This video is very helpful for me, God bless you doctor for explaining nicely and clearly because I had done this operation just recently and waiting for urgency recovery .
I had a TURP last week & I stayed over one night in the hospital. I had spinal anesthetic & I wasn't totally put out. There was absolutely no pain involved in the procedure. I've had cavities filled that were more painful. I get my catheter taken out today & hoping for the best. Thanks for the video.
Thank you Dr. Lin, your detailed explanation was the best anyone has done. I’m a retired Veteran living in the Philippines and traveling to Boise VA in October for a procedure. Because of your information I have decided to go the TURP route. Thank you much.
This is the most detailed and comprehensive explanation on TURP that I’ve seen or read over the past two months. Dr. Lin, I can’t tell you how good you explained everything. I’m having my TURP surgery done August 21 four days from now. I’ve had a catheter in for 58 days. My Urologist said that my bladder was swollen three times the size of normal and if I didn’t have TURP surgery done that I probably have kidney failure eventually. I’m 76 years old. I’ve never been on any medication in my life. I feel great always have now this. Thank you again. and God bless you. Oh, by the way, he put me on two medication‘s DUTASTERIDE and SILODOSIN. I was so tired. I felt terrible. I lost 20 pounds in 18 days. I took myself off medication. He told me he never heard of that before. Now I’m just waiting. The catheter originally was put in to give my, bladder rest. Coram Deo billyd
How horrible..I had Turp on 7/2016....doc had bad back, perforated my bladder, accidentally. Aborted procedure. Redid Turp on 11/2016..perfect this time. By 12/1/16..urinating like a teenager! No bladder issues. Going on 8 years of carefree pissing...thank God!
Hi Doc Lin, it has been 9 weeks since I got the Turp. Feeling better now. I can pee great now. And can drain out completely. Still have a little leakage, but not bad. It just takes time to recover. Guys , hang in there. These things take time.
I'm 67 I had the TURP procedure 3 weeks ago after having a bladder infection and catheter for 4 months. Now no full stream, A weak steam, splatter stream or drip stream, I'm hopping it will get get better.
Your video was so helpful! My TURP is in two weeks and your insights and information helped me tremendously. Everything you discussed in your video is exactly what my Urologist explained to me in his office, thank you for putting my fears to rest! It is always nice to hear a second doctors opinion.
I just had my TURP done thru the VA hospital. I was tended by 3 urologists during my surgery. Lead urologist has done over 12,000 of these over his 30+ year career I was in a bit of pain but I feel that I’m healing everyday. I feel like this was a good procedure and I’m going to feel better as I heal
I had the LIFT procedure. The procedure takes 20 to 40 minutes. No catheter, and no time recovery. Once you live the doctors office. Your way if life is normal, as when you were 30.. I had this proceduredone over a year ago. My two friends had had the same procedure 4 years ago and no problems. But I know that sometimes you may need other procedures, turp, laser which takes about one hour. Remember, every doctor know only one procedure, and they don't tell you that are better procedure around. I know that once you get turp or laser done, and the time recovery has passed. You are good for life
what a great presentation! Thank-you! Question: I Just had a TURP 3 days ago. The Doctor put in a Foley 3 way #24.I went in with a #16, which i had in since this past June. Its extremely uncomfortable and it will be in for 2 weeks. Presently I still have bleeding into the catheter bag, and also between the catheter and Urethra ( comes in spasms maybe 4 times a day) He did say my Prostate was very big. I am from ontario Canada. Any comments om my note? Thank you!
I have the turp procedure on the 3rd of next month. My urologist says they will keep me overnight. The process of testing to see if the procedure was necessary was the painful part. Will know more after the procedure.
Dr Lin Please comment on Bladder Neck Scaring post TURP Procedure causing Urinary Obstruction. How frequently does this occur and how it is addressed ?
Excellent video discussion on all levels. I am going to ask my GP if he can refer me to a local specialist to determine if this procedure would be right for me. Thank you for an excellent orientation and explanation.
Dr. Lin, I have a question regarding the type of anesthesia used for a TURP procedure. Do you prefer spinal or general anesthesia? Also one question regarding a spinal, how long after the procedure does a patient start having sensation back in their lower extremities, and how long before they are able to be moving around normally again? I realized this might vary from patient to patient, but could you just me some general idea on this. Thank you. Ray
Ray, I prefer general anesthesia. Much better control of what happens to the patient and no less-predictable results with spinal. Duration of spinal varies depending on dose and patient.
I have mine to be done on May 1st 2023, I'm looking forward to having it done and not looking forward to it but hope all goes well. Having it done in St.John's, Newfoundland Canada. Thanks for explaining the the process.😮
Thank you for this. I had my TURP done 7 weeks ago and wish I had seen this before. My recovery is still in progress. Unfortunately I didn’t have the kind of pre-procedure consultation this video provides. I was not prepared. All I got was “oh it’s great”, “nothing to worry about” , “quick procedure” etc. 4 to 6 weeks recovery they said. Well I’m here to tell you it’s been 7 weeks and it’s slow going. Flow is good immediately, but, for now, urgency is worse, frequency is no better (worse at night), spasms are uncomfortable after peeing, and dribbling after also bothersome. I’m trying to be patient and have a follow up mid July so we’ll see how it is by then. Your video gives me hope. One thing I will say is the discussion around retrograde ejaculation is downplayed too much. Sure I’m 64 and the only babies I want are grandkids (had a vasectomy 30 years ago anyway). It’s dismissed as no big deal. I say that’s subjective. Unless you’ve experienced it you don’t know. It’s different and I don’t like it. Again, I’ll be patient and I’m sure I’ll get used to it, but I wasn’t prepared for it. So great video. Guys, if you’re getting it done, just be prepared. In the long run I’m sure it will be worth it, but be prepared and patient.
I'm in 5th week post op, no bleeding but burning when I pee like the hell. And it's also very uncomfortable and painful when I'm standing or trying to sit down. I feel the pain in the prostate and it goes down the penis. Only when I lay down I don't have any pain. They tested me I have no infection. Can you give me some information please, did you have the same. They told me after 4 to 6 weeks I'll be fine. I don't think, it will take more time. And the retrograde Ejakulation is also normal, 100%. But I can deal with it. I really worry about the pain when I stay or walk at work.
@@Loewenherz6183 sorry to hear you’re having pain issues. I had none. It was relatively pain free, just some discomfort during urination for a while. There’s still spamming and “aftershocks” at the end of urination causing dribbling so I have to be careful and make sure it’s over so to speak. The urgency is also still there which is also bothersome. I think the pain is unusual so keep an eye on it. Good luck.
@@Trguy60 Thank you, it's very uncomfortable when I stay and walk. In the morning no pain, very nice, but after a few hours of work I feel very uncomfortable. In the afternoon I lose more urin than in the morning, at night nothing. It feels like sore muscles. I hope in a few weeks it will be better. Maybe I need a month more time.
Trguy60, that's exactly as you describe it!! I made the Turis surgery, today is the 5day since catheter was removed. I still pee 3- 4cm while doctor had said for rivers of urine!!!😁 The weird is when the signal to pee comes, i pee only 2-3 fingers most, in the glass. So i can check everything! I wear pad like women does cause i leaking!! Doc says it's normal.. To be patient! Ok.. Still take my medicines for 2 weeks. No pain,no blood, but not miracles! As for ejaculation there are some nerves in the area which get damaged by bipolar electrode and thats why the muscle who controls sperm movement, doesn't work well anymore! *God is the only One real Artist who makes this complicated body, a miracle.. Be patient! You may need from 2 months to 16 months for complete normal action!! Another very disturbing thing is the night "sleep" : I pee every half an hour!!! And when I try to walk from toilet to bed, pee starts again!!😁 We're getting old,mate!
Interesting video, may go this route myself pending the results of my next MRI. Have both BPH and low grade cancer (Gleason 3+3), prostate roughly 70cc and PSA hovers around 11, even with the combo of Flomax and Avodart. Been on Active Surveillance for several yrs. now. Age 67. Never found wearing a catheter uncomfortable at all after numerous emergency visits due to acute urinary retention. Will see how this plays out.
A very interesting and informative video. Two things you didn't address - the side effects of TURP on post SBRT radiation for prostate cancer and TURP vs Green Light Laser treatment. I'm an 67 year old, 18 months post SBRT radiation for favorable prostate cancer. Gleason 3+4=7. Have taken Flowmax for years and have had BPH symptoms for 20 years. Prostate size is 69cc before cancer treatments. Had urocuff and cystoscopy and have an blockage from the mid lobe tissue pushing up into the bladder. Do the risks doing the procedure outweigh the benefits, since my radiation oncologist says my prostate may have trouble healing due to the prostate being radiated? Again, great video! Duane
For every 10 TURPS you do, and removal of the catheter, how many patients require additional follow up surgeries? If it's 1 out of every 10, then I'm in that 10% category. It has been 5 days of my second surgery, I had my catheter removed today. Keeping my fingers crossed for a great outcome this time. Hopefully, docs manage expectations.
I found the foley to be very uncomforting until i discovered that being less active and wearing ( under size) elastic depends underwear with some sort of additional gaze pading on the tip to cushion and collect seeping fluids, its important that everything not more around when you walk..its been 10 days now before i can say i dont feel much of anything, before now i just wanted to take it out and deal with the unknown. I am waiting to get surgery trying to decide which option is best
I did not like the side effects of the meds I was prescribed after my turp. So I stopped taking "tamsulosin" and "finasteride". What are the risks of this. Generally speaking, I feel good and my ability to urinate is perfect.
I'm 59. I have prostate cancer. Im planning to have TURP done before i start radiation. I'm being told i should do well because of my age. I'm really worried about incontinence and ED.
I had MY bipolar TURP procedure two weeks ago, honestly it wasn't pleasant but life changing. As far as the possible side effects, well, in my case, erection quality is decreased marginally, orgasms are so much more intense post surgery and, not to be crass, but I've got the opposite of retrograde - if anything it flies out now! As far as symptoms go, how amazing not to have to go to the bathroom three or more times at night, with all this quality sleep I'm feeling great. Pain, yes, it hurts. Immediately after the catheter is removed, it is sore. Not going to candy coat it, it's not fun for a week or so. The blood in the urine is a bit concerning, but comes and goes. All in all, this has been a life changing in a good way.
Dr. Lin, when would you do a Rezum procedure for BPH (large prostate with medium lobe and history of two failed Urolift procedures -- so that the patient can minimize retrograde ejaculation?
My doctor is doing my procedure at the end of this month and he said he will be doing it by robot will this be a problem is better than what you do what are the side effects and the recovery time please advise ankle doctor
Thank you, Dr. Lin for this very informative video. Is TURP the most successful BPH surgery available for men, or is it being surpassed by procedures such as PVP?
Hello Dr. Lin. I am a 69y/o retired RN having spent 10 years at Mayo Clinic Hospital, with 4 of those years on the urology floor. I fully understand what it’s like to care for a TURP patient and it sounds like you have the procedure pretty much perfected. Over the past couple of years I have been experiencing increasingly more annoying LUTS. I have been watching your videos for quite a while now and am very impressed with your expertise. I know that all urologists are not created equal and I would be very comfortable being evaluated and treated by you. I have Cigna Preferred Medicare (HMO) which I’m pretty sure you are not a provider (out of network situation). Is it possible that this insurance would cover some or all of your exam and treatment? Sorry if I’m long winded, but I feel it’s extremely important to find a competent urologist. Any advice would be greatly appreciated. Thank you.
Gary, Please call the office regarding billing and insurance. 480 507-9600 As a general rule, I always recommend patients and family to stay with traditional Medicare and not any of the Medicare disAdvantage plans.
I'm at that point now, 71 years old. Urologist told me it's either medication the rest of my life to deal with the prostate or TURP. You've settled my mind concerning this procedure, Thank you.
I'm on the books for TURP had REZUM 4yrs ago. I just hate going through it all again. Very good explanation 👍👍's up Doc you made me at ease. I'm 61 done with family if a dry O??? No mess no fuss.. Women's have to have their you know what removed. So hey..I just hope I will be able to hold my pee longer..not have to sit and tuck. (Split stream) be able to stay hard.. don't wanna lose that. 🤞lol thanks again very good presentation!!
Thank you for the information. Gave me a great sense to be comfortable to get TURP surgery done. I am 4 weeks post-surgery, and the relief is fantastic. One question is about the dry ejaculation. Is this a permanent change? Thanks again.
Interesting video. Thanks Dr. Lin. I had REZUM and frequent urinating came back after 10 months. Urologist suggests TURP for permanent removal of BPH. My question is whether TURP areas at prostate could re-grow and cause strictures? Can other types of prostrate surgery such as HoLEP or ThULEP which are minimally invasive & give better result?
Hi dr Lin I had my turp done 3days ago ready to have my caterer off but while waiting to see my dr I experience blood coming out of my penis head when I go to bathroom number 2 it shot out blood from my penis head and rectum but I try not to strain but it still happens what happing
What is the name of the medicine that tournament the urine orange? I am scheduled to have a TURP in November. I am a Disabled Veteran that has an enlarged prostate.
I had a Transurethral needle ablation, also known as TUNA, in 2003. I had a TURP in 2021. Spent overnight in the hospital. Catheter taken out one week later. Even though I didn't ask my Urologist if I could get another TUNA instead of a TURP. Could I?
hi! My name is Neil Ortiz, and I just had TURP Surgery on August 29th, so this is Day 7. My Foley Catheter was removed yesterday at 830 am, my medical team wanted me to return at 2pm for a VOIDING TRIAL. (Having the ability to Emptying out the bladder completely when urinating,) since I went to the bathroom several times and I brought it down to 247ML, I ended up passing but I was concerned that they were going to REINSERT the Foley Catheter and I wanted to avoid that Foley altogether. My question is the following: Is it normal to STILL have urinary retention after TURP Surgery? As far as urgency and frequent desire to go to the bathroom, I don't have that problem now like I did before.
My history with BPH and TURP is rather unusual, and instructive. My wife's a Neurologist and Internist of Filipino origin. I'm 77. In 2002 my first inkling of a possible urinary problem arose from a complete lack of impulse to urinate during a 20+ hour flight from Newark, NJ to Manila, Philippines during the Christmas/New Year season. On arrival My wife urged me to be examined by a Urologist in Manila, at Makati Medical Center. The fellow was Chief of Urology, a real pro. A DRI was unremarkable. A Sonogram demonstrated an enlarge prostate of approximately 42 grams, twice normal. Since our visit was for two weeks only, he recommended my seeing a Urologist upon returning to the US. I HAD NO URINARY URGENCY, FREQUENCY. OR NOCTURIA AT ALL! My normal urinary pattern returned while in the Phillipines. On returning Stateside I saw a female Urologist here in New Jersey. She confirmed the BPH, recommended a prostate biopsy The biopsy, done in her office assisted by a female nurse, was performed the following week, in office, without anesthesia, which I declined. I found it uncomfortable, but entirely tolerable. The biopsy was completely negative on all 12 cores. I have a very high pain threshold, having endured 20+ surgeries in past years for congenital orthopedic anomalies. The local Urologist prescribed Proscar and generic Tamsulosin 0.4 MG OD. That was the sum of treatment for the next 15 years. I did not actively see a Urologist again until 2017. During that fifteen year period I had increasing difficulty urinating, and nocturia. In March 2017, after taking a prescription antihistamine which I had not taken previously, I ceased urinating. I thought it was a passing effect of that drug. It wasn't. I failed to urinate for two weeks thereafter, all along thinking it would resolve spontaneously. I was then transported to an ER, where a nurse placed a urinary catheter. My bladder had retained 3300 cc of urine during the two week interruption. I remained catheterization, which didn't bother me. Within the following week I was examined by another Urologist, more senior than the first one. He maintained the catheterization, prescribed Proscar, then Avodart, and Tamsulosin. After several removals and replacements of the catheters, each of which resulted in complete cessation of urination, I was advised that a TURP was indicated to resolve the persistent failure to urinate without a catheter. The TURP was performed in early July, 2017. It was planned for a "green laser" technique, but the surgeon had to revert to an electrocautery resectoscope because the resectable tissue was "too tough" to respond to the green laser. My surgeon preferred to hold me hospitalized overnight because of the change in technique, and the consequent additional blood loss. I returned home the following afternoon, catheterized. I remained catheterized for approximately six weeks during epithelial healing of the urethra. The catheters didn't bother me at all. After final removal of the catheters, I regained fairly normal urination. But, because of loss of bladder muscle wall contractile weakening, from fifteen years of straining, and the two weeks of total cessation of urine flow, the surgeon place me on a generic of uremine (bethanicol 40mg bid) to assist the bladder function. I am presently on Tamsulosin 0.4mg OD, and the uremine generic. I still have nocturia, for which I use urinal by my bed. The urinary volume oneach occasion is about 200cc, which I'm told is normal voiding volume. Repeated ultrasonography shows a typical post void retained volume of 2-3cc, entirely normal. Given the history as described. I've come through it quite satisfactorily. My surgeon has advised me it's quite unlikely I will ever require further repeat TURP surgery due to accumulating additional prostate tissue in response to DHT. Possible, but highly unlikely. My wife is homebound, disabled, and in her early 80s. I have no problem with sexual function, as it concerns her--since she's far beyond any continuing interest in that regard. But elsewhere, and with others, I find the condition of retrograde ejaculation to be,
an extra benefit! And so do the ladies. Makes for much more enthusiastic activities. My recommendation after having gone through a 20 year saga with this insidious condition: get tested just as soon as you have a problem. Then evaluate several surgeons, and pick a seasoned pro. Trust your gut on who you trust. Then GET IT DONE PRONTO! Before, like me, you stop pissing for a two week stretch--and nearly blow out your bladders!
@@Sunriseurology1 Thanks. Now the only things I have to contend with are: 1) A spine made in Hong Kong....when they used to be the entrepreneur for Junk Trinkets. Fourteen herniated discs; sixteen levels of foraminal arthropathy; a half dozen compression fractured vertebrae; and cervical/lumbar levoscoliosis. 2) Bilateral occlusion cataracts. 3) -3.9 femoral osteoporosis. Good thing it's nothing serious....that might stop my mile or two walk several times weekly. My point: Far too many people are crybabies about their health problems and physical limitations....wanna mug it for the Press and Social Media. Tremendous blood loss in this country from the vast numbers cultivating bleeding hearts. Get Over It! People Get Sick! People Die! It's Natural! Stop "battling" Cancer...or Alzheimers...or Parkinson. There's No "battle" involved. You live or You Die! We're all a lot better off than folks in the 14th Century.
With my surgery, it was conscious sedation via a spinal tap - apparently general anesthesia is frowned upon because of the urge to cough afterwards, causing trauma. The spinal is uncomfortable, but "nothing" and I wasn't there at all for the procedure, those drugs are blissful.
Would you do this procedure for Chronic Prostatitis? I'm 39 years old and have suffered for over 3 years. Constant urge to urinate, pain in the prostate, many other symptoms. I've tried everything besides surgery.
Scarring me I had a catheter for 2 weeks was getting blatter spasms they called them it was so much pain any time my urine went in the bag that Somes times was 10 or more times a day they gave me meds that did not work no on pills for a month to see urologist so what is he going to say what my next step is ?
I had a turp 3 years ago but then my problem of difficulty of urinating recurred because of prostate enlargement or because of scarred prostate . So, how to solve this problem. Do I have to undergo again another turp or it can be normalized naturally
I have a mass that is 2.2 cm on my bladder found during cti after I pee blood about 2 months ago. Told also I have enlarged prostrate. How much is cost to do I have no insurance if u do. If not is that a surgery you would get done in the Philippines our in India
I have had catheters four times, on the second time I had bladder spasms, that were pretty much left untreated for an overnight period. 12 hours of absolute agony. For the other three times, no issues. Now I know about the drugs they can use to help with the spasms.
Hi Dr. Lin, I enjoyed your video very much. 2 weeks after TURP surgery. I am unable to urinate on my own. I must self Cath every time. We think my bladder may have shut down, or could it be something else? Right now, i have to self cath every time. What kind of treatment is available to repair a stretched bladder that seems to not function anymore. Thank you, Mark C.
i had a TURP done for the second time as the first time the channel for the uretha was narrow. Initially it worked for several months and had the process again by a new younger Doctor who is specialist in this procedure. My case history is severe chronic pain including chronic pelvic floor pain syndrone, Interstitial Cystitus, Prostititus which I have been dealing with for 30 years. Been in pain management for the same period with little relief. This current TURP procedure was removal of large prosate stones with the expection this will eliminate my chronic pain due to severe prostititus and prostatestones. Have you had patients with similar pain issues? Will this process cure my pain conditions? This is my last option to treat
Had turp 9dsys ago.discharged one day later with catheter.unfortunately started experiencing pain forcing clotting blood path out of the catheter.todate still getting severe pain when urinating without catheter
How long after the Catheter is removed, that burning sensation during urinating, remains? How long after the surgery active physical activities can start as a triathlete?
Thanks for the video! I'm considering getting this procedure. I'm 79 with a 190cc prostate. I've been on finasteride for several years that reduced the size of my prostate from 270cc. The urologist prescribed 5mg but I cut the pills in half and took 2.5mg daily. The prostate is also putting pressure on my colon causing me to have some anal leakage after defecation.
Just curious about your statements about RE preserving Turp, my urologist wants to do a simple prosectomy (robotic). Biopsy results were negative. Prostate measurements were approximately 95 grams (mri/us). What’s the difference between your procedure and the one he wants to do? Seems like the robotic one is more invasive and is like an inverted Turp. And like Turp it has a 95% RE like the other Turp procedures seem to suggest. An what’s your opinion on Aquablation?
I am 57, had 27 gms prostate, urinary symptoms such as urgency and frequency , using tamsulosin and mirabegron and urethral stricture , can completely void. Question is “. My urologist suggested me TURP , is it safe and would I have discharge on ejaculation thanks in advance
My name is Rafael I had this procedure done and it's been 2 and a half months but I'm constantly having to go to the bathroom and only drips at times and none at other times and unable to stop the stream at times and urinating on myself
78 year old male with acute urinary retention. My urologist says my prostate has shrunk from 55 to 15. G rams. From taking flomax and proscar it has shrunk. He says my prostate is too small for a turp procedure, he wants to perform a Supra pubic catheter. Have you a better solution? Thank you
@@Sunriseurology1 Thank you for your quick response. I don't understand why my urologist with choose the Supra pubic catheter. I am now wearing a indwelling catheter for the past month because I was on able to pee at all. Thank you
@@Sunriseurology1 I forgot to mention, I had a urolift procedure done one-and-a-half years ago which totally failed didn't work at all so maybe that's the reason why he doesn't want to do a turp I don't know. That urolift procedure was done by a different urologist
@@Sunriseurology1 button Turp, thank you will bring that up with my urologist this Tuesday. What something like tuip where they make small incisions be feasible for acute urinary retention. Thank you
This video is very helpful for me, God bless you doctor for explaining nicely and clearly because I had done this operation just recently and waiting for urgency recovery .
I had a TURP last week & I stayed over one night in the hospital. I had spinal anesthetic & I wasn't totally put out. There was absolutely no pain involved in the procedure. I've had cavities filled that were more painful. I get my catheter taken out today & hoping for the best. Thanks for the video.
Thank you Dr. Lin, your detailed explanation was the best anyone has done. I’m a retired Veteran living in the Philippines and traveling to Boise VA in October for a procedure. Because of your information I have decided to go the TURP route. Thank you much.
This is the most detailed and comprehensive explanation on TURP that I’ve seen or read over the past two months. Dr. Lin, I can’t tell you how good you explained everything. I’m having my TURP surgery done August 21 four days from now. I’ve had a catheter in for 58 days. My Urologist said that my bladder was swollen three times the size of normal and if I didn’t have TURP surgery done that I probably have kidney failure eventually. I’m 76 years old. I’ve never been on any medication in my life. I feel great always have now this. Thank you again. and God bless you.
Oh, by the way, he put me on two medication‘s DUTASTERIDE and SILODOSIN. I was so tired. I felt terrible. I lost 20 pounds in 18 days. I took myself off medication. He told me he never heard of that before. Now I’m just waiting. The catheter originally was put in to give my, bladder rest.
Coram Deo
billyd
You got this! Hang in there!
Same here I got the Turp Surgery on Tuesday,On Thursday they'll remove my Foli.
After watching this video and several others ive got to say you give all men peace of mind with your approach to mens urinary problems! Thank you🙏
Excellent video, thanks a kazillion. Well done, from Canada. 😊
Thank you Dr. Lim. For Most informative detailed information.
How horrible..I had Turp on 7/2016....doc had bad back, perforated my bladder, accidentally. Aborted procedure. Redid Turp on 11/2016..perfect this time. By 12/1/16..urinating like a teenager! No bladder issues. Going
on 8 years of carefree pissing...thank God!
I’m going in for a TURP in a hour thanks for helping me feel better
Hi Doc Lin, it has been 9 weeks since I got the Turp. Feeling better now. I can pee great now. And can drain out completely. Still have a little leakage, but not bad. It just takes time to recover. Guys , hang in there. These things take time.
I'm 67 I had the TURP procedure 3 weeks ago after having a bladder infection and catheter for 4 months. Now no full stream, A weak steam, splatter stream or drip stream, I'm hopping it will get get better.
Thank you Doctor Lin for taking the time to explain all about TURP Surgery.
Greetings from WHITBY, CANADA
Your video was so helpful! My TURP is in two weeks and your insights and information helped me tremendously. Everything you discussed in your video is exactly what my Urologist explained to me in his office, thank you for putting my fears to rest! It is always nice to hear a second doctors opinion.
I had sudden heavy bleeding one week after turp. Soaked my underwear and soiled the bed. Why does this happen?
I just had my TURP done thru the VA hospital. I was tended by 3 urologists during my surgery. Lead urologist has done over 12,000 of these over his 30+ year career I was in a bit of pain but I feel that I’m healing everyday.
I feel like this was a good procedure and I’m going to feel better as I heal
Thankyou doctor for your excellent explanation.. I had a TURP 10+ yeras ago. Greetings from Melbourne, Victoria, Austalia.
My pleasure!
Here's to your continued good urologic health!
I had the LIFT procedure. The procedure takes 20 to 40 minutes. No catheter, and no time recovery. Once you live the doctors office. Your way if life is normal, as when you were 30..
I had this proceduredone over a year ago. My two friends had had the same procedure 4 years ago and no problems.
But I know that sometimes you may need other procedures, turp, laser which takes about one hour.
Remember, every doctor know only one procedure, and they don't tell you that are better procedure around.
I know that once you get turp or laser done, and the time recovery has passed. You are good for life
what a great presentation! Thank-you!
Question: I Just had a TURP 3 days ago. The Doctor put in a Foley 3 way #24.I went in with a #16, which i had in since this past June. Its extremely uncomfortable and it will be in for 2 weeks. Presently I still have bleeding into the catheter bag, and also between the catheter and Urethra ( comes in spasms maybe 4 times a day) He did say my Prostate was very big. I am from ontario Canada. Any comments om my note? Thank you!
I have the turp procedure on the 3rd of next month. My urologist says they will keep me overnight.
The process of testing to see if the procedure was necessary was the painful part.
Will know more after the procedure.
Dr Lin
Please comment on Bladder Neck Scaring post TURP Procedure causing Urinary Obstruction. How frequently does this occur and how it is addressed ?
Had a TURP 4 months ago and I have recently had to have a BNI Will this fix the problem?
Excellent video discussion on all levels. I am going to ask my GP if he can refer me to a local specialist to determine if this procedure would be right for me. Thank you for an excellent orientation and explanation.
thanks Dr, finally i'm going to do mine this month.
Respect to dr I'm from England 🇬🇧 and I need this treatment you take me fell much better thank you
I’m having this operation in next few weeks also from UK
Great explanation, thank you. I am in need of a procedure and trying to decide which one.
This video was great thank you so much I just had my TURP last week and recovering
Dr. Lin, I have a question regarding the type of anesthesia used for a TURP procedure. Do you prefer spinal or general anesthesia? Also one question regarding a spinal, how long after the procedure does a patient start having sensation back in their lower extremities, and how long before they are able to be moving around normally again? I realized this might vary from patient to patient, but could you just me some general idea on this. Thank you. Ray
Ray,
I prefer general anesthesia. Much better control of what happens to the patient and no less-predictable results with spinal.
Duration of spinal varies depending on dose and patient.
I have mine to be done on May 1st 2023, I'm looking forward to having it done and not looking forward to it but hope all goes well. Having it done in St.John's, Newfoundland Canada. Thanks for explaining the the process.😮
Thank you for this. I had my TURP done 7 weeks ago and wish I had seen this before. My recovery is still in progress. Unfortunately I didn’t have the kind of pre-procedure consultation this video provides. I was not prepared. All I got was “oh it’s great”, “nothing to worry about” , “quick procedure” etc. 4 to 6 weeks recovery they said. Well I’m here to tell you it’s been 7 weeks and it’s slow going. Flow is good immediately, but, for now, urgency is worse, frequency is no better (worse at night), spasms are uncomfortable after peeing, and dribbling after also bothersome. I’m trying to be patient and have a follow up mid July so we’ll see how it is by then. Your video gives me hope.
One thing I will say is the discussion around retrograde ejaculation is downplayed too much. Sure I’m 64 and the only babies I want are grandkids (had a vasectomy 30 years ago anyway). It’s dismissed as no big deal. I say that’s subjective. Unless you’ve experienced it you don’t know. It’s different and I don’t like it. Again, I’ll be patient and I’m sure I’ll get used to it, but I wasn’t prepared for it.
So great video. Guys, if you’re getting it done, just be prepared. In the long run I’m sure it will be worth it, but be prepared and patient.
Great commentary and perspective.
I'm in 5th week post op, no bleeding but burning when I pee like the hell. And it's also very uncomfortable and painful when I'm standing or trying to sit down. I feel the pain in the prostate and it goes down the penis. Only when I lay down I don't have any pain. They tested me I have no infection. Can you give me some information please, did you have the same. They told me after 4 to 6 weeks I'll be fine. I don't think, it will take more time. And the retrograde Ejakulation is also normal, 100%. But I can deal with it. I really worry about the pain when I stay or walk at work.
@@Loewenherz6183 sorry to hear you’re having pain issues. I had none. It was relatively pain free, just some discomfort during urination for a while. There’s still spamming and “aftershocks” at the end of urination causing dribbling so I have to be careful and make sure it’s over so to speak. The urgency is also still there which is also bothersome. I think the pain is unusual so keep an eye on it. Good luck.
@@Trguy60 Thank you, it's very uncomfortable when I stay and walk. In the morning no pain, very nice, but after a few hours of work I feel very uncomfortable. In the afternoon I lose more urin than in the morning, at night nothing. It feels like sore muscles. I hope in a few weeks it will be better. Maybe I need a month more time.
Trguy60, that's exactly as you describe it!!
I made the Turis surgery, today is the 5day since catheter was removed. I still pee 3- 4cm while doctor had said for rivers of urine!!!😁
The weird is when the signal to pee comes, i pee only 2-3 fingers most, in the glass. So i can check everything!
I wear pad like women does cause i leaking!! Doc says it's normal.. To be patient! Ok..
Still take my medicines for 2 weeks.
No pain,no blood, but not miracles!
As for ejaculation there are some nerves in the area which get damaged by bipolar electrode and thats why the muscle who controls sperm movement, doesn't work well anymore!
*God is the only One real Artist who makes this complicated body, a miracle..
Be patient! You may need from 2 months to 16 months for complete normal action!!
Another very disturbing thing is the night "sleep" : I pee every half an hour!!! And when I try to walk from toilet to bed, pee starts again!!😁
We're getting old,mate!
Great explanation thank you Dr
Interesting video, may go this route myself pending the results of my next MRI. Have both BPH and low grade cancer (Gleason 3+3), prostate roughly 70cc and PSA hovers around 11, even with the combo of Flomax and Avodart. Been on Active Surveillance for several yrs. now. Age 67. Never found wearing a catheter uncomfortable at all after numerous emergency visits due to acute urinary retention. Will see how this plays out.
Did you have the procedure? How'd it go. I have the same diagnostic facts as you!
can I drink coffee after the turp? Will kegel stop the incontinence? Thank you for your help
A very interesting and informative video. Two things you didn't address - the side effects of TURP on post SBRT radiation for prostate cancer and TURP vs Green Light Laser treatment. I'm an 67 year old, 18 months post SBRT radiation for favorable prostate cancer. Gleason 3+4=7. Have taken Flowmax for years and have had BPH symptoms for 20 years. Prostate size is 69cc before cancer treatments. Had urocuff and cystoscopy and have an blockage from the mid lobe tissue pushing up into the bladder. Do the risks doing the procedure outweigh the benefits, since my radiation oncologist says my prostate may have trouble healing due to the prostate being radiated?
Again, great video!
Duane
For every 10 TURPS you do, and removal of the catheter, how many patients require additional follow up surgeries? If it's 1 out of every 10, then I'm in that 10% category. It has been 5 days of my second surgery, I had my catheter removed today. Keeping my fingers crossed for a great outcome this time. Hopefully, docs manage expectations.
Thanks Dr. Lin for explaining of enlargement prostate treatment TURP, i just want to ask you as urology doctor do you accept an out of state patient?.
We will see you if you can make it to Arizona!
Are there additional complications for patients with a prior urolift
Not to the patient.
Excellent video
Thank you!
I had it done 3 weeks ago tomorrow. I peed blood for 2 and a 1/2 weeks. Bleeding has stopped now. doing good now. Peeing fine now.
I found the foley to be very uncomforting until i discovered that being less active and wearing ( under size) elastic depends underwear with some sort of additional gaze pading on the tip to cushion and collect seeping fluids, its important that everything not more around when you walk..its been 10 days now before i can say i dont feel much of anything, before now i just wanted to take it out and deal with the unknown. I am waiting to get surgery trying to decide which option is best
,I hope you have enough time to visit here in the Philippines, I'm so excited to see you soon...God bless
Thank you Dr Lin, great information. Just wished that you talked about Lazar use.
I did not like the side effects of the meds I was prescribed after my turp. So I stopped taking "tamsulosin" and "finasteride". What are the risks of this.
Generally speaking, I feel good and my ability to urinate is perfect.
My patients do not need tamsulosin or finasteride after TURP.
Thanks DR for good information ..please need take us about complication TURP
Thank you for educational video. Does a turp last for a while, or is repeat turp necessary? Does this mean my urologist did a terrible job at turp ?
I’m just recovering from my second TURP, first was good for about 10 years.
TURP is a durable procedure.
Every man's prostate grows at different speeds also, making prediction imprecise.
Question can be procedure done if Euro lift was performed several years ago
Yes!
I'm 59. I have prostate cancer. Im planning to have TURP done before i start radiation. I'm being told i should do well because of my age. I'm really worried about incontinence and ED.
I had MY bipolar TURP procedure two weeks ago, honestly it wasn't pleasant but life changing.
As far as the possible side effects, well, in my case, erection quality is decreased marginally, orgasms are so much more intense post surgery and, not to be crass, but I've got the opposite of retrograde - if anything it flies out now!
As far as symptoms go, how amazing not to have to go to the bathroom three or more times at night, with all this quality sleep I'm feeling great.
Pain, yes, it hurts. Immediately after the catheter is removed, it is sore. Not going to candy coat it, it's not fun for a week or so. The blood in the urine is a bit concerning, but comes and goes.
All in all, this has been a life changing in a good way.
Dr. Lin, when would you do a Rezum procedure for BPH (large prostate with medium lobe and history of two failed Urolift procedures -- so that the patient can minimize retrograde ejaculation?
Cam on nga bac si Lin from Phàp va Vietnam ❤
My doctor is doing my procedure at the end of this month and he said he will be doing it by robot will this be a problem is better than what you do what are the side effects and the recovery time please advise ankle doctor
Thank you, Dr. Lin for this very informative video. Is TURP the most successful BPH surgery available for men, or is it being surpassed by procedures such as PVP?
TURP is considered the gold standard of BPH treatments.
I’m in the pittsburgh area, can you recommend a colleague in this area or I would be willing to come to Arizona
Dr Lin I have stage 1 prostate cancer Gleason score of 8 on the low end my doctor wants me to get a turp, before I proceed with radiation what do you
You should ask your urologist the reasoning for this decision.
Hello Dr. Lin. I am a 69y/o retired RN having spent 10 years at Mayo Clinic Hospital, with 4 of those years on the urology floor. I fully understand what it’s like to care for a TURP patient and it sounds like you have the procedure pretty much perfected. Over the past couple of years I have been experiencing increasingly more annoying LUTS. I have been watching your videos for quite a while now and am very impressed with your expertise. I know that all urologists are not created equal and I would be very comfortable being evaluated and treated by you. I have Cigna Preferred Medicare (HMO) which I’m pretty sure you are not a provider (out of network situation). Is it possible that this insurance would cover some or all of your exam and treatment?
Sorry if I’m long winded, but I feel it’s extremely important to find a competent urologist. Any advice would be greatly appreciated. Thank you.
Gary,
Please call the office regarding billing and insurance. 480 507-9600
As a general rule, I always recommend patients and family to stay with traditional Medicare and not any of the Medicare disAdvantage plans.
Thank you.
I'm at that point now, 71 years old. Urologist told me it's either medication the rest of my life to deal with the prostate or TURP. You've settled my mind concerning this procedure, Thank you.
So glad we could help!
I'm on the books for TURP had REZUM 4yrs ago. I just hate going through it all again. Very good explanation 👍👍's up Doc you made me at ease. I'm 61 done with family if a dry O??? No mess no fuss.. Women's have to have their you know what removed. So hey..I just hope I will be able to hold my pee longer..not have to sit and tuck. (Split stream) be able to stay hard.. don't wanna lose that. 🤞lol thanks again very good presentation!!
Thank you!
Thank you for the information. Gave me a great sense to be comfortable to get TURP surgery done. I am 4 weeks post-surgery, and the relief is fantastic. One question is about the dry ejaculation. Is this a permanent change? Thanks again.
I been on testrone shots ever since. It worst thing I ever had done in life
Had urolift two years ago been in testicle pain painful urination now removing clips implants to do turp urolift is no good
Wow. this was sooo good. thankyou.
Well explained thank you .
Interesting video. Thanks Dr. Lin. I had REZUM and frequent urinating came back after 10 months. Urologist suggests TURP for permanent removal of BPH. My question is whether TURP areas at prostate could re-grow and cause strictures? Can other types of prostrate surgery such as HoLEP or ThULEP which are minimally invasive & give better result?
That will depend on your specific situation. You should inquire with your urologist for definitive answers.
Hi dr Lin I had my turp done 3days ago ready to have my caterer off but while waiting to see my dr I experience blood coming out of my penis head when I go to bathroom number 2 it shot out blood from my penis head and rectum but I try not to strain but it still happens what happing
Please contact your urologist. You should not be bleeding from your rectum when having a bowel movement after TURP.
What is the name of the medicine that tournament the urine orange? I am scheduled to have a TURP in November. I am a Disabled Veteran that has an enlarged prostate.
Phenazopyridine = Azo.
If the catheter has to be reinserted is is painful?
In the right hands, it should not be painful.
I had a Transurethral needle ablation, also known as TUNA, in 2003. I had a TURP in 2021. Spent overnight in the hospital. Catheter taken out one week later. Even though I didn't ask my Urologist if I could get another TUNA instead of a TURP. Could I?
That will depend on your specific prostate situation at the time of surgery, as determined prior to surgery.
Hello, Dr Lin can TURP be performed on a cancerous prostrate?
Yes, depending on individual situation, of course.
After the procedure how many years does this procedure last
Can I ask what is the percentage occurrence of a contracted bladder after turp. Thx
Contracted bladder?
Do you have to remove the urethra itself in order to remove parts of the prostate?
Prostate is part of urethra. There is no separate urethra.
hi! My name is Neil Ortiz, and I just had TURP Surgery on August 29th, so this is Day 7. My Foley Catheter was removed yesterday at 830 am, my medical team wanted me to return at 2pm for a VOIDING TRIAL. (Having the ability to Emptying out the bladder completely when urinating,) since I went to the bathroom several times and I brought it down to 247ML, I ended up passing but I was concerned that they were going to REINSERT the Foley Catheter and I wanted to avoid that Foley altogether. My question is the following: Is it normal to STILL have urinary retention after TURP Surgery? As far as urgency and frequent desire to go to the bathroom, I don't have that problem now like I did before.
Is turp a viable option for a man with cancer in the prostate which has not metastasis?
In general, yes.
My history with BPH and TURP is rather unusual, and instructive.
My wife's a Neurologist and Internist of Filipino origin. I'm 77. In 2002 my first inkling of a possible urinary problem arose from a complete lack of impulse to urinate during a 20+ hour flight from Newark, NJ to Manila, Philippines during the Christmas/New Year season. On arrival My wife urged me to be examined by a Urologist in Manila, at Makati Medical Center. The fellow was Chief of Urology, a real pro. A DRI was unremarkable. A Sonogram demonstrated an enlarge prostate of approximately 42 grams, twice normal.
Since our visit was for two weeks only, he recommended my seeing a Urologist upon returning to the US. I HAD NO URINARY URGENCY, FREQUENCY. OR NOCTURIA AT ALL! My normal urinary pattern returned while in the Phillipines.
On returning Stateside I saw a female Urologist here in New Jersey. She confirmed the BPH, recommended a prostate biopsy
The biopsy, done in her office assisted by a female nurse, was performed the following week, in office, without anesthesia, which I declined. I found it uncomfortable, but entirely tolerable. The biopsy was completely negative on all 12 cores. I have a very high pain threshold, having endured 20+ surgeries in past years for congenital orthopedic anomalies.
The local Urologist prescribed Proscar and generic Tamsulosin 0.4 MG OD. That was the sum of treatment for the next 15 years. I did not actively see a Urologist again until 2017. During that fifteen year period I had increasing difficulty urinating, and nocturia.
In March 2017, after taking a prescription antihistamine which I had not taken previously, I ceased urinating. I thought it was a passing effect of that drug. It wasn't. I failed to urinate for two weeks thereafter, all along thinking it would resolve spontaneously. I was then transported to an ER, where a nurse placed a urinary catheter. My bladder had retained 3300 cc of urine during the two week interruption. I remained catheterization, which didn't bother me.
Within the following week I was examined by another Urologist, more senior than the first one. He maintained the catheterization, prescribed Proscar, then Avodart, and Tamsulosin. After several removals and replacements of the catheters, each of which resulted in complete cessation of urination, I was advised that a TURP was indicated to resolve the persistent failure to urinate without a catheter.
The TURP was performed in early July, 2017. It was planned for a "green laser" technique, but the surgeon had to revert to an electrocautery resectoscope because the resectable tissue was "too tough" to respond to the green laser. My surgeon preferred to hold me hospitalized overnight because of the change in technique, and the consequent additional blood loss.
I returned home the following afternoon, catheterized. I remained catheterized for approximately six weeks during epithelial healing of the urethra. The catheters didn't bother me at all.
After final removal of the catheters, I regained fairly normal urination. But, because of loss of bladder muscle wall contractile weakening, from fifteen years of straining, and the two weeks of total cessation of urine flow, the surgeon place me on a generic of uremine (bethanicol 40mg bid) to assist the bladder function.
I am presently on Tamsulosin 0.4mg OD, and the uremine generic.
I still have nocturia, for which I use urinal by my bed. The urinary volume oneach occasion is about 200cc, which I'm told is normal voiding volume.
Repeated ultrasonography shows a typical post void retained volume of 2-3cc, entirely normal.
Given the history as described. I've come through it quite satisfactorily. My surgeon has advised me it's quite unlikely I will ever require further repeat TURP surgery due to accumulating additional prostate tissue in response to DHT. Possible, but highly unlikely.
My wife is homebound, disabled, and in her early 80s. I have no problem with sexual function, as it concerns her--since she's far beyond any continuing interest in that regard. But elsewhere, and with others, I find the condition of retrograde ejaculation to be,
an extra benefit! And so do the ladies. Makes for much more enthusiastic activities.
My recommendation after having gone through a 20 year saga with this insidious condition: get tested just as soon as you have a problem. Then evaluate several surgeons, and pick a seasoned pro. Trust your gut on who you trust. Then GET IT DONE PRONTO! Before, like me, you stop pissing for a two week stretch--and nearly blow out your bladders!
Thank you for sharing this amazing tale of your prostate!
@@Sunriseurology1 Thanks.
Now the only things I have to contend with are:
1) A spine made in Hong Kong....when they used to be the entrepreneur for Junk Trinkets. Fourteen herniated discs; sixteen levels of foraminal arthropathy; a half dozen compression fractured vertebrae; and cervical/lumbar levoscoliosis.
2) Bilateral occlusion cataracts.
3) -3.9 femoral osteoporosis.
Good thing it's nothing serious....that might stop my mile or two walk several times weekly.
My point: Far too many people are crybabies about their health problems and physical limitations....wanna mug it for the Press and Social Media. Tremendous blood loss in this country from the vast numbers cultivating bleeding hearts.
Get Over It! People Get Sick! People Die! It's Natural!
Stop "battling" Cancer...or Alzheimers...or Parkinson. There's No "battle" involved. You live or You Die!
We're all a lot better off than folks in the 14th Century.
Too much information 😡😡😡😡😡
Sounds like you don't feel the information was beneficial?
With my surgery, it was conscious sedation via a spinal tap - apparently general anesthesia is frowned upon because of the urge to cough afterwards, causing trauma. The spinal is uncomfortable, but "nothing" and I wasn't there at all for the procedure, those drugs are blissful.
Would you do this procedure for Chronic Prostatitis? I'm 39 years old and have suffered for over 3 years. Constant urge to urinate, pain in the prostate, many other symptoms. I've tried everything besides surgery.
Scarring me I had a catheter for 2 weeks was getting blatter spasms they called them it was so much pain any time my urine went in the bag that Somes times was 10 or more times a day they gave me meds that did not work no on pills for a month to see urologist so what is he going to say what my next step is ?
I had a turp 3 years ago but then my problem of difficulty of urinating recurred because of prostate enlargement or because of scarred prostate . So, how to solve this problem. Do I have to undergo again another turp or it can be normalized naturally
Great video. I want to ask what irrigation fluid is best for someone with CKD stage 4?
I have a mass that is 2.2 cm on my bladder found during cti after I pee blood about 2 months ago. Told also I have enlarged prostrate. How much is cost to do I have no insurance if u do. If not is that a surgery you would get done in the Philippines our in India
Do not delay care if you are found to have a bladder mass!
Thank you, what is recovery time for sports, softball
How can we contact you Dr. Lin?
www.SunriseUrology.com
I have had catheters four times, on the second time I had bladder spasms, that were pretty much left untreated for an overnight period. 12 hours of absolute agony. For the other three times, no issues. Now I know about the drugs they can use to help with the spasms.
How much urethra is damaged when removing prostate tissue? Is the ejaculatory duct damaged that could cause ED?
There is no separate urethra. It's contiguous.
No.
I been on testrone every since. Wish I never had this done😊 0:09
Hi Dr. Lin, I enjoyed your video very much. 2 weeks after TURP surgery. I am unable to urinate on my own. I must self Cath every time. We think my bladder may have shut down, or could it be something else? Right now, i have to self cath every time. What kind of treatment is available to repair a stretched bladder that seems to not function anymore. Thank you, Mark C.
i had a TURP done for the second time as the first time the channel for the uretha was narrow. Initially it worked for several months and had the process again by a new younger Doctor who is specialist in this procedure.
My case history is severe chronic pain including chronic pelvic floor pain syndrone, Interstitial Cystitus, Prostititus which I have been dealing with for 30 years. Been in pain management for the same period with little relief.
This current TURP procedure was removal of large prosate stones with the expection this will eliminate my chronic pain due to severe prostititus and prostatestones.
Have you had patients with similar pain issues? Will this process cure my pain conditions? This is my last option to treat
Had turp 9dsys ago.discharged one day later with catheter.unfortunately started experiencing pain forcing clotting blood path out of the catheter.todate still getting severe pain when urinating without catheter
I had green laser surgery about 5 years ago. I have needed to stay on Flomax. Is it possible to get off of the Flomax after a TURP?
In general, Flomax is stopped immediately after Greenlight or TURP.
Doc, after surgery and send out patient home what necessary the patient gonna do with catheter just take a rest for how many days .
You should definitely get that information from your urologist.
How long after the Catheter is removed, that burning sensation during urinating, remains? How long after the surgery active physical activities can start as a triathlete?
in my case the cathta will be in for 8 weeks is this ok
Hi there if the urethra is the tube that is restricted does the procedure remove the tube itself plus the prostrate tissue too?
Thanks
Do you take MultiCare insurance from the state of Washington?
Please call 480 507 9600 for info. We're open from 8AM to 5PM tomorrow.
Thanks.
I just had a turp. This is the second month. My urine incontinence is still much there. What should I do? Any remedy
You should definitely ask your surgeon about the outcome of your specific case.
Nice review
Thanks for the video! I'm considering getting this procedure. I'm 79 with a 190cc prostate. I've been on finasteride for several years that reduced the size of my prostate from 270cc. The urologist prescribed 5mg but I cut the pills in half and took 2.5mg daily. The prostate is also putting pressure on my colon causing me to have some anal leakage after defecation.
Qurstion: can the proceduce be done after radiation treatment for prostate cancer.
Thanks
Yes, but with slightly greater risk of complications, just as with any other prostate surgery after radiation.
Just curious about your statements about RE preserving Turp, my urologist wants to do a simple prosectomy (robotic). Biopsy results were negative. Prostate measurements were approximately 95 grams (mri/us). What’s the difference between your procedure and the one he wants to do? Seems like the robotic one is more invasive and is like an inverted Turp. And like Turp it has a 95% RE like the other Turp procedures seem to suggest. An what’s your opinion on Aquablation?
Will this procedure have any effect on ED?
Some of my patients have anecdotally said it improved their sexual function. They are on video saying that. Search in this channel.
I am 57, had 27 gms prostate, urinary symptoms such as urgency and frequency , using tamsulosin and mirabegron and urethral stricture , can completely void. Question is “. My urologist suggested me TURP , is it safe and would I have discharge on ejaculation thanks in advance
That depends on how the TURP is done and your specific situation.
Hi I have a catheter in but I noticed some bleeding on the outside of the tube,what can cause this and it feels like something blocking
My name is Rafael I had this procedure done and it's been 2 and a half months but I'm constantly having to go to the bathroom and only drips at times and none at other times and unable to stop the stream at times and urinating on myself
Dr lin i live in texas i had a turp 9 years ago can you still help me. What is the cost i have no insurance. My name is daniel
Best to call a local urologist.
Can a person with prostrate cancer Gleason 7 -- 3+4 have the turp procedure without the risk of spreading the cancer
78 year old male with acute urinary retention. My urologist says my prostate has shrunk from 55 to 15. G rams. From taking flomax and proscar it has shrunk. He says my prostate is too small for a turp procedure, he wants to perform a Supra pubic catheter. Have you a better solution? Thank you
You CAN perform a TURP on a small prostate.
Good luck.
@@Sunriseurology1 Thank you for your quick response. I don't understand why my urologist with choose the Supra pubic catheter. I am now wearing a indwelling catheter for the past month because I was on able to pee at all. Thank you
@@Sunriseurology1 I forgot to mention, I had a urolift procedure done one-and-a-half years ago which totally failed didn't work at all so maybe that's the reason why he doesn't want to do a turp I don't know. That urolift procedure was done by a different urologist
Button TURP can be easily done especially on a small prostate, even after UroLift.
@@Sunriseurology1 button Turp, thank you will bring that up with my urologist this Tuesday. What something like tuip where they make small incisions be feasible for acute urinary retention. Thank you
I live in Canada. How much time I would ave to stay in Arizona and how much it would cost me your surgery on me,