Prostate

[jonwilly]

I have tried the search function for I remember a discussion on Prostate and surgery in the past but no result.

I have had an enlarged prostate gland since my mid 40s.

Speaking to my lady Dr on Wednesday she mentioned that she understood that a surgical procedure the was used at the MacCain hospital.

I have been longing to try the Steam reduction method since I spoke to 2 UK citizens who had had the procedure in UK. A day inpatient procedure, go in sit in a sort of dentist chair Dr dos the job and leave a couple of hrs later. 

 

I went to MacCain and asked no TURP only and on my way home I had a interview at Siripat with a Urologist and same result TURP only. He said he believed that no hospital in CM did the Steam method.

 Does anyone have any more info, Bangkok Hospital has been suggest.

 

john

[RichCor]

TWO items

 

1. To search the forum it's suggested you use google search

 

BPH treatment options site:thaivisa.com

 

...recommend you use the google search page Tools link to access the 'Any Time' pull-down and select 'Custome Range...' to restrict the search results to the last 2 or so years (if you want current information).

 

 

 

 

 

2. Recent forum post lit upon iTIND, Rezum, TURP

 

Good news for BPH sufferers.
By xylophone, October 27 in Health and Medicine

 

 

Edited November 7, 2020 by RichCor

[KhunBENQ]

1 hour ago, jonwilly said:

I have tried the search function for I remember a discussion on Prostate and surgery in the past but no result.

There are multiple threads on prostate surgery (yes the TVF search function is ....).

The threads are in the health forum where you get best response.

As I might sooner or later due for surgery (hopefully later) I followed some of the threads.

Conclusion: there is not a single location all over Thailand that does other than TURP.

Even the panacea Bangkok Hospital does not help.

(this was stated by @Sheryl not too long ago)

I was considering medical tourism to India.

But you know what happened. No way currently.

 

Edited November 7, 2020 by KhunBENQ

[ThaiPauly]

Bumrungrad in Bangkok offer an alternative to TURP

I can't recall what it was , safe to say it was over 100,000 more than a TURP, so it could be worth while contacting their urology department for further information

[thaibeachlovers]

I know nothing about the steam procedure, but I unfortunately missed out on the laser method ( had surgery before the laser was available ), so I got butchered and my life ruined.

Laser sound pretty good.

 

Unless OP has cancer TURP is all that is necessary, IMO.

 

[Sheryl]

Thailand is indeed way behind the times when it comes to treatments for BPH.

 

Aside from TURP (and of course medication,m which is always the first line of treatment), the only other treatment I am aware of is the Green Light Laser (PVP) which is available at Bumrungrad in Bangkok and possibly a few other places in Bangkok. Not available in CM that I know of.

 

Prostatic artery embolization, Rezum etc are not done  here at all to my knowledge.

[olfu]

Surgery should be your last resort not first as there is always bad chance waiting.

If your situation really bad I recommend try intermediate approach and/or prostate massage.

Also depending on your luck with doctor some drugs help.

[teacherclaire]

26 minutes ago, Sheryl said:

Thailand is indeed way behind the times when it comes to treatments for BPH.

 

Aside from TURP (and of course medication,m which is always the first line of treatment), the only other treatment I am aware of is the Green Light Laser (PVP) which is available at Bumrungrad in Bangkok and possibly a few other places in Bangkok. Not available in CM that I know of.

 

Prostatic artery embolization, Rezum etc are not done  here at all to my knowledge.

Thanks, you're a jewel. Always great information on medical ( of course also other) topics.  

[jonwilly]

I sent a message to Bumrungrad and below is their reply.

 

Dear Mr. John Williams ,
 

Greetings from Bumrungrad International Hospital.
 

Thank you for your e-mail.
 

Regarding your inquiry, we have it forwarded to the concerned department. We will get back to you shortly, once information is available. 

 

If we can be of further assistance, please do not hesitate to contact us.

 

I have had the prostate enlargement for many years and tried various tablets. I find that I get along better without tablets and as I mentioned 2 Brits have spoken well of the Steam treatment.

More as they inform me.

 

john

[teacherclaire]

17 minutes ago, olfu said:

Surgery should be your last resort not first as there is always bad chance waiting.

If your situation really bad I recommend try intermediate approach and/or prostate massage.

Also depending on your luck with doctor some drugs help.

Any surgery can go wrong. 

[teacherclaire]

2 minutes ago, jonwilly said:

I sent a message to Bumrungrad and below is their reply.

 

Dear Mr. John Williams ,
 

Greetings from Bumrungrad International Hospital.
 

Thank you for your e-mail.
 

Regarding your inquiry, we have it forwarded to the concerned department. We will get back to you shortly, once information is available. 

 

If we can be of further assistance, please do not hesitate to contact us.

 

I have had the prostate enlargement for many years and tried various tablets. I find that I get along better without tablets and as I mentioned 2 Brits have spoken well of the Steam treatment.

More as they inform me.

 

john

 

It's always better to hear two specialists. 

[ChakaKhan]

12 hours ago, jonwilly said:

I have tried the search function for I remember a discussion on Prostate and surgery in the past but no result.

I have had an enlarged prostate gland since my mid 40s.

Speaking to my lady Dr on Wednesday she mentioned that she understood that a surgical procedure the was used at the MacCain hospital.

I have been longing to try the Steam reduction method since I spoke to 2 UK citizens who had had the procedure in UK. A day inpatient procedure, go in sit in a sort of dentist chair Dr dos the job and leave a couple of hrs later. 

 

I went to MacCain and asked no TURP only and on my way home I had a interview at Siripat with a Urologist and same result TURP only. He said he believed that no hospital in CM did the Steam method.

 Does anyone have any more info, Bangkok Hospital has been suggest.

 

john

I hear you brother, I too got this passed down from my father, no fun at all.......my father had his reduced in surgery, and I may be getting closer to that step......is like someone stepping on a garden hose.....ugh

[MrBrad]

Death being the worst result, what can go wrong with this kind of surgery?  Please give some possible negative results.  Thanks.

[mackayae]

Green Light Laser surgery has been availabe at Bangkok Hospital, Bangkok for many years. I had the TURP procedure about 15 years ago, just before GLL was becoming available in LOS. My advice is to have the procedure sooner rather than later. Your bladder function will be compromised the longer you wait.

Edited November 8, 2020 by mackayae

[BritManToo]

18 minutes ago, MrBrad said:

Death being the worst result, what can go wrong with this kind of surgery?  Please give some possible negative results.  Thanks.

The usual side effects are impotence, and incontinence.

Both appear to be very common, from speaking with people who have had a TURP.

But I know one guy living near me, who claims no side effects after having it done at McCormick hospital in Chiang Mai.

 

Edited November 8, 2020 by BritManToo

[ICELANDMAN]

I am for a natural medicine I use the Epilobium, one the for day, the morning before eat for one week, from time to time and I find that it is a good effect.

[jonwilly]

Dear Mr. John Williams,

Greetings from Bumrungrad International Hospital.

Bumrungrad International Hospital has established the Medical Travel Guides for your reference prior to your visit; please click https://www.bumrungrad.com/en/medical-travel

Regarding your inquiries, we are pleased to inform you that we already received feedback from our Urology Center stated that: 
 

According to the question; other than TURP we have PVP (Photo selective Vaporization of the Prostate) , cost amount 370,000 - 440,000 bath and HoLEP  (Holnnium Laser Enucleation of Prostate) cost amount 320,000-400,000 bath.

Price estimation are depending on type of anesthesia, operation time duration, doctor fee and length of stay in hospital.

 

Hum Ho, think I'llgive BKK a miss.

 

john

[puck2]

Think about a "DaVinci Robotic Surgery" in Thailand. Made in Siriraj-Hospital. (google this). It's a minimaly invasive surgery!

 

It's important that the Doctors are experienced. This means, that they have done already a lot of these robotic surgeries. This matches for Siriraj. I don't know the current prices. But they will be lower than that of Bungrumrad.

 

I had this surgery done in Germany exactly 7 years ago. There have been 2 excellent specialists in a famous but remote area in the St. Antonius Hospital Gronau, near the Dutch borderline. There have been foreign patients even from Russia!. Costs at that time about 14.000€, including all: DaVinci Surgery style plus 1 week in the hospital (private). Result: excellent.

 

You can contact Siriraj by e-mail. I would have done it there. But I went to Germany mainly for the reason to say good bye to my dear brother with a deadly cancer.

Edited November 9, 2020 by puck2

[elektrified]

23 hours ago, puck2 said:

Think about a "DaVinci Robotic Surgery" in Thailand. Made in Siriraj-Hospital. (google this). It's a minimaly invasive surgery!

 

It's important that the Doctors are experienced. This means, that they have done already a lot of these robotic surgeries. This matches for Siriraj. I don't know the current prices. But they will be lower than that of Bungrumrad.

 

I had this surgery done in Germany exactly 7 years ago. There have been 2 excellent specialists in a famous but remote area in the St. Antonius Hospital Gronau, near the Dutch borderline. There have been foreign patients even from Russia!. Costs at that time about 14.000€, including all: DaVinci Surgery style plus 1 week in the hospital (private). Result: excellent.

 

You can contact Siriraj by e-mail. I would have done it there. But I went to Germany mainly for the reason to say good bye to my dear brother with a deadly cancer.

DaVinci robotic prostate surgery is available in Chiang Mai. At least 2 surgeons are qualified to use it including Dr. Bannakit (who is unavailable at this time). Cost is about 550,000 Baht!

[jonwilly]

Half a million Baht, with my old friend Dr B !

No Sorry wrong I'll suffer.

Siriraj has still not responded to my email of yesterday morning.

Thank you to all who have provided useful information.

 

john

[elektrified]

You might try contacting Dr. Isares Saisorn in Bangkok. He is one of the top urological surgeons in Thailand. I believe he practices at Samitivej and possibly Siriraj. https://www.thailandmedical.news/pages/thailand_doctors_listings/dr--isares--saisorn

[xylophone]

On 11/9/2020 at 10:23 PM, puck2 said:

Think about a "DaVinci Robotic Surgery" in Thailand. Made in Siriraj-Hospital. (google this). It's a minimaly invasive surgery!

Yes the da Vinci robotic surgery is available in Thailand, however its main benefit is being able to perform delicate keyhole-type surgery, as in for instance, prostate cancer or prostate removal.

 

In order to perform something equivalent to a TURP, the instrument has to enter through the penis and up the urethra before it gets to the prostate, so so there is no difference as to the "invasiveness" of one from another, if indeed the da Vinci machine is used for this type of surgery, which I don't believe it was intended for.

 

The old-fashioned way of cutting away the excess tissue inside the prostate via the TURP methodology is what is called the "gold standard" and is generally regarded as safe and effective, although it wasn't altogether in my case!!!!

 

The laser methods achieve much the same result.

 

There are possible side effects like dribbling, retrograde ejaculation where the operation affects the bladder neck muscle and allows semen to flow back into the bladder, and having to use a catheter for a while.

 

I have investigated the other options available and was keen on the Rezum method, but there was some feedback which suggested that it wasn't all plain sailing, and pain and discomfort could be felt for some weeks afterwards, as well as some catheter use was needed. However the OP has said that he has contacted two people who have had the operation and they have been fine, however that is just two people out of what would be needed to ascertain a "safe/effective procedure".

 

The other option which I have investigated is called Urolift and if I had to have surgery done again, which is quite possible because prostate tissue does grow back, I would opt for either of the last two I have mentioned.

 

Now here's the problem....... neither of them are available in Thailand as far as I know however if I was desperate I would be researching places like Singapore or Hong Kong (for example) to see if they were available in those countries. And one poster has had surgery done in India and has been delighted with the operation, the outcome and the cost.

 

Then of course there are Covid restrictions to contend with........
 

[xylophone]

On 11/8/2020 at 11:03 AM, ICELANDMAN said:

I am for a natural medicine I use the Epilobium, one the for day, the morning before eat for one week, from time to time and I find that it is a good effect.

Currently I'm taking beta sitosterol capsules and it does seem to work, although of late it seems to be marginal??

 

So perhaps time to try something else, although I have tried Pygeum, to no great effect, so would be interested to find out where you obtain your Epilobium from ICELANDMAN, as there doesn't seem to be much of it, if any advertised on the Internet – – – actually I did find one from eBay, but that was a product produced in Poland, with a few other extra ingredients?

 

Some info on your supply would be great, thank you.

[Boomer6969]

On 11/8/2020 at 9:47 AM, MrBrad said:

Death being the worst result, what can go wrong with this kind of surgery?  Please give some possible negative results.  Thanks.

Incontinence and/or impotence. Is that enough?

[xylophone]

3 hours ago, Boomer6969 said:

Incontinence and/or impotence. Is that enough?

I believe we are talking at cross purposes here, because the original poster was really enquiring about something to help his BPH, for which the most common operation for decades has been the TURP, called the gold standard for this type of procedure.

 

It's not foolproof, but if done by a urologist who has undertaken many of these operations, then the outcomes are usually very good, although there can be some side effects such as dribbling, and possible retrograde ejaculation, but these are in the minority (depending upon which website one visits!) This one gives a fair assessment of the outcomes: https://www.medicalnewstoday.com/articles/321190#complications

 

The main problems occur within a few days and weeks of the operation because of the swelling and scarring, but after that it should be plain sailing. However I had problems for quite a few weeks after the operation where I couldn't pass water and I had to use a catheter on myself, but I understand that is rare.

 

There are other procedures and I have outlined them in another post, and are well worth following up because they do not seem so "invasive" and seem to have fewer side effects, this because there is no cutting and the area of the bladder neck is not touched, so highly unlikely that incontinence or retrograde ejaculation will result.

 

I believe other posts are dealing with the removal of the prostate, in which the da Vinci machine is the best possible option because it is very precise, and prostate removal without this could often mean damage to the nerves around that area which would result in incontinence and or impotence.

 

They are the worst to outcomes for prostate removal, however are not considered "the norm" with an everyday TURP.

[ICELANDMAN]

18 hours ago, xylophone said:

Currently I'm taking beta sitosterol capsules and it does seem to work, although of late it seems to be marginal??

 

So perhaps time to try something else, although I have tried Pygeum, to no great effect, so would be interested to find out where you obtain your Epilobium from ICELANDMAN, as there doesn't seem to be much of it, if any advertised on the Internet – – – actually I did find one from eBay, but that was a product produced in Poland, with a few other extra ingredients?

 

Some info on your supply would be great, thank you.

I am talking about 100% natural products not those manufactured in capsules that as you say you do not know what they contain, also called Epilobio is a very common herb in Europe that grows spontaneously in many places and therefore a company with a competitive price that has also recently sent me Epilobio sommità fiorite from Italy that I am attaching the direct link, I hope it will do you a lot of good, let me know how you feel after a month. Use the translator into Italian to communicate with them, I've known them for two years never had any problems.

 

https://www.lerboristeria.com/ricerca/search.php?q=Epilobio+Sommita+fiorite

 

 

[riclag]

Hi ,What ever became of your search for a prostate procedure in Thailand  ?

Thanks

If anybody has some recent experiences with procedures since this thread started, I would be very interested! 

 

I'm also getting at the point like someone is stepping on a  garden hose  because of the  enlargement ! 

 

 

[jonwilly]

Assured by a moderator and several Drs not available in Thailand.

Mayo Clinic USA has Vid on Youtube.

 

john

[BritManToo]

52 minutes ago, riclag said:

Hi ,What ever became of your search for a prostate procedure in Thailand  ?

Thanks

If anybody has some recent experiences with procedures since this thread started, I would be very interested! 

 

I'm also getting at the point like someone is stepping on a  garden hose  because of the  enlargement ! 

 

 

What medication are you taking?

Doxazocin has sorted me right out, although I do need to vary the dosage a little.

2 pills, 2.5 pills, 3 pills (2mg/pill) depending on how it worked the previous day.

[xylophone]

47 minutes ago, riclag said:

Hi ,What ever became of your search for a prostate procedure in Thailand  ?

Thanks

If anybody has some recent experiences with procedures since this thread started, I would be very interested! 

 

I'm also getting at the point like someone is stepping on a  garden hose  because of the  enlargement ! 

 

 

The TURP (transurethral resection of the prostate) is the most commonly found procedure here in Thailand, which can alleviate problems associated with BPH (benign prostate hyperplasia) and it is considered the gold standard in the urology world. Most largish hospitals here will be able to carry out a TURP.

 

I've had one in Australia although it wasn't without its "problems", and I have been experiencing problems again so have looked at two new procedures, the steam treatment called Rezum and another one called Urolift (which is my preferred option) both of which are relatively quick and painless and don't involve surgery per se. BUT not available in Thailand.