also. Like the vast majority of TURPs, mine was a complete success and recovery was totally pain-free with no sexual side-effects whatsoever.
@@ronrobbins2737 - I’m sure my friend’s urologist thought he had done a bang-up job, as you think your experience has been. Helluva difference sir. Your remaining organ has not been sliced up and examined microscopically as was my friend’s. How can you say your result is perfection when you truly have no idea what might still lurk unseen?
thanks for your reply. . . I have to wonder why your friend's prostate cancer wasn't known before, in that advanced state? Obviously in his case that should have been known before and no TURP planned. Also his age in itself should have made it a no-go. By the way, my prostate tissue WAS examined microscopically as it was sent right to the lab after its removal. If you check the stats you will find the very high success-rate that still gives TURP its well-deserved "gold-standard" status.@@yogiperogy
Actually the procedure destroys the Urethra in the area enclosed within the prostate, When voiding the urine is contained as the remaining prostate acts as a tube until the urethra repairs itself in that area, much like skin growing again over a wound. Quite fascinating.
I was told that there is actually no separate "urethra" enclosed by the prostrate; the prostrate itself always forms the "tube" for urine flow. My TURP was only two weeks ago with Foley catheter left in for the first four days and I have had ZERO pain, either from the procedure or while peeing. And no more blood in urine at all. Hard to believe a separate "urethra" was destroyed and needs to "repair" don't you think?
Hi Dr. Nick, thanks for your informative video sir. I am scheduled for TURP in 3 weeks and getting apprehensive as I have chronic/acute bladder retention, enlarged median lobe, chronic UTIs and have lived most of my 70 years with only one kidney. I don't seem to be the typical patient and have been doing self-cath. now for six months, along with some normal daily urination. My urologist says TURP is the only real answer for me and it will be done out-patient. Sounds reasonable? (update 5 weeks later) **Exactly two weeks ago my TURP was done; Foley catheter was left in for FOUR DAYS. Yes it was a real hassle dealing with emptying that bloody bag every four hours, but well worth it. As soon as it was removed, I passed the nurse's pee-test, and I was soon peeing normally without any more self-catheter. Only issue now is some minor leaking which I feel will resolve soon. Overall, I know that what seemed like a very invasive procedure turned out to be completely PAINLESS during recovery and my only regret is that I didn't do it YEARS ago!
Hi, I'm still in recovery phase at 7 weeks and the only issue so for is lots of dribbling, especially "post-void." But I can attest that there has been absolutely no ED at all. I was already having retrograde ejaculation even before, maybe because my enlarged median lobe was blocking sperm ducts. All in all the procedure was a real blessing for me and and actually a life-saver. Only regret is that I waited too long and went through so many UTIs and catheters! by the way what's your musical connection?@@darrylmusic7839
When I was a young boy I was very afraid of circumcision. But as an adult working in the Operating Room and assisted surgeons with all this kinds of prostate surgeries, I realized that circumcision is way much better than this. Any man who will see a video of a metal instrument being passed into his genitalia will feel very scared absolutely.
Any pleasure from orgasm will likely be reduced, ( for some, to a large extent ), due to retrograde ejaculation. There is a possibility for "spraying" when you urinate which will require a further procedure. You may, depending on age and circumstance, have to have the TURP repeated in a couple of years. There is a possibility that you will leak. ( Not be 100% able to hold your urine until you can find a bathroom ). There is a possibility that you will unconsciously leak and only find out when the front of your pants gets wet. Some days I think that having to get up a few times at night or having a bit of difficulty initiating was better than the side effects of the TURP. Be sure to ask your Urologist lots of questions and remember, a TURP is not a cure for prostate cancer.
The Urethra actually starts at the Bladderneck, i think the Prostate is literally a part of the Urethra (in a way) so - so yes.. if you remove tissue inside, you actually remove this surface.. i guess they do it above the veru montanum only though
@@daved4094 oddly enough m0r4x's reply has been deleted . What was their explanation for the Urethra question ? How do you get past the urethra to arrive at the prostate gland tissue ?
i talked to a urologist and although he didn't explain fully he did say that the urethra remains intact after the surgery so they must make a small incision in the urethral wall or something ?to get at the prostate tissue to remove it
@@edwardmacnab354 my thinking is that when they turp that out, any urethra in prostate is removed as well. The cleaned out area of the prostate I think, becomes just an opening to the urethra. Just had my prostate removed three weeks ago today so they actually completely section it out and resection remaining urethra to the bladder opening. The catheter came out a week ago Monday. So I’m still having some bleeding in urine. But I think that is par for the course. I’m glad we don’t have two prostates cause I don’t wanna have to go through that again.
I am pretty sure that urine will flow through the remaining prostate tissues and continue it's way down into the penile urethra. In my case it's been two years and the part of my urethra at the base of the penis still feels like it was scared with those metal tubes. Most everytime I urinate, it burns for a few seconds then pain subsides. There's nothing perfect. An operation is an operation after all. One has to take into account the benefits, pros and cons...
@@1vivaof course they damaged your urethra almost everyone complains about that,procedure and instruments designed for females I sometimes think that urologist are just frustrated gynaecologist looking for some way to stick things into male exit holes
I was under the impression that the pipe from your bladder passed through your prostate, like a tube going through the centre of a ring doughnut, if this is the case , how can the prostate be treated with-out first puncturing the pipe , , or does the prostate have one pipe going in , and a second pipe coming out ????can anyone let me know which it is , I am due to have this operation , and would like to understand what is involved , thanks in advance 😊
Luego de la operación ya no hay eyaculación como antes de la operación. Luego de la operación ocurre la llamada "eyaculación retrógrada" ( los líquidos seminales ya no salen por la uretra sino se van hacia la vejiga ) , de tal manera que ya no hay una eyaculación normal .
Yes you are right. This surgery will turn your life upside down. I had it 8 months back. My problems doubled after surgery. Frequent urination, forced urination etc. Wonder why doctors are still practising it
Depends on the surgeon, I had this done in Australia at 78 and found the operation and recovery to be painless and fast, I now don't get up in the night and pee like a 20 year old, best thing I ever did.
My TURP was done 2 weeks by my fantastic Urologist who also is Assistant Professor of Urology at U.C. Irvine, Ca.. I had no pain at all during recovery; but had to wear the Foley catheter for 4 days. Not fun but well worth it. I had many issues before and at 70, now wish I had done this five years ago!@@camlerider101
My primary doctor told me urology is a tough racket most of the procedures they do don't work i passed on the turp and decided to go with a foly catheter i change it myself i'm seventy four i don't need to be put through hell and back at this point.
I'm 66 and have had to self cath now for 3 years after I had my hips replaced. I ended up getting sepsis and spent a month in the hospital while they fed me anti- biotics through a pic line for 8 weeks. I still have the foley in they installed 3 months ago while I was in the hospital, I'm going to see my urologist in a couple weeks and after reading all this I might do what you are doing. I know one thing I will have a lot of questions for him when I see him. I have to have heart surgery next month to replace a valve that's not opening all the way and they wanted to wait to see what the urologist says before they operate. I like you have already been through hell with my body and I don't need nor want anymore hell.
Oh man, can't believe you are dealing with that Foley. For me that was Hell on Earth, friend. I'm 70 and just had my TURP done by my fantastic Urologist and even though I was a risky case with lots of complications, the procedure was painless with only 4 days of Foley afterwards. He was also able to do a thorough cancer screening of the prostate from the discarded tissue fragments. I am already seeing huge improvement in urine flow and no more daily self-catheter for me.
If you get finally cleared for TURP procedure after everything else, I urge you to believe your urologist if he says it will vastly improve you life and it's not risky or painful. Mine was just two weeks ago. Listen to the real statistics on the subject and not internet gossip please friend!@@prmayner
I'm 80 & had obstructed bladder 6 1/2 yrs ago necessitating turp procedure. Worked for a while but had stricturing issues. ? Treatment was self catheterization with ensuing bladder lumen closure. What then was required was a special cath (coude) which was successfull (curved tip). I cathed for almost 7 years & it was suggested to undergo Holep procedure (Holmium Laser Enucleation of the Prostate) where I could possibly be able to do away with catheterization altogether (98% success I was told). I will tell you at first I so regretted the whole process. Bleeding for 3 months, bladder tissue expelled the size of "postage stamp", & other issues (no infections though). My feelings along the way were that I so much regretted the Holep decision & would welcome going back to catheterization ( I sat down one day to figure how many times I cathed - approximately 6,583 times) & it was so much better. Well, this all has a happy ending & it just required a %$@# of alot of patience so 5 months later I'm fine & not having to cath, not worrying about UTI's & just relearning bathroom routine(s). I think it was just how age impacts so dramatically the ability to heal (5 months later post surgery). Caveat: research so thoroughly who's doing the surgery, where, success rate, infection rates & above all, keep good notes on all that the MD says, what the procedure entails, complication that one could encounter (maybe take a spouse to help with the memory process on what was said cuz it is really involved & two heads are better than one). Regrets, none?
Is your opinion based on your own experience? And which civil war are you talking about in 1887? Stats and my recent experience tell me that TURP is a fantastic procedure when performed by a well-qualified Urologist like mine.
Hi Jim, The urologist with his intern damaged accidentaly the drain of my bladder, now its too small. They wanted to re-operate but I said no, enough for now (as long as I can still urinate even though it now burns for about 10-15 seconds when I first pee.).
@@ronrobbins2737 good on you. I can’t trust hospitals, doctors and the pharmaceutical companies anymore. They can lace any form of medication with spike protein’s and we would be non the wiser 👍👍
Yes, there have been some updates and it has a great track record. Amazingly non-invasive with painless recovery and after only 2 weeks, so glad I did it.
I had this done 10 days ago at first after going home everything was alright 4 days later I started passing a lot of blood Iam still doing so is this normal if not please let me know.
well, i have had a lot of issues after this (calcifications inside the cavity) ejaculation is gone aswell.. i don't know what to think about it, i have to go again for surgery and remove the calcitications now as there is absolutely no improvement - its actually worse than before - i dont think Aquablation is that awesome
I’m thinking of having the Aquablation procedure done. All these other procedures scare me, so I’m not being able to ejaculate, so I’m having to wear a catheter forever? I was going to have a PAE procedure but after it was discovered I have prostate cancer, they wouldn’t touch me. How did your procedure go and what was the outcome? Do you still ejaculate? Do you still get a hard on? And most importantly do you have to have a catheter after the operation? Thank you in advance for any information you could give me before I consider this procedure.
Aquablation almost killed me. 5 units of blood later, I survived. Now….urinating ok, but retrograde ejaculation and weak erections requiring Cialis to accomplish the mission. Retrograde ejaculation sucks!, The urologists marginalize this horrific side effect. Your sex life will never be the same again.
This turp surgery is not for everybody some make it some don't, in a couple of months I'll be seventy been having piss problems since I retired from the military went to the doctors and got flowmax pills now sometimes having problems stop pissing my next project is strapping piss bag to my legs, we did it in the military, l did convoy security. while in Iraq, had to drive for 10 to 12hrs. without stopping, that's we did it.
Do you still have sex? I'm happy to do it (77) and I wouldn't be happy if I couldn't do it anymore. For the last few months, I have a less frequent stream of urine, I take combined pills for prostate and bladder, but sometimes I have to get up at night to pee and 10 minutes later again only a smaller amount. That It's not a good sign, but the PSA is 1.45 (very good). The doctor tells me to take medicine for the full 6 months, so we'll see what happens next. If it endangers my sex, then I don't want such an operation.
Sounds like you are getting good advice so far. But make sure you are not having "urinary retention" which can lead to UTI's and worse. Your meds might take a long time to work, or not help much at all. You should get a bladder scan and maybe cystoscopy, if that scan shows "retention." TURP procedure "saved my life" just 2 weeks ago and the only effect on sex is going to probably be "retrograde ejaculation." In my case, Urologist removed my blocking "media-lobe" and shaved away the prostate sides, creating a much bigger unblocked urine channel with no side-effects or painful recovery.
so heres the deal my friend i love my women let me tell ya... but if your prostate swells to the point that u cant pee just dribble from u straining to push it out! its only a matter of time b4 for u see blood in urine! then it swells shut cant pee at all if left untreated urine will back up to your kidneys that urine is filled with potassium , and salt sodium it cant get rid of... and it start s to shut your kidneys down then u have days until u die in your sleep if left untreated i should know!!!!! i just had my turp done feb 28 2024 and yea i almost died if i had waited 3 more days when i finally went to the hospital my kidney function was at 9% doctor sait wait let me try somthin ! omg today and after 6 months of back an fourth my kidney function is at 100% i was soooo lucky man! and yes u can still have sex just your load will not be so power full lol and im ok with that.
I think I'd rather die than do surgeries like this, I don't even like using catheters, there are other ways than going through this kind of torture, they have new technology out there but it's all about money.
My TURP was 7 weeks ago, it saved me from my six months of 4x/day self-catheters and constant bladder infections. Recovery was completely painless. The way Urologists do this procedure without having to cut us open is amazing, and these people are incredibly highly trained professionals dedicated (most) to helping us guys who tend to put off getting proper treatment.
Hey man, you misspelled TURP and wonder if you might have had the rare bad experience from it yourself? It's really not helpful giving false negative info that might discourage some from having this amazing easy procedure that changed my life one month ago. Gave it back, in other words.
I have to disagree; just had my TURP done exactly two weeks ago and it was a complicated one involving the usual prostate enlargement but also the rarer overgrown middle (median lobe) segment that was almost completely blocking my bladder and causing very serious bladder infections affecting my one solitary kidney. I had no pain at all during recovery and am already experiencing normal urine flow after having to self-catheter 4x/day for 6months. My Urologist is no butcher, friend. He's a fantastically trained & skilled/caring specialist dedicated to improving and saving (in my case) our lives.
@@ronrobbins2737 I am happy for you and you are right in skilled hands most treatments can be of benefit. However I was really referring to the average result of TURP based on comments from family members and friends. None of which have found it of much benefit and for some causing more problems than before treatment. Same for some people on this post. It all depends on your surgeon's skills and fortunately for you your surgeon was a very good one.
So clear. I undergone this procedure 2 years ago at the age of 69 after 2 years on medication but with little result. After 4 days in hospital, I was discharged, rested at home for one week before beginning walking exercise. After one week, no more blood coming out. Now waking up only once to pee, compared with 5-6 times or practically every hour before surgery.
You are very lucky man, most people get bleeding for six to 2 years and easy to get infection then for 4 to 5 years the prostate swelling back again.
I had TURP procedure done about 10 yrs ago. Went home same afternoon with catheter. Just had to empty it 2 times daily for about 10 days. Then nurse removed it. No more issues since.
wow man, you were lucky. I just had this done 2weeks ago and was emptying my Foley about every 3 hours, day and night! luckily only four days. The bag seemed to automatically fill with lots of air also, like a small pee/blood balloon.
Glad it was a success.
Had one a few years ago. The doctor gave me my life back. No side effects at all, other than less messy sex.
So, do people consider retrograde ejaculation a plus? I noticed that all urology clinics play down the side effects - such as REj - and some even deny the existence of the internal urethral sphincter (the muscle tissue at the bladder neck / top of the prostate that closes so that ejaculate is sent out), which most prostate surgery destroys. This is a new tack, saying that REj is a plus. Everybody I've talked with who has had prostate surgery is pissed that they were not told of such side effects. Supposedly, some urologists now acknowledge the fact the many patients prefer to keep the sphincter, but I haven't been able to find one, here in the medical backwater of Massachusetts.
www.ncbi.nlm.nih.gov/pmc/articles/PMC7065283/
www.ncbi.nlm.nih.gov/pmc/articles/PMC6714584/
Very informative and interesting. I have already had the turps operation. after two years on a catheter and self inserting catheter, and it is the most wonderful feeling to be able to go for a wee without a struggle. I couldn't believe I had 2 litre of urine, in my bladder, and I only went to the doctor with a funny taste when I had anything to eat, I thought it was Covid. I went through urology tests, including a bladder pressure test, but it was all worth it. so it just goes to show, even when passing urine, you can still have a prostrate problems, so get checked out.
And don’t you think it would be a great idea that every time we older men get a routine physical, they include a quick bladder ultrasound to see if there’s any urine retention going on?
My husband complained of lack of taste of food too. He's s scheduled for TURP soon.
Ask your urologist if the treatment is carried out in combination with the Schelin catheter. This will make the procedure so much easier for you as a patient!
Just had the procedure and here are my results. Discharged after recovery room, felt groggy(fentanyl anesthesia0 and thirsty, kept catheter in for 48hr then self removed. Bleeding into urine and sever pain at the end of urination like a strong spasm then subsides. I imagine it is the urine passing over the open wound. This lasted for about 2 weeks then bleeding subsided as well as the pain. I had complete blockage so probably saved my life. I am happy for skilled surgeons. Thank you....., unfortunately at about a month after surgery I began experiencing severe bladder urgency especially standing after having been sitting or lying and in about 10% of the time pissing myself. My Dr put me on a drug for 2weeks, that didn't work and checked for a UTI (negative)...so there is this possibility
Oops...now that doesn't sound so good. I'm sorry to hear that. As a result of this operation I've got constant burning for about 10 to 15 seconds when I urinate because of the steel rod he had to insert right up to my bladder. THAT really hurt/damaged my urethral walls. It has never healed properly... :/ Also, My bladder's rentention capacities are not as good as before the operation and I'm sometimes incontinent. I have to wear pads once in a while... :/
yeah...it sounds like what I'm experiencing... i wonder if maybe the bladder sphincter was nicked or damaged during the procedure???@@1viva
I think all doctors want to convince their method is the best. I am looking int the PAE which apparently has a quick recovery period. Caution about these docs!
@@AubreyForever What does PAE stand for?. 🤔
Here is a RUclips video@@1viva
I’m 72 and have been using an indwelling foley catheter for the last four months! For me, the problem was not my prostate. It was my bladder which had lost all elasticity and lacked the pumping power to drain even when my prostate was clear.! Managing the indwelling fully catheter is easy leak proof, painless inexpensive, and absolutely awesome for me the real issue is my kidneys while wearing the catheter and leg bag. I am eliminating 3 L of urine per day clean blood is the real issue here.
Had mine done ..no more problems now..happy as 😮
How's it going? I'm not finding much hope in any treatments working for long term. Just sounds like long term agony and job security for dick Doctors.
I'm not sure I want to let them do a thing outside of meds. As everything really sounds like it leads to worse problems. NTM, I can't find a Urologist that feels like I have any business knowing what they think, what they expect to do to me or anything. Only specialists I've ever seen that I leave every visit not knowing one new thing. At all. About to move onto my 4th Urologist. As I asked this Guy one question and tells me a procedure that I can expect to be at for 3 hours and involves multiple catheters as nothing and gets annoyed when I want to know what he plans to do to my body. He don't want to answer my questions so bad that he told me that in 45 years, he never heard my symptoms. It takes 30 seconds to find out he's full of BS or is a total hack.
If a mechanic just told you it was nothing, but bring your car to him. Would you? And would you expect better treatment from a Dr than a scam mechanic?
A 90 year old friend had a TURP, and his age, health status generally and the stress of the procedure led to his death in hospital so an autopsy was required.
His prostate was examined and found to be full of cancer. Results like this in other cases led to the abandonment of TURP in favour of open surgery in which the entire organ was removed.
The downside of complete removal is the loss of about an inch of penile length but better this than what my elderly friend experienced.
So sorry about your friend! However, that case is surely not the average one. I'm 70 and just 2 weeks ago had my TURP done. I was a risky case due to the blocking media-lobe/solitary kidney/acute&chronic urinary retention with bladder atony/chronic UTI's with antibiotic resistance. My urologist was able to "remove about half" of my prostrate, getting rid of media-lobe and shaving away the enlarged sides also. Like the vast majority of TURPs, mine was a complete success and recovery was totally pain-free with no sexual side-effects whatsoever.
@@ronrobbins2737 - I’m sure my friend’s urologist thought he had done a bang-up job, as you think your experience has been. Helluva difference sir. Your remaining organ has not been sliced up and examined microscopically as was my friend’s. How can you say your result is perfection when you truly have no idea what might still lurk unseen?
thanks for your reply. . . I have to wonder why your friend's prostate cancer wasn't known before, in that advanced state? Obviously in his case that should have been known before and no TURP planned. Also his age in itself should have made it a no-go. By the way, my prostate tissue WAS examined microscopically as it was sent right to the lab after its removal. If you check the stats you will find the very high success-rate that still gives TURP its well-deserved "gold-standard" status.@@yogiperogy
@@ronrobbins2737 ++
Have you experienced retrogative ejucalation ?
@@ronrobbins2737 That's good news. It really all depends on the skills of your particular surgeon. You got a good guy.
I'm 70+ years & all down there is functioning perfectly. So far.
As a new surgical tech, I appreciate this educational video.
thank you I just had that done last week and tomorrow dr will remove the bag I am hoping for success
Actually the procedure destroys the Urethra in the area enclosed within the prostate, When voiding the urine is contained as the remaining prostate acts as a tube until the urethra repairs itself in that area, much like skin growing again over a wound. Quite fascinating.
I was told that there is actually no separate "urethra" enclosed by the prostrate; the prostrate itself always forms the "tube" for urine flow. My TURP was only two weeks ago with Foley catheter left in for the first four days and I have had ZERO pain, either from the procedure or while peeing. And no more blood in urine at all. Hard to believe a separate "urethra" was destroyed and needs to "repair" don't you think?
Hi Dr. Nick, thanks for your informative video sir. I am scheduled for TURP in 3 weeks and getting apprehensive as I have chronic/acute bladder retention, enlarged median lobe, chronic UTIs and have lived most of my 70 years with only one kidney. I don't seem to be the typical patient and have been doing self-cath. now for six months, along with some normal daily urination. My urologist says TURP is the only real answer for me and it will be done out-patient. Sounds reasonable? (update 5 weeks later)
**Exactly two weeks ago my TURP was done; Foley catheter was left in for FOUR DAYS. Yes it was a real hassle dealing with emptying that bloody bag every four hours, but well worth it. As soon as it was removed, I passed the nurse's pee-test, and I was soon peeing normally without any more self-catheter. Only issue now is some minor leaking which I feel will resolve soon. Overall, I know that what seemed like a very invasive procedure turned out to be completely PAINLESS during recovery and my only regret is that I didn't do it YEARS ago!
your around my age. Question I have is, did TURP cause ED for you? Our did it help your sex life?
Hi, I'm still in recovery phase at 7 weeks and the only issue so for is lots of dribbling, especially "post-void." But I can attest that there has been absolutely no ED at all. I was already having retrograde ejaculation even before, maybe because my enlarged median lobe was blocking sperm ducts. All in all the procedure was a real blessing for me and and actually a life-saver. Only regret is that I waited too long and went through so many UTIs and catheters! by the way what's your musical connection?@@darrylmusic7839
When I was a young boy I was very afraid of circumcision. But as an adult working in the Operating Room and assisted surgeons with all this kinds of prostate surgeries, I realized that circumcision is way much better than this. Any man who will see a video of a metal instrument being passed into his genitalia will feel very scared absolutely.
Any pleasure from orgasm will likely be reduced, ( for some, to a large extent ), due to retrograde ejaculation. There is a possibility for "spraying" when you urinate which will require a further procedure. You may, depending on age and circumstance, have to have the TURP repeated in a couple of years. There is a possibility that you will leak. ( Not be 100% able to hold your urine until you can find a bathroom ). There is a possibility that you will unconsciously leak and only find out when the front of your pants gets wet. Some days I think that having to get up a few times at night or having a bit of difficulty initiating was better than the side effects of the TURP. Be sure to ask your Urologist lots of questions and remember, a TURP is not a cure for prostate cancer.
Thank you. I am due to have this done with a lasor.
Hello, is the Urethra burned away with the sectioning of the Prostate. thank you.
The Urethra actually starts at the Bladderneck, i think the Prostate is literally a part of the Urethra (in a way) so - so yes.. if you remove tissue inside, you actually remove this surface.. i guess they do it above the veru montanum only though
@@a2b3c Many thanks for your reply, I have puzzled over this for some time.
@@daved4094 oddly enough m0r4x's reply has been deleted . What was their explanation for the Urethra question ? How do you get past the urethra to arrive at the prostate gland tissue ?
i talked to a urologist and although he didn't explain fully he did say that the urethra remains intact after the surgery so they must make a small incision in the urethral wall or something ?to get at the prostate tissue to remove it
@@edwardmacnab354 my thinking is that when they turp that out, any urethra in prostate is removed as well. The cleaned out area of the prostate I think, becomes just an opening to the urethra. Just had my prostate removed three weeks ago today so they actually completely section it out and resection remaining urethra to the bladder opening. The catheter came out a week ago Monday. So I’m still having some bleeding in urine. But I think that is par for the course. I’m glad we don’t have two prostates cause I don’t wanna have to go through that again.
What happens to the urethra during TURP? How is the prostate cut away without damaging the urethra?
I am pretty sure that urine will flow through the remaining prostate tissues and continue it's way down into the penile urethra. In my case it's been two years and the part of my urethra at the base of the penis still feels like it was scared with those metal tubes. Most everytime I urinate, it burns for a few seconds then pain subsides. There's nothing perfect. An operation is an operation after all. One has to take into account the benefits, pros and cons...
@@1vivaof course they damaged your urethra almost everyone complains about that,procedure and instruments designed for females I sometimes think that urologist are just frustrated gynaecologist looking for some way to stick things into male exit holes
@@19530ashland Tks for the info. :) :/
La uretra se tiene que romper o cortar y desde esa abertura se extrae el material prostático.
Had this done young @ 65 ... not a single problem or complication. Seventies & eighties seem more complex
I think that the most important issue regrading prostate surgery is sexual capability after. Would you please tell me something in this case,
Thanks
I was under the impression that the pipe from your bladder passed through your prostate, like a tube going through the centre of a ring doughnut, if this is the case , how can the prostate be treated with-out first puncturing the pipe , , or does the prostate have one pipe going in , and a second pipe coming out ????can anyone let me know which it is , I am due to have this operation , and would like to understand what is involved , thanks in advance 😊
Very nice animation. Though many innovations are in market but stil TURP is leading 🎉
Does not say much about the so called innovations.
@@mrofnocnon - HoLEP - or Aquablation. Yes, TURP, is outdated, and somewhat barbaric.
What’s the incidence of inability to ejaculate and of impotence after these procedures? As I have heard it’s quite high…
Luego de la operación ya no hay eyaculación como antes de la operación.
Luego de la operación ocurre la llamada "eyaculación retrógrada" ( los líquidos seminales ya no salen por la uretra sino se van hacia la vejiga ) , de tal manera que ya no hay una eyaculación normal .
I know two men that had this done and they both are very sorry! If you want to become incontinent then have it done.
Yes you are right. This surgery will turn your life upside down. I had it 8 months back. My problems doubled after surgery. Frequent urination, forced urination etc. Wonder why doctors are still practising it
@@pmwijeratne1896they do it for the money penis not designed for input but they still have lots of torture devices for it
To PM. Please give us an update I'm in need of the same surgery, how does it feel now?do you still regret it??
Depends on the surgeon, I had this done in Australia at 78 and found the operation and recovery to be painless and fast, I now don't get up in the night and pee like a 20 year old, best thing I ever did.
My TURP was done 2 weeks by my fantastic Urologist who also is Assistant
Professor of Urology at U.C. Irvine, Ca.. I had no pain at all during recovery; but had to wear the Foley catheter for 4 days. Not fun but well worth it. I had many issues before and at 70, now wish I had done this five years ago!@@camlerider101
Doesn't the urethra (a discrete tube) pass through the prostate and so are you removing urethral or prostate tissue when performing a TURPS?
Sí , se rompe la uretra y desde esa rotura se extrae el material prostático a extirpar .
CoreTherm treatment is much better than TURP and less invasive
Rezum is the the best for enlarged prostate...
I don't get how the cutter goes into the urethra but cuts the prostate which is around the outside of it.
My primary doctor told me urology is a tough racket most of the procedures they do don't work i passed on the turp and decided to go with a foly catheter i change it myself i'm seventy four i don't need to be put through hell and back at this point.
I'm 66 and have had to self cath now for 3 years after I had my hips replaced. I ended up getting sepsis and spent a month in the hospital while they fed me anti- biotics through a pic line for 8 weeks. I still have the foley in they installed 3 months ago while I was in the hospital, I'm going to see my urologist in a couple weeks and after reading all this I might do what you are doing. I know one thing I will have a lot of questions for him when I see him. I have to have heart surgery next month to replace a valve that's not opening all the way and they wanted to wait to see what the urologist says before they operate. I like you have already been through hell with my body and I don't need nor want anymore hell.
Oh man, can't believe you are dealing with that Foley. For me that was Hell on Earth, friend. I'm 70 and just had my TURP done by my fantastic Urologist and even though I was a risky case with lots of complications, the procedure was painless with only 4 days of Foley afterwards. He was also able to do a thorough cancer screening of the prostate from the discarded tissue fragments. I am already seeing huge improvement in urine flow and no more daily self-catheter for me.
If you get finally cleared for TURP procedure after everything else, I urge you to believe your urologist if he says it will vastly improve you life and it's not risky or painful.
Mine was just two weeks ago. Listen to the real statistics on the subject and not internet gossip please friend!@@prmayner
😊@@ronrobbins2737
I'm 80 & had obstructed bladder 6 1/2 yrs ago necessitating turp procedure. Worked for a while but had stricturing issues. ? Treatment was self catheterization with ensuing bladder lumen closure. What then was required was a special cath (coude) which was successfull (curved tip). I cathed for almost 7 years & it was suggested to undergo Holep procedure (Holmium Laser Enucleation of the Prostate) where I could possibly be able to do away with catheterization altogether (98% success I was told). I will tell you at first I so regretted the whole process. Bleeding for 3 months, bladder tissue expelled the size of "postage stamp", & other issues (no infections though). My feelings along the way were that I so much regretted the Holep decision & would welcome going back to catheterization ( I sat down one day to figure how many times I cathed - approximately 6,583 times) & it was so much better. Well, this all has a happy ending & it just required a %$@# of alot of patience so 5 months later I'm fine & not having to cath, not worrying about UTI's & just relearning bathroom routine(s). I think it was just how age impacts so dramatically the ability to heal (5 months later post surgery). Caveat: research so thoroughly who's doing the surgery, where, success rate, infection rates & above all, keep good notes on all that the MD says, what the procedure entails, complication that one could encounter (maybe take a spouse to help with the memory process on what was said cuz it is really involved & two heads are better than one). Regrets, none?
These doctors are kinfolk of Jack the ripper, they like doing surgeries like this, they come from the year 1887 during the civil war.
Is your opinion based on your own experience? And which civil war are you talking about in 1887?
Stats and my recent experience tell me that TURP is a fantastic procedure when performed by a well-qualified Urologist like mine.
It ruined my bladder. I now will have a super pubic catheter the rest of my life. Also killed my sex life.
Soooo sorry to hear of the mess that was created ...:/
Sorry to hear that. Too much incompetence around these days in everything.
Hi Jim, The urologist with his intern damaged accidentaly the drain of my bladder, now its too small. They wanted to re-operate but I said no, enough for now (as long as I can still urinate even though it now burns for about 10-15 seconds when I first pee.).
So that procedure means I wouldn’t have to take finasteride and tamzor at all? Good video 👍
Sí, generalmente se tiene que seguir tomando . Lo siento .
Yessir, I just had my TURP 2 weeks ago and I don't need those meds anymore according to my Urologist (who's my savior by the way).
Probablemente esa no sea cierto.@@cienciaa.c.5866
@@ronrobbins2737 good on you. I can’t trust hospitals, doctors and the pharmaceutical companies anymore. They can lace any form of medication with spike protein’s and we would be non the wiser 👍👍
I have done so many times of treatment, it did not help, and I will watch this video as if he is doing an operation for me
great innovation, how much does it cost.
Not an innovation.
Your sex life and cloths without stains. mine was 5 years ago. don't don't don't.
Yes, there have been some updates and it has a great track record. Amazingly non-invasive with painless recovery and after only 2 weeks, so glad I did it.
Thanks very much doctor
Does it involve the destruction of urethrae????????????
No it does not.
If the prostate is enlarged, and obstructs the urethra, this procedure will remove the obstruction and open the urethra.
You will be forever changed. Was painfully to me. No real sedation is used.
How long before it closes up again?
I expect to undergo this because Finesteride, tamsolin 7th month now this drugs. Anybody advice help me
Just a fun. So hilarious music, but your surgery is very absolet😂
I had this done 10 days ago at first after going home everything was alright 4 days later I started passing a lot of blood Iam still doing so is this normal if not please let me know.
That looks sooooo painful . 🥺 🤦🏽😳
Mine was 2 weeks ago. Zero pain during recovery, not even a Tylenol. Amazing procedure when done by the right Urologist, I was lucky to have one.
تحياتي لكم/دكتور ،👏👏👍❤
where is that operation carried out , any hospital or facility in Africa or nearest?
Hello. I love Aquablation.
well, i have had a lot of issues after this (calcifications inside the cavity) ejaculation is gone aswell.. i don't know what to think about it, i have to go again for surgery and remove the calcitications now as there is absolutely no improvement - its actually worse than before - i dont think Aquablation is that awesome
I’m thinking of having the Aquablation procedure done. All these other procedures scare me, so I’m not being able to ejaculate, so I’m having to wear a catheter forever? I was going to have a PAE procedure but after it was discovered I have prostate cancer, they wouldn’t touch me. How did your procedure go and what was the outcome? Do you still ejaculate? Do you still get a hard on? And most importantly do you have to have a catheter after the operation? Thank you in advance for any information you could give me before I consider this procedure.
Aquablation almost killed me. 5 units of blood later, I survived. Now….urinating ok, but retrograde ejaculation and weak erections requiring Cialis to accomplish the mission. Retrograde ejaculation sucks!, The urologists marginalize this horrific side effect. Your sex life will never be the same again.
This turp surgery is not for everybody some make it some don't, in a couple of months I'll be seventy been having piss problems since I retired from the military went to the doctors and got flowmax pills now sometimes having problems stop pissing my next project is strapping piss bag to my legs, we did it in the military, l did convoy security. while in Iraq, had to drive for 10 to 12hrs. without stopping, that's we did it.
সুন্দর
Do you still have sex? I'm happy to do it (77) and I wouldn't be happy if I couldn't do it anymore. For the last few months, I have a less frequent stream of urine, I take combined pills for prostate and bladder, but sometimes I have to get up at night to pee and 10 minutes later again only a smaller amount. That It's not a good sign, but the PSA is 1.45 (very good). The doctor tells me to take medicine for the full 6 months, so we'll see what happens next. If it endangers my sex, then I don't want such an operation.
Sounds like you are getting good advice so far. But make sure you are not having "urinary retention" which can lead to UTI's and worse. Your meds might take a long time to work, or not help much at all. You should get a bladder scan and maybe cystoscopy, if that scan shows "retention."
TURP procedure "saved my life" just 2 weeks ago and the only effect on sex is going to probably be "retrograde ejaculation." In my case, Urologist removed my blocking "media-lobe" and shaved away the prostate sides, creating a much bigger unblocked urine channel with no side-effects or painful recovery.
so heres the deal my friend
i love my women let me tell ya...
but if your prostate swells to the point that u cant pee just dribble from u straining to push it out!
its only a matter of time b4 for u see blood in urine!
then it swells shut
cant pee at all
if left untreated urine will back up to your kidneys that urine is filled with potassium , and salt sodium it cant get rid of... and it
start s to shut your kidneys down
then u have days until u die in your sleep if left untreated
i should know!!!!!
i just had my turp done feb 28 2024
and yea i almost died if i had waited 3 more days
when i finally went to the hospital my kidney function was at 9%
doctor sait wait let me try somthin !
omg today and after 6 months of back an fourth my kidney function is at 100%
i was soooo lucky man!
and yes u can still have sex just your load will not be so power full lol and im ok with that.
It looks like I am rather going to die of prostate cancer!
Very mutch doctor
If your problem is just enlargement, put the prostate on a diet. Investigate PAE.
I think I'd rather die than do surgeries like this, I don't even like using catheters, there are other ways than going through this kind of torture, they have new technology out there but it's all about money.
My TURP was 7 weeks ago, it saved me from my six months of 4x/day self-catheters and constant bladder infections. Recovery was completely painless. The way Urologists do this procedure without having to cut us open is amazing, and these people are incredibly highly trained professionals dedicated (most) to helping us guys who tend to put off getting proper treatment.
Turn is a terrible option, best run from this one.
Hey man, you misspelled TURP and wonder if you might have had the rare bad experience from it yourself? It's really not helpful giving false negative info that might discourage some from having this amazing easy procedure that changed my life one month ago. Gave it back, in other words.
Big business for doctors and facilities .....straight butchery!!!!!
👍👍👍👍
😉👍
Looks too much like haphazard butchery. There has to be something better than this!
I have to disagree; just had my TURP done exactly two weeks ago and it was a complicated one involving the usual prostate enlargement but also the rarer overgrown middle (median lobe) segment that was almost completely blocking my bladder and causing very serious bladder infections affecting my one solitary kidney. I had no pain at all during recovery and am already experiencing normal urine flow after having to self-catheter 4x/day for 6months. My Urologist is no butcher, friend. He's a fantastically trained & skilled/caring specialist dedicated to improving and saving (in my case) our lives.
@@ronrobbins2737 I am happy for you and you are right in skilled hands most treatments can be of benefit. However I was really referring to the average result of TURP based on comments from family members and friends. None of which have found it of much benefit and for some causing more problems than before treatment. Same for some people on this post. It all depends on your surgeon's skills and fortunately for you your surgeon was a very good one.
Yeah, well no thank you !
K lo k mi
I had one very weird feeling,, pissed razors after
WAit
ᎮᏒᎧᎷᎧᏕᎷ ☺️
Rrr
'NURP'. Oh....apologies. I meant, 'NOPE.
Another disgusting procedure I will never have