My First Prostate Exam - Advice Please

[KhaoYai]

1 minute ago, tomgreen said:

 This getting old is a hard pill to swallow ?

Hey, don't complain - some of us may never get old ?.  Although my PSA was down to .05 its now on the way up again - I can only hope it still reaching is median.

[KiChakayan]

59 minutes ago, KhaoYai said:

Tom, I don't want to take anything away from your good news but you still need to have your symtoms diagnosed. It is entirely possible that its prostatitis or even a urine infection but don't ignore it.  PSA tests can be unreliable but at the moment they are all we have.  A low PSA level does not necessarily mean there's no cancer present just as a high one doesn't always mean there is.

 

You've taken the step of going to a lab but I'm pretty sure that when you do eventually go to a doctor to find out what's wrong, that doctor will ask for some of those tests to be done again.  I don't know about Thailand but in the UK, a doctor will not rely on tests they didn't order themselves.

One may also have all three conditions: BPH, prostatitis chronic + acute, cancer. This is exactly my situation; I am 65, my PSA has been fluctuating between 4 and 15 for nearly 10 years. Latest MRI + biopsy revealed a very large prostate (103cc), signs of prostatitis (acute and or chronic) in all sample and one small (<1cc) Gleason 6 lesion. 

I will probably, against the recommendation of my (Bumrungrad) doctor, go into wait (active surveillance) for a year or two, before doing anything. There are many studies demonstrating studies that definitive treatment of of low risk, and even medium risk cancer result in a (cohort) life expectancy improvement of less than a year. Any definitive treatment would have me dealing with incontinence for a year, and put an end to a fairly active sex life.

 

Edited July 3, 2018 by KiChakayan

[tomgreen]

26 minutes ago, KhaoYai said:

Hey, don't complain - some of us may never get old ?.  Although my PSA was down to .05 its now on the way up again - I can only hope it still reaching is median.

I have a funny feeling in my water ( pun intended ? ) that you may still be a spring chicken . Yes these days reaching pensioner age and beyond is considered a bonus . I have lost count of the friends who have passed away and many of them were younger than myself, but still I find this getting old thing to not only be physically challenging but mentally as well , its a good job I don’t look for answers in the bottom of a beer glass .

 

[tomgreen]

27 minutes ago, KiChakayan said:

One may also have all three conditions: BPH, prostatitis chronic + acute, cancer. This is exactly my situation; I am 65, my PSA has been fluctuating between 4 and 15 for nearly 10 years. Latest MRI + biopsy revealed a very large prostate (103cc), signs of prostatitis (acute and or chronic) in all sample and one small (<1cc) Gleason 6 lesion. 

I will probably, against the recommendation of my (Bumrungrad) doctor, go into wait (active surveillance) for a year or two, before doing anything. There are many studies demonstrating studies that definitive treatment of of low risk, and even medium risk cancer result in a (cohort) life expectancy improvement of less than a year. Any definitive treatment would have me dealing with incontinence for a year, and put an end to a fairly active sex life.

 

Thanks for posting you experiences . As some one who has only just had a first PSA blood test at age 70 , your comment that your PSA has been fluctuating between 4 and 15 for nearly 10 years , is very interesting . Fluctuating numbers over a long period like that must be very stressful . I can only wish you all the best for what ever you decided .

 

 

 

Tom

 

 

 

[KiChakayan]

2 minutes ago, tomgreen said:

 

Thanks for posting you experiences . As some one who has only just had a first PSA blood test at age 70 , your comment that your PSA has been fluctuating between 4 and 15 for nearly 10 years , is very interesting . Fluctuating numbers over a long period like that must be very stressful . I can only wish you all the best for what ever you decided .

 

 

 

Tom

 

 

 

Not that stressful actually, one has to learn the facts about prostate cancer. My PSA fluctuations matched somewhat my urinary symptoms and growing prostate, it was making sense somehow. My main concern was that this could mask a cancer, so I am glad I could get an MRI fusion targeted biopsy at Bumrungrad.

Now I am just like in any life threatening situation I was before. The golden rule being "stop and THINK". Here I have years to think, in other places it was split second, seconds or hours at best.

[Sheryl]

Thank you very much for the detailed advice and suggestions , which I will now be acting upon .

 

On the subject of a digital exam ( finger up the rectum ) how does that compare to a prostate / rectal ultrasound exam , and would that option be offered in Thailand

 

Tom

 

 

 

 

 

Ultrasound of the prostate is certainly available here but is done only if the findings of the digital exam and/or PSA indicate a need. Urologist will advise on this after he has done the manual exam.

 

It requires placing a probe in the rectum so is not an alternative means of evading having to have something places where one would rather not. It is not as bad as it may sound, but it is a bit unpleasant.

 

Ordinary ultrasounds of lower abdomen, often offered as part of check up packages, will not serve this purpose.

 

While we are on the subject of your health, besides the various check ups mentioned already, ar your age you should get the following vaccines if you have not already:

 

1. Shingles (1 vaccine)

 

2. Pneumonia (2 vaccines at least a year apart)

 

3. Annual flu vaccine. Influenza is much more srrious in older people.

 

 

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

[Antonymous]

15 minutes ago, Sheryl said:

Ultrasound of the prostate is certainly available here but is done only if the findings of the digital exam and/or PSA inficate a need. Urologist will advise on this after he has done the manual exam.

It requires placing a probe in the rectum so is not an alternative means of evading having to have something places where one would rather not. It is not as bad as it may sound, but it is a bit unpleasant.

Ordinary ultrasounds of lower abdomen, often offered as part of check up packages, will not serve this purpose.


Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

The ultrasound of the lower abdomen (taken specifically to detail the prostate) is readily available and does not require a urologist to probe with his finger beforehand! Indeed one can ask to have the ultrasound without involving an urologist at all. I know, I have done it.

 

The ultrasound image gives a very clear insight into size and condition of the prostate, as I mentioned in my earlier post.

 

Of course the gold standard is to have a 3-T MRI to detect if any cancer is present and you do need to have an urologist refer you to have one of these, but you can request it. They come with a detailed report from a radiologist and I also requested the complete video of the scan.

 

 

Edited July 3, 2018 by Antonymous
Corrected that you need a urologist to refer

[Sheryl]

The ultrasound of the lower abdomen (taken specifically to detail the prostate) is readily available and does not require a urologist to probe with his finger beforehand! Indeed one can ask to have the ultrasound without involving an urologist at all. I know, I have done it.

 

The ultrasound image gives a very clear insight into size and condition of the prostate, as I mentioned in my earlier post.

 

Of course the gold standard is to have a 3-T MRI to detect if any cancer is present and you do need to have an urologist refer you to have one of these, but you can request it. They come with a detailed report from a radiologist and I also requested the complete video of the scan.

 

 

Ultrasound specific to the prostate requires insertion of a rectal probe. Ordinary lower abdominal ultrasound will not show the prostate in sufficient detail.

 

 

Of course one can get this without first seeing a urologist but I can't see why one would want to since ordinary digital exam can often rule out the need. I would also caution that an ultrasound is only as good as the person reading it and an experienced urologist familiar with the clinical context (symptoms, PSA, DRE findings, family history ect. ) will do a much better job of interpretation than radioligist or ultrasound technician.

 

My impression is that OP was asking because he thought it would eliminate the need for having something put up his rectum. Not the case as it requires a rectal probe.

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

[Artisi]

Tom: don't get too stressed up yet, undertake the tests and see what happens, if clear of the big C and only enlarged prostate you should be started on a series of tablets, 1 to relax the prostate to make it easy to pee -( this gave me a fairly quick result) , and 1 tablet which will start reducing the prostate size - this takes a long time could be 6 - 12 months or more.

I went thru the 1st  tablet regime some years and it cleared up - it returned a few years later and I started on the 1st lot of tablets again - after a few month the Dr put me onto the second lot of tablets that I took for something over 12 months - everything was fine - easy to pee  - usually the whole night without a pee break. I have now been off all meds for about 2 getting on for 3 years now - occasionally I can sense everything is not perfect - but boy - miles ahead of when I had the problem.

There  is now a new procedure to increase the passage way thru' prostate - it's called Urolift - done in surgery in a few minutes and it would seem trouble free and very effective in most cases - worth checking it out on the net.

 

 edited to add :

http://davidwebburology.com/expertise/urolift-system/

Edited July 3, 2018 by Artisi

[JimmyJ]

12 hours ago, tomgreen said:

 

Thanks , yes I’m going to be looking at my diet in more detail , Ive all ways wondered what living with a vegetarian diet would be like / entail .

 

Tom

One way to get started:

"7 reasons to go meatless one day a week (+ a day of meal ideas to get you started)"

 

https://medium.com/healthtap/7-reasons-to-go-meatless-one-day-a-week-a-day-of-meal-ideas-to-get-you-started-1c79112f2b6f

[tomgreen]

2 hours ago, Sheryl said:

Ultrasound of the prostate is certainly available here but is done only if the findings of the digital exam and/or PSA indicate a need. Urologist will advise on this after he has done the manual exam.

 

It requires placing a probe in the rectum so is not an alternative means of evading having to have something places where one would rather not. It is not as bad as it may sound, but it is a bit unpleasant.

 

Ordinary ultrasounds of lower abdomen, often offered as part of check up packages, will not serve this purpose.

 

While we are on the subject of your health, besides the various check ups mentioned already, ar your age you should get the following vaccines if you have not already:

 

1. Shingles (1 vaccine)

 

2. Pneumonia (2 vaccines at least a year apart)

 

3. Annual flu vaccine. Influenza is much more srrious in older people.

 

 

 

Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app

 

 

 

Thank you , I did not ever think about those things you suggest , but they make sense so I will look into them. So just recapping my situation . First as I will soon be away from Pattaya City for possible several months , while away I am planning to visit the Korat Suranaree University of Technical Hospital . Once there I ask to see an urologist , and outline to them my concerns about my having to get up during the night time to urinate more frequently than normal and I am concerned that I may have a prostate problem. I ask to have a digital exam and a blood test that includes these things

 

Cholesterol

Triglyceride

HDL

LDL

Hb1Ac

PSA

 

Then I wait to see the results and what the urologist has to say .

 

I am thinking it may be best not to talk about / show my recent blood test results ?

 

As this will be my first ever visit to a Thai government hospital are there any tips / advice on what to expect and how to proceed .

 

Tom

 

 

 

 

[tomgreen]

1 hour ago, Artisi said:

Tom: don't get too stressed up yet, undertake the tests and see what happens, if clear of the big C and only enlarged prostate you should be started on a series of tablets, 1 to relax the prostate to make it easy to pee -( this gave me a fairly quick result) , and 1 tablet which will start reducing the prostate size - this takes a long time could be 6 - 12 months or more.

I went thru the 1st  tablet regime some years and it cleared up - it returned a few years later and I started on the 1st lot of tablets again - after a few month the Dr put me onto the second lot of tablets that I took for something over 12 months - everything was fine - easy to pee  - usually the whole night without a pee break. I have now been off all meds for about 2 getting on for 3 years now - occasionally I can sense everything is not perfect - but boy - miles ahead of when I had the problem.

There  is now a new procedure to increase the passage way thru' prostate - it's called Urolift - done in surgery in a few minutes and it would seem trouble free and very effective in most cases - worth checking it out on the net.

 

 edited to add :

http://davidwebburology.com/expertise/urolift-system/

Thanks for the comment and link , its difficult not to get a bit stressed out ☹️

 

 

 

[tomgreen]

1 hour ago, JimmyJ said:

One way to get started:

"7 reasons to go meatless one day a week (+ a day of meal ideas to get you started)"

 

https://medium.com/healthtap/7-reasons-to-go-meatless-one-day-a-week-a-day-of-meal-ideas-to-get-you-started-1c79112f2b6f

Jimmy thanks for the link , I am assuming you your self follow a

vegetarian diet ?

 

 

Tom

 

 

 

 

[Artisi]

55 minutes ago, tomgreen said:

 

Jimmy thanks for the link , I am assuming you your self follow a

vegetarian diet ?

 

 

Tom

 

 

 

 

I have been 100% vegetarian for about 30 years, not sure about its role in prostate problems as I did have and maybe still have an on going problem - guess time will tell. Although I do think being veg. reduces the chance of cancer considerably. 

[JimmyJ]

1 hour ago, tomgreen said:

 

Jimmy thanks for the link , I am assuming you your self follow a

vegetarian diet ?

 

 

Tom

 

 

 

 

Yes, for a very long time.

 

And I'm about 80% vegan.

Currently I buy about 1 lb. of cheese  and a few quarts of yogurt per month.

 

 

It was gradual in my case.

First cut out red meat, then all meat and went fishaterian, then vegetarian.

 

Vegetarianism is much healthier, and raising and killing animals for slaughter is cruel and unnecessary.

Anyone who eats meat should have to watch a slaughterhouse video to see what they are a part of.

 

There are many animal rights videos online where activists secretly filmed inside of factory farms. 

Take a look.

[JimmyJ]

This is very helpful to finding vegetarian food (restaurants and stores) near you:

 

https://www.happycow.net/

 

Phone app also.

 

Their policy used to be and I imagine still is only listing restaurants where no animal products are served other than dairy.

 

Most restaurants have some vegetarian dishes available.

Edited July 3, 2018 by JimmyJ

[Sheryl]

5 hours ago, tomgreen said:

 

Thank you , I did not ever think about those things you suggest , but they make sense so I will look into them. So just recapping my situation . First as I will soon be away from Pattaya City for possible several months , while away I am planning to visit the Korat Suranaree University of Technical Hospital . Once there I ask to see an urologist , and outline to them my concerns about my having to get up during the night time to urinate more frequently than normal and I am concerned that I may have a prostate problem. I ask to have a digital exam and a blood test that includes these things

 

Cholesterol

Triglyceride

HDL

LDL

Hb1Ac

PSA

 

Then I wait to see the results and what the urologist has to say .

 

I am thinking it may be best not to talk about / show my recent blood test results ?

 

As this will be my first ever visit to a Thai government hospital are there any tips / advice on what to expect and how to proceed .

 

Tom

 
 
 
 

You should show them the existing lab results.

Request Hb1ac, C reactive protein and DIRECT LDL. No need to repeat the other tests.

Re govt hospital:

1. You need to register and get a card with a patient number. This can be done any time and in advance and I suggest that to save tine on day of actual doctor visit.

2. Arrive as early in the morning as possible. Patients are given queue numbers. Bring a Thai speaker if possible.

3. At most govt hospitals once you have queue number you go get your vital signs taken, often a do it yourself machine affair. Keep the print out results and give to the nurse.

4. Bring ample reading matter and patience.




Sent from my SM-J701F using Thailand Forum - Thaivisa mobile app
 

[KhaoYai]

7 hours ago, KiChakayan said:

Any definitive treatment would have me dealing with incontinence for a year, and put an end to a fairly active sex life.

Not necessarily - it depends entirely on the type of treatment and how you respond to it. The highest risk of such things happening is with radical surgery. Nerve sparing surgery, where attempts are made to preserve the nerves that control sexual function can be undertaken although the 'nerve sparing' is not always possible or successful.  However, there are alternatives such as radio therapy which do far less damage and studies show that outcomes are no different.

 

Radio therapy can cause permanent damage but the hope is that it kills the cancer cells whilst any previously healthy cells re-grow.

 

Hormone therapy is used either as a treatment for prostate cancer or in conjunction with other treatments.  Hormone therapy kills sexual function almost immediately but if its a temporary treatment, things will get back to normal a few months after it ends.

 

I had hormone therapy before starting radio therapy to help shrink the tumours and give radio therapy a better chance of success.  Once my PSA was well down I had 35 sessions of whole pelvis radio therapy. The hormone therapy continued for a period afterwards and it took around 6 to 8 months for its effects to wear off after the course ended but things are more or less back to normal now.

 

I had no problems with my waterworks either before or after treatment.

 

I have to admit that its looking like my treatment was not successful in curing my cancer but that has more to do with how far the disease had progressed prior to treatment.  Many people have enjoyed complete success from the same pathway.

 

In Tom's case the most important thing now is that his symptoms are properly diagnosed.  Following his PSA test its looking more and more likely that his problems are something very different to cancer bit time is of the essence.

Edited July 3, 2018 by KhaoYai

[KhaoYai]

7 hours ago, tomgreen said:

I have a funny feeling in my water ( pun intended ? ) that you may still be a spring chicken.

Not exactly a spring chicken but I don't consider myself as old yet - getting close though ?.

[KiChakayan]

59 minutes ago, KhaoYai said:

Not necessarily - it depends entirely on the type of treatment and how you respond to it. The highest risk of such things happening is with radical surgery. Nerve sparing surgery, where attempts are made to preserve the nerves that control sexual function can be undertaken although the 'nerve sparing' is not always possible or successful.  However, there are alternatives such as radio therapy which do far less damage and studies show that outcomes are no different.

 

Radio therapy can cause permanent damage but the hope is that it kills the cancer cells whilst any previously healthy cells re-grow.

 

Hormone therapy is used either as a treatment for prostate cancer or in conjunction with other treatments.  Hormone therapy kills sexual function almost immediately but if its a temporary treatment, things will get back to normal a few months after it ends.

 

I had hormone therapy before starting radio therapy to help shrink the tumours and give radio therapy a better chance of success.  Once my PSA was well down I had 35 sessions of whole pelvis radio therapy. The hormone therapy continued for a period afterwards and it took around 6 to 8 months for its effects to wear off after the course ended but things are more or less back to normal now.

 

I had no problems with my waterworks either before or after treatment.

 

I have to admit that its looking like my treatment was not successful in curing my cancer but that has more to do with how far the disease had progressed prior to treatment.  Many people have enjoyed complete success from the same pathway.

 

In Tom's case the most important thing now is that his symptoms are properly diagnosed.  Following his PSA test its looking more and more likely that his problems are something very different to cancer bit time is of the essence.

Fair enough, but the choice of treatment is an equation taking into account your age, the level of risk of your cancer, your lifestyle etc... I make the decision to hang on based of the fact that my Gleason Score, the volume of the lesion and my PSA density indicate a low risk cancer. It is now generally admitted that for  low risk cancer the loss of quality of life outweigh the benefits of definitive treatment. Of course all the studies are cohort based, so there are always 50 year old studs who had a prostatectomy and  can't wait to have the catheter removed to go back to nearest gogo bar. 

If, or when, I have to undergo treatment I'll  probably chose some Radiation Therapy, probably the HDR Brachy + IMRT flogged by my Bumrungrad Doctor. The advantage of radiation therapy is that the onset of impotence is about two years after treatment, so my reasoning is that with some active surveillance, followed by this treatment I can buy myself another four years of happy sex. I keep my fingers crossed. 

Edited July 3, 2018 by KiChakayan

[Sheryl]

Again, please stay on topic. This thread is about prostate exams and an OP who is extremely unlikely to have cancer, but nervous about the exam.

 

We have had many past threads about prostate cancer treatments and feel free to open another if you like but let's keep this one focused on the OP. He is already unduly worried/stressed without hearing tales of people with cancer.

 

OP: there is no reason to be stressed. The vast majority of your men your age have some prostate enlargement and PSA suggests that is probably all this is (though of course still need to see urologist). As for your sugar and lipid results, while not ideal (1) still better than many your age; and (2) can be improved fairly easily with diet/exercise and supplements.

 

While prostate exam is not fun, it is over quickly and just uncomfortable for a brief moment, not painful. Millions and millions of men get these exams each year. You'll do fine and feel much better once it is over.

 

What will probably happen is that the doctor will palpate a smooth prostate with some enlargement and together with your normal PSA make a diagnosis of BPH and start you on medication, with periodic follow up including annual prostate check & PSA (which you should have been getting anyhow?) If by some chance what he feels is not smooth/regular he will then recommend further etsts but cross that bridge only if you come to it.

 

[KhaoYai]

5 hours ago, KiChakayan said:

the volume of the lesion and my PSA density indicate a low risk cancer. It is now generally admitted that for  low risk cancer the loss of quality of life outweigh the benefits of definitive treatment.

If its low risk and low grade, I totally agree - hormone therapy can be hell.

 

Its looking like the OP has avoided 'the worst' but I would urge anyone who has the slightest suspicion to visit a doctor ASAP. I wish I'd been caught earlier.

[thaibeachlovers]

On ‎6‎/‎30‎/‎2018 at 11:23 AM, Antonymous said:

Around 70% of men your age have BPH, which is BENIGN and nothing to worry about as long as the symptoms you are experiencing do not impinge too much on your general wellbeing. There are drugs available to ease the symptoms, but be aware that they have side effects. There are alternatives that can ease the symptoms too. The most effective IMO is Beta Sitosterol. You can order this online from iHerb and one I recommend is 'Source Naturals, Mega Strength Beta Sitosterol 375mg'.

 

PSA testing is very controversial. It is also stressful. If your PSA is over 4.0 your urologist may recommend having a biopsy and that is even more stressful.

 

One thing to be aware of: an enlarged prostate will push up the PSA, but this does NOT automatically indicate cancer is present. A very large prostate (80cc plus) can push your PSA up above 6.0 for example with absolutely no malignancy present. So...if you have a PSA result over 4.0, I highly recommend that you ask for an ultrasound. Your urologist may not suggest it and is more likely to go straight to a biopsy. Ultrasound is cheap and easy and will show the size of your prostate and is far superior to a digital rectal exam for this purpose.

 

Another thing to be aware of is that IF your PSA is very high and the urologist insists on a biopsy, you can also elect for an MRI instead. An MRI is expensive, but the radiologists are experts at detecting if any cancer is present in the prostate from a single exam. Your urologist will be happier giving you endless repeat biopsies until he finds what he is looking for rather than sending you to another department for a single MRI, but remember, you are in control.

 

Good luck.

My biopsy was uncomfortable but hardly stressful.

PSA is only an indication and treatment should depend on confirmation by biopsy.

Not enough information, but if just urinating more, rather than having difficulty in passing urine it may be diabetes.

 

Having had prostatectomy, I'd advise to go for an alternative treatment. It was the worst thing I could have done and death would have been preferable, but that's just me. Obviously up to the individual, and what they are prepared to put up with to live longer.

[bkk6060]

10 minutes ago, thaibeachlovers said:

My biopsy was uncomfortable but hardly stressful.

PSA is only an indication and treatment should depend on confirmation by biopsy.

Not enough information, but if just urinating more, rather than having difficulty in passing urine it may be diabetes.

 

Having had prostatectomy, I'd advise to go for an alternative treatment. It was the worst thing I could have done and death would have been preferable, but that's just me. Obviously up to the individual, and what they are prepared to put up with to live longer.

Geez man.  Sorry the hear that thanks for the honesty that must really suck big time.

I am in my 60's and no doubt will get it as my father had it.

Not only did they remove his Prostate, but they chopped off his nuts.

He was not a happy camper for the remaining of his life.

Not much else to say just try to stay positive and make the most of what you have.

 

[Artisi]

4 minutes ago, bkk6060 said:

Geez man.  Sorry the hear that thanks for the honesty that must really suck big time.

I am in my 60's and no doubt will get it as my father had it.

Not only did they remove his Prostate, but they chopped off his nuts.

He was not a happy camper for the remaining of his life.

Not much else to say just try to stay positive and make the most of what you have.

 

How long ago was your father screwed over, many things have changed in treatment over the past years, mainly for the better. 

[KhunFred]

The only advice I can give is be sure and have this done. I was diagnosed with very early stage prostate cancer at age 59. I am 68 now and had radiation therapy and seem to be okay. I cannot emphasize how important this is. If caught in the early stage, prostate cancer is curable.

[thaibeachlovers]

On ‎7‎/‎4‎/‎2018 at 5:41 PM, bkk6060 said:

Geez man.  Sorry the hear that thanks for the honesty that must really suck big time.

I am in my 60's and no doubt will get it as my father had it.

Not only did they remove his Prostate, but they chopped off his nuts.

He was not a happy camper for the remaining of his life.

Not much else to say just try to stay positive and make the most of what you have.

 

If I could jump in the time machine...……………….

I'd go for the medication option. Can cause breast enlargement, though that would be preferable to the complications of prostatectomy.

If urination difficulty, green laser would be the option for that, but of course it doesn't remove the cancer. Unfortunately, green laser was only just available when I was diagnosed and not given to me as an option.

The only thing I did right was refusing post op radiation. I'd had the lymph glands removed as well, and radiation can cause swollen legs, which can become a permanent problem. Radiation can also cause complications of various sorts.

 

 

[JetSetFvr]

Don't take this the wrong way but some massage places have woman there professionally trained in Prostate massage that DID clear up some trapped fluids I had in there.  Aside from that, selenium and beta prostate lowered any risk I had.  Consider it.  Ever since those "treatments" I have stronger erections, I don't wake up to pee etc.  I did them once a week for a month and my prostate declined in size. 

 

Just a thought and suggestion.  Besides, I would rather have a woman with a finger in my nether regions than a man any day but I digress.

[JHolmesJr]

12 minutes ago, JetSetFvr said:

DID clear up some trapped fluids I had in there

 

My mission is to have no trapped fluids period.....regular ejaculations keep the pipes sparkly clean and flushed.

[JetSetFvr]

1 minute ago, JHolmesJr said:

 

My mission is to have no trapped fluids period.....regular ejaculations keep the pipes sparkly clean and flushed.

Fully agree!! But for an old guy that might not be able to get it going, I think he would uuhmmm........rather enjoy it as I did.  It really did fix this 53 year old's mojo and, well, my "service provider" was......quite enjoyable.