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jonwilly

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1 hour ago, Will B Good said:

Don't you run a significant risk of impotence.....or is that not an issue?

Not sure if it matters to you, but I researched and read online that the Dox is a better solution than the Tamsulin...

and that both work even better in conjunction with viagra or cialus for BHP.  (of course, the true purpose of those also continue to work).

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1 minute ago, Dart12 said:

Not sure if it matters to you, but I researched and read online that the Dox is a better solution than the Tamsulin...

and that both work even better in conjunction with viagra or cialus for BHP.  (of course, the true purpose of those also continue to work).

Yes....sorry....my mistake I intended it to refer to the TURP....

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1 hour ago, Dart12 said:

where do you order from to get those prices?

My local government hospital provides them.

50bht to see the doctor, then 1bht a pill on top.

 

The Finesteride is a lot more expensive, 490bht for 30 x 5mg from a Ladyboy shop on Facebook.

Edited by BritManToo
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1 minute ago, BritManToo said:

My local government hospital provides them.

50bht to see the doctor, then 1bht a pill on top.

oh. nice. 

I don't think I've experienced a fee less than 600 at a hospital for a doctor consultation at the government hospital in Pattaya. 

And the meds there have always been triple at hospital than a pharmacy outside (if the pharmacy had them).

best price I've found today from 6 different pharmacies is 650 for 30 Finesterides and 

and 100 for 10 tabs of Doxa

Those are the BEST prices, mind you.

Start a mailing service please Britman ????



 

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1 hour ago, Dart12 said:

Not sure if it matters to you, but I researched and read online that the Dox is a better solution than the Tamsulin...

and that both work even better in conjunction with viagra or cialus for BHP.  (of course, the true purpose of those also continue to work).

Like many of the meds, not all work for everyone. For example, I was prescribed tadalafil (cialis) for BPH, and while initially it did seem to improve my BPH symptoms slightly, it did not last beyond 6 months. I did benefit from it in another way though ????. Also despite the patent having expired for tadalafil, generics are still not available in Thailand. On top of that, it is prescription only and very expensive. I did, however, get my supplies elsewhere, but am not allowed to mention where/how as it is against forum rules. 

 

A big concern of mine before going on meds was that I am still sexually active but a lot of the meds can result in impotentence/ED. Hence my agreement to go with tadalafil. 

 

One that really worked for me was alfuzosine (Xatral), but I was only on it for two weeks after Rezum treatment when my condition got worse, before getting better.   

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36 minutes ago, GarryP said:

Like many of the meds, not all work for everyone. For example, I was prescribed tadalafil (cialis) for BPH, and while initially it did seem to improve my BPH symptoms slightly, it did not last beyond 6 months. I did benefit from it in another way though ????. Also despite the patent having expired for tadalafil, generics are still not available in Thailand. On top of that, it is prescription only and very expensive. I did, however, get my supplies elsewhere, but am not allowed to mention where/how as it is against forum rules. 

 

A big concern of mine before going on meds was that I am still sexually active but a lot of the meds can result in impotentence/ED. Hence my agreement to go with tadalafil. 

 

One that really worked for me was alfuzosine (Xatral), but I was only on it for two weeks after Rezum treatment when my condition got worse, before getting better.   

not sure where you live, but many pharmacies carry generic cialus in Pattaya

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3 minutes ago, xylophone said:

Do a Google search.........

That could be said for every question within the forum and especially inside this thread.

I thought this was where we could ask these questions about solutions for BHP without rebuke?

And, btw, I thought it was quite rude of another poster in here putting you down when you mentioned things in your life you were grateful for, even after having to go thru what you have with BHP.

I wish you well friend.

 

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1 minute ago, Dart12 said:

That could be said for every question within the forum and especially inside this thread.

I thought this was where we could ask these questions about solutions for BHP without rebuke?

And, btw, I thought it was quite rude of another poster in here putting you down when you mentioned things in your life you were grateful for, even after having to go thru what you have with BHP.

I wish you well friend.

 

Yes I suppose it could, however I meant no malice or rebuke, and thought that if you had a particular drug in mind you could possibly home in on it on Google?

 

As I recall finasteride is supposed to affect sexual performance, but I can't remember any others that do, hence my suggestion.

 

Always willing to share what I know and what I have experienced, as I have done now for the most 17 years I've been posting here and in the previous one.

 

And thank you for your support, because I also thought it was quite rude of that particular poster, in particular in light of what I have been through with BHP and associated problems, so was grateful for the good things I've experienced.
 

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On 3/10/2022 at 6:56 PM, simple1 said:

In fact my implant was covered in full by Medicare. There would be a few other hospitals in Australia providing the procedure, but in my instance the procedure was at QE11 Hospital In Brisbane. The specialist does have a private practice, his name is Anthony Kiosoglous Tel: +61 (0) 7 3720 6960. He's a good guy, mention my name - Peter from Noosa.

 

https://www.healthshare.com.au/profile/professional/169150-dr-anthony-kiosoglous/#overview

I don't know if you have been reading my posts S1, however I have found that Professor Dr Art here at Bangkok Phuket Hospital actually does this InterStim procedure, so I went along to see him (actually twice) and had an MRI and he said I was suitable for it, but to wait for a short while because the company were going to release a new/smaller updated version of it shortly, so I am happy to do that.

 

Thank you for your help and input, and I now have a little more hope for the future.
 

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40 minutes ago, xylophone said:

I don't know if you have been reading my posts S1, however I have found that Professor Dr Art here at Bangkok Phuket Hospital actually does this InterStim procedure, so I went along to see him (actually twice) and had an MRI and he said I was suitable for it, but to wait for a short while because the company were going to release a new/smaller updated version of it shortly, so I am happy to do that.

 

Thank you for your help and input, and I now have a little more hope for the future.
 

Great - best wishes for the future...

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1 hour ago, Dart12 said:

which of these drugs mentioned possibly result in impotence?  

A specific one?  or all?

 

Alpha blockers and 5-alpha reductase inhibitors. But apparently there is less of a problem with the newer alpha blockers. If you are taking high blood pressure meds you need to be careful too.

 

1 hour ago, Dart12 said:

not sure where you live, but many pharmacies carry generic cialus in Pattaya

Bangkok. Generic Cialis is available on street corners along Sukhumvit Road and is sold by those guys offering a wide variety of performance enhancers (Viagra, Kamagra, Horny Goat Weed and many others) and sex toys (couldn't vouch for the quality of any of the products as I have never bought anything from them).  But it is not (openly) available in most drugstores here as to sell it without prescription is illegal. Also, the fact that a drug is a generic doesn't mean that a prescription is not needed. The prescription is based in the drug concerned rather than the brand name. So regardless whether tadalafil was available as Cialis or some other brand, such as Toptada, a prescription would still be required. 

 

FYI, even when I bought Cialis using my prescription, the price was very high. Much higher than any generic would be (if available). To this day, I do not know why generic tadalafil is not available here, as Sildenafil aka Viagra, is produced by the Thai Government Pharmaceutical Organisation and goes under the brand name Sidegra and being a generic is much cheaper than buying the Vigra brand. Probably someone' hands are being lined with silver.  

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21 hours ago, fredscats said:

Nothing to it,2 hours away,expertise/professionalism second to none. id do a walk in straight off street,no letting them know you are international price will be upped for sure,..consultants always there,about 200/300 baht for consult,then there and then.

Barrage for hours blood testing brilliance in action,whatever evil found in blood will be managed by other consultant whilst there,all in price

  Set at ease in instance,engage a helper,few rps a day to your beck and call

 

 As for eye,if they do it one at a time I have to consider,but anyway Im having one consult at one leading eye hospital in morning to see everything OK then other later where the speciality op is performed,sort of second opinion

You have an irrepressible confidence, optimism and cheerfulness. Perhaps, I could use your services as a coach? 

My current medication of Prostgutt and Duodart has started to kick in and has got me peeing again, albeit weakly.  My biggest fear is a return of the acute water retention and being catheterised for another 6 or 7 weeks. 

I don't think there's much doubt that I will have to face up to the operation at some point but I am hoping I've got a bit of time to decide. 

Thanks for your advice and encouragement.   

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28 minutes ago, Farmerslife said:

You have an irrepressible confidence, optimism and cheerfulness. Perhaps, I could use your services as a coach? 

My current medication of Prostgutt and Duodart has started to kick in and has got me peeing again, albeit weakly.  My biggest fear is a return of the acute water retention and being catheterised for another 6 or 7 weeks. 

I don't think there's much doubt that I will have to face up to the operation at some point but I am hoping I've got a bit of time to decide. 

Thanks for your advice and encouragement.   

You know,thinking about it is the hard part,just get it done,weeks time all over,all forgotten about

 My worry is doing the eye op at diff times,but no worry,hop on a once weekly train to Vasco de Gamma,jump off in Goa,few days there,but don't fancy another 24 hours on train returning,but still first class

 

Its the length of time the catheter is in is the problem,it gets painful.could hardly stand it nearing end,it had to come out or morphine,offered strip,but at that point catheter removed,thank gawd

 

Private room? ceiling staring,and bag watching as it turns from red to yellow,but I had a huge huge prostate,had viewing gallery,dozens gowned up surrounding operation.....should have sold tickets

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23 hours ago, BritManToo said:

My local government hospital provides them.

50bht to see the doctor, then 1bht a pill on top.

 

The Finesteride is a lot more expensive, 490bht for 30 x 5mg from a Ladyboy shop on Facebook.

I go to the Army hospital ( open to everyone) and get a four month supply of dox and fin for almost 1 thousand bht! The dr fee was 50 bht.

My prescription is 2 mg 2x per day of doX and 5mg 1x per day of Fin.

I have been on these for 9 years!

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On 3/17/2022 at 10:44 AM, xylophone said:

I don't know how large your prostate is riclag, because the size of it may well limit what other procedures could be applied/utilised.

 

I had a TURP because there was nothing else available at the time, and the meds weren't helping, and I remember a friendly urologist in NZ saying that a TURP was the last possible option I should consider only when all else had failed.

 

If I was in the same position now, I would certainly try the iTind procedure, because it is a painless 10 minute procedure which has to be revisited every three years or so, with no general anaesthetic or similar, and I could put up with 10 minutes every three years quite easily.

 

The Urolift would be my next option, because that is a relatively simple procedure, and like the iTind, can be removed if necessary.

 

Finally, I would try for the Holep procedure if all else failed, rather than the traditional TURP for the following reasons.....

 

Which is better HoLEP or TURP?
HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.


You may also wish to peruse the following, if you haven't already done so: –

https://www.nhs.uk/conditions/transurethral-resection-of-the-prostate-turp
 

My latest digital romp by the dr,was 30 % according to him. I followed up with a ultrasound and that dr  said about 50 grams! 

I’ll look into some of the other procedures you mentioned! That urolift would be nice if it was offered here!

 

It’s getting totally frustrating ,getting up to P every 2 hours!

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16 minutes ago, riclag said:

My latest digital romp by the dr,was 30 % according to him. I followed up with a ultrasound and that dr  said about 50 grams! 

I’ll look into some of the other procedures you mentioned! That urolift would be nice if it was offered here!

 

It’s getting totally frustrating ,getting up to P every 2 hours!

Seems like you are a suitable candidate for urolift and it is available in Singapore, Australia and a few other places (could check out India, Malaysia and Hong Kong as they are relatively near). 

 

Respectfully.......if you could use a catheter to empty your bladder before going to bed, you could get a good nights sleep. This until you settle on a solution, and it is not as bad as it sounds!!!!!

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On 3/18/2022 at 10:03 AM, Farmerslife said:

You have an irrepressible confidence, optimism and cheerfulness. Perhaps, I could use your services as a coach? 

My current medication of Prostgutt and Duodart has started to kick in and has got me peeing again, albeit weakly.  My biggest fear is a return of the acute water retention and being catheterised for another 6 or 7 weeks. 

I don't think there's much doubt that I will have to face up to the operation at some point but I am hoping I've got a bit of time to decide. 

Thanks for your advice and encouragement.   

Well there flyin'    7000 baht return BKK to CCU,spoke to consultant there at PM,d hospital,excellent place/price...go for it...Rupee now over 100 to the pound,,when there I got 83,so a bargain,sort of have the op and well pay for it

 

  Two stage op for me  day 2  and five  ,just likened to covid,but eye,at a price that would be in stratosphere at Ruthin..all of those prices are unbelievable  ,really unbelievable

 

new message   Take last two zeroes off for pounds

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1 hour ago, fredscats said:

Over 95% success rate after TURP,but anyway wary of coming back into Thailand or Id have been and done,once restrictions hopefully finish I can get on with it. Whilst there I'm getting knee looked at  MRI first

 

MRI Scan Cost in Bangalore

Thanks for all the information. My medicines are kicking in now so I've a bit of time to reflect on everything.

  When the catheter was removed after 7 weeks, I guess the bladder and urinary tract were very sore and inflamed, it certainly felt that way. For the first few days I was peeing in small amounts pretty much every hour but now 12 days on and things are much easier. My nocturnal visits to the toilet are down to an acceptable (to me) 3. The soreness has gone and I am peeing in semi-reasonable amounts.

After I have sorted out my visa extension I intend to see my urologist in Bangkok and get a second opinion as to what would be best for me.

I still think it will be necessary for me to have the TURP but I want her opinion on whether I would be better off doing now or deferring it for a while.

Good luck with your cataracts and your dodgy knee. As a former postie, dodgy knees kind of went with the job although I found mine improved enormously in Thailand's hotter climate.  

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44 minutes ago, Farmerslife said:

I still think it will be necessary for me to have the TURP

Surgery has to be the last option (this from a top NZ urologist) and as you can see from this below, 10% of men have erectile problems and between 50 to 75% of men have permanent problems with ejaculation after a TURP, and of course there is always incontinence to consider!

 

Be aware that everything is not always plain sailing after a TURP and there are many published papers/trials which show this……..

 

What are the risks and complications of TURP?

 

The main risk is to your sex life.

Some men have problems getting an erection after surgery. For some men, that lasts a few months. In about 1 in 10 men, erectile problems are permanent.

 

Between half and three-quarters of men have permanent problems with ejaculation after a TURP. Usually the problems arise from the semen flowing backwards into the bladder during ejaculation – this is known as retrograde ejaculation. Although it is not life threatening, it can cause infertility in couples and can change the sexual experience for men.

 

Other problems such as bleeding, infection, frequency of urination and urgency can occur. Occasionally, a man develops urinary incontinence after a TURP.

 

https://www.healthdirect.gov.au/transurethral-resection-of-the-prostate-turp

 

Surgery should always be the last option, and I cannot remember if you had considered the iTind or Urolift option??

 

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1 minute ago, xylophone said:

Usually the problems arise from the semen flowing backwards into the bladder during ejaculation

Had that for a few months after my biopsy.....I felt robbed......but the wife seemed quite happy????

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1 hour ago, Farmerslife said:

Thanks for all the information. My medicines are kicking in now so I've a bit of time to reflect on everything.

  When the catheter was removed after 7 weeks, I guess the bladder and urinary tract were very sore and inflamed, it certainly felt that way. For the first few days I was peeing in small amounts pretty much every hour but now 12 days on and things are much easier. My nocturnal visits to the toilet are down to an acceptable (to me) 3. The soreness has gone and I am peeing in semi-reasonable amounts.

After I have sorted out my visa extension I intend to see my urologist in Bangkok and get a second opinion as to what would be best for me.

I still think it will be necessary for me to have the TURP but I want her opinion on whether I would be better off doing now or deferring it for a while.

Good luck with your cataracts and your dodgy knee. As a former postie, dodgy knees kind of went with the job although I found mine improved enormously in Thailand's hotter climate.  

No need to go to India just for that,get loads of testing done,nice cotton shirts made  cheap

 

 Tested myself on discharge from hospital,few drinks,would have kept me awake all night,slept all night,no getting up

  Surgeon informed the prostate cut back in such fashion it would no longer give problems,took out two thirds,had CT scan afterwards in Th for proof   they kept in touch,drink plenty of water after it,flushes the scabs from op,plus other debris,could not put catheter up myself froze at thought

 Not going for cataracts,least I hope not    get 20/20 back again or even 40/40

   Need e visa for India,pain in backside filling it in,just put m mouse time after time,will be enjoyable time for you,good experience ,even have cut throat razor shave whilst in bed   10 baht

 

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5 hours ago, xylophone said:

Surgery has to be the last option (this from a top NZ urologist) and as you can see from this below, 10% of men have erectile problems and between 50 to 75% of men have permanent problems with ejaculation after a TURP, and of course there is always incontinence to consider!

 

Be aware that everything is not always plain sailing after a TURP and there are many published papers/trials which show this……..

 

What are the risks and complications of TURP?

 

The main risk is to your sex life.

Some men have problems getting an erection after surgery. For some men, that lasts a few months. In about 1 in 10 men, erectile problems are permanent.

 

Between half and three-quarters of men have permanent problems with ejaculation after a TURP. Usually the problems arise from the semen flowing backwards into the bladder during ejaculation – this is known as retrograde ejaculation. Although it is not life threatening, it can cause infertility in couples and can change the sexual experience for men.

 

Other problems such as bleeding, infection, frequency of urination and urgency can occur. Occasionally, a man develops urinary incontinence after a TURP.

 

https://www.healthdirect.gov.au/transurethral-resection-of-the-prostate-turp

 

Surgery should always be the last option, and I cannot remember if you had considered the iTind or Urolift option??

 

As a follow up as I forgot that the little device is removed after 5-7 dqys!!...............

 

The iTind Temporarily Implanted Nitinol Device for the Treatment of Lower Urinary Tract Symptoms Secondary to Benign Prostatic Hyperplasia.

 

Conclusion: iTind is a well-tolerated, minimally invasive treatment for BPH-related LUTS which preserves sexual function and urinary continence, offers a rapid recovery and return to daily life, and a significant improvement of symptoms and urinary flow at 6-month follow-up.

 

https://pubmed.ncbi.nlm.nih.gov/33373708/

 

https://www.olympus-europa.com/medical/en/Products-and-Solutions/Products/Product/iTind.html

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23 hours ago, Farmerslife said:

Thanks for all the information. My medicines are kicking in now so I've a bit of time to reflect on everything.

  When the catheter was removed after 7 weeks, I guess the bladder and urinary tract were very sore and inflamed, it certainly felt that way. For the first few days I was peeing in small amounts pretty much every hour but now 12 days on and things are much easier. My nocturnal visits to the toilet are down to an acceptable (to me) 3. The soreness has gone and I am peeing in semi-reasonable amounts.

After I have sorted out my visa extension I intend to see my urologist in Bangkok and get a second opinion as to what would be best for me.

I still think it will be necessary for me to have the TURP but I want her opinion on whether I would be better off doing now or deferring it for a while.

Good luck with your cataracts and your dodgy knee. As a former postie, dodgy knees kind of went with the job although I found mine improved enormously in Thailand's hotter climate.  

You know you are heading for a TURP,scrap the overpriced urologist in Bangkok,save it for trip to CCU. Use of catheter is nothing short of cruelty,damned painful.

 

Monsoon season opens 3rd week of June over there,you don't walk but swim,was badly hit last year, better getting it done before ,best thing ever

 

Really objected to sky high quotes here in TH when searching for surgery,just followed other advice,not that I did not already know,Calcutta/Hydrabad/Pune/Chennai were some ex pats were jetting off to,probably cheaper pricing too than Bangalore,anyway google just google anything quotes/reputations etc

 

.....and always ask for price firstly,even taxi,shave or haircut,even roadside

 

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On 3/11/2022 at 6:45 PM, fredscats said:

Urolift and whatever its called iTind  all good examples of a fool and his money

I for one welcome the addition of new procedures to help with enlarged prostate and urinary retention, and I would have chosen one of those mentioned had they been around when I had my TURP.

 

The TURP operation has been around since 1926, and the original resectoscope used still looks very similar although it has had some minor tweaks over the years, and considering that so much has been done in the field of health/medicine since then, it's not surprising that new methods are being explored.

 

Having said that, advances have been made with Green Light laser and Holmium laser techniques, both of which appear to be superior to the original TURP, with less bleeding and fewer side effects.

 

But taken overall, little has been done in this area, which has been described as a "medical wasteland", so it's pleasing to see new procedures coming on the scene, and more to the point, do not involve general anaesthesia and surgery/cutting, or any of the other side effects like urinary incontinence or erectile dysfunction et al.

 

The medical companies producing these new procedures/products spend millions looking for a solution, and in trials, probably because they see that nothing much has been done in this field for years, and of course if it is successful, then they make money, so it is a win-win situation for all concerned.

 

Having been through a TURP and encountered just about all that could go wrong in the short term, and the long term effects of scar tissue left after the operation, causing urine retention (again) I wouldn't want to go through it again, although unfortunately a second TURP is sometimes required between eight and 10 years after the original operation.

 

As my situation has now changed, partly because of the TURP and its side effects, and my prostate doesn't appear to be the problem now, I will be signing off from this particular thread, and will be putting you on "ignore" because of some of your nonsensical posts.
 

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2 hours ago, xylophone said:

I for one welcome the addition of new procedures to help with enlarged prostate and urinary retention, and I would have chosen one of those mentioned had they been around when I had my TURP.

 

The TURP operation has been around since 1926, and the original resectoscope used still looks very similar although it has had some minor tweaks over the years, and considering that so much has been done in the field of health/medicine since then, it's not surprising that new methods are being explored.

 

Having said that, advances have been made with Green Light laser and Holmium laser techniques, both of which appear to be superior to the original TURP, with less bleeding and fewer side effects.

 

But taken overall, little has been done in this area, which has been described as a "medical wasteland", so it's pleasing to see new procedures coming on the scene, and more to the point, do not involve general anaesthesia and surgery/cutting, or any of the other side effects like urinary incontinence or erectile dysfunction et al.

 

The medical companies producing these new procedures/products spend millions looking for a solution, and in trials, probably because they see that nothing much has been done in this field for years, and of course if it is successful, then they make money, so it is a win-win situation for all concerned.

 

Having been through a TURP and encountered just about all that could go wrong in the short term, and the long term effects of scar tissue left after the operation, causing urine retention (again) I wouldn't want to go through it again, although unfortunately a second TURP is sometimes required between eight and 10 years after the original operation.

 

As my situation has now changed, partly because of the TURP and its side effects, and my prostate doesn't appear to be the problem now, I will be signing off from this particular thread, and will be putting you on "ignore" because of some of your nonsensical posts.
 

Please no,do not do that...anyway...

"Having said that, advances have been made with Green Light laser and Holmium laser techniques, both of which appear to be superior to the original TURP, with less bleeding and fewer side effects."

   ...exactly what I had,or thought so,they shove anything in there to get the cutting done.

 

All the new cures are bunkum,all you are doing is reading off a script,advertising script that is put out by get rich quick hookers,nothing has been proven to work,it doesn't.

   Its the grip of enlarged prostate that distorts the pipe,squeezing it,bending it,shutting it off,no amount of pill taking/implants will have one iota of difference....it needs cutting back,physically

 

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