Prostate

[Sheryl]

Just now, xylophone said:

Thanks yet again Sheryl, and I may well contact him by email, although I'm hoping that the email I have sent to the hospital for an actual appointment may yet work (fingers crossed).

 

At the appointment I will discuss with Dr Art whether the operation can be done here, and I will make my own enquiries as to the possibility of having it done in Australia, so slowly but surely I am building a picture of an action plan!

 

Dr Charuspong at Bumrungrad did not say that they carried out the procedure there, and when I mentioned to Dr Art here, he did say that Dr Art carried out that procedure, and it is mentioned on the Bangkok Phuket Hospital website although their staff don't seem to know much about it.

 

As I said in another post, it may be just as cheap for me to travel to Australia to get it done, however I will do some more research, and thanks again for your help, very much appreciated.

Dr. Art is also at Bangkok Hospital in Bangkok  and if he is doing this in Thailand he's be more likely to be doing it there than in Phuket. If you are based in Bangkok, maybe consult him there.

[simple1]

3 hours ago, xylophone said:

Hey @simple1, a question for you because I have not had much luck trying to get hold of Prof Dr Art at Bangkok Phuket hospital here as I keep being fobbed off by someone in reception who doesn't understand what I want to talk to him about and simply says, "we don't do that here", so we have a receptionist who is determining my health, which I'm not happy about, and if I do go to the hospital I'm going to break his firking nose!

 

Apart from that, it was stated to me that the cost here for the sacral neural stimulation modulator here would be about 1 million baht, yet you managed to get yours done in Oz for just about half that; so my question is where did you have it done?

 

It may well be worth me travelling over to Oz to have it done there, so I will do some investigating if you would provide me with a few details please.

 

Thanks in anticipation.

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

[fredscats]

On 3/1/2022 at 7:39 PM, Will B Good said:

They are doing the steam thing at Bumrungrad now....if that is of any help.

Seems an expensive load of rubbish

[Will B Good]

27 minutes ago, fredscats said:

Seems an expensive load of rubbish

Seriously?.............I have occasionally read about this procedure as it was being developed.........it has been approved by NICE who don't throw money away........and they project around 10,000 procedures in the UK alone each year.

 

What are you basing your comment on?

 

Cheers

Edited March 11, 2022 by Will B Good

[fredscats]

On 11/19/2020 at 7:07 PM, xylophone said:

 

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.

 

 

No,not rare You used a catheter on yourself,you cleared the blockage at the end of your cock,could not do it myself,local Thai hospital did it  530 baht. Was painful passing water,so painful could hardly scream,2xs  so had it unblocked.

   Rezum or whatever its called,just likened to the bead implants few years before,load of hospital get rich quick until its recognised what it is,rubbish

[GarryP]

1 hour ago, fredscats said:

Seems an expensive load of rubbish

Had it done on 21 October 2021 at Bumrungrad Hospital. I'm happy with the results and still improving. May be worth checking out this thread before you start panning something you know little about. https://aseannow.com/topic/1238152-enlarged-prostate-treatment-rezum/

 

 

[fredscats]

1 hour ago, Will B Good said:

Seriously?.............I have occasionally read about this procedure as it was being developed.........it has been approved by NICE who don't throw money away........and they project around 10,000 procedures in the UK alone each year.

 

What are you basing your comment on?

 

Cheers

The guy that had it done,commented on TV,slowly ,slowly,so slowly hardly any results to show "threads appearing in urine"   No blockage?  no.   Steam expected to remove /kill growth of prostate,immediately or over time?   results expected immediately Id say,not for him,seems 3 months expected results,nothing to show

   "Projected figures of 10,000"  that's 10,000 disappointed punters,likened to eurflow op     what was that? to a maximum of 80 grammes prostate  weight,hardly worth operating on

Edited March 11, 2022 by fredscats

[fredscats]

30 minutes ago, GarryP said:

Had it done on 21 October 2021 at Bumrungrad Hospital. I'm happy with the results and still improving. May be worth checking out this thread before you start panning something you know little about. https://aseannow.com/topic/1238152-enlarged-prostate-treatment-rezum/

 

 

Still improving?  that's 5 months after op and still "improving"   I did 5 days in hospital after the op,not 5 months   five days  and was 2 days longer than planned as 150 gramme prostate operated on   Id be most unhappy what with the cost at that place and the expected result to be had in 3 months,its now 5 months and "still improving"  Id say that's it  ,ask for your money back         One to two years after Rezum op symptoms return,just get rich quick until its recognised for what it is   a load of rubbish,  just like the bead therapy

 

 

1. REZUM for Enlarged Prostate in NYC: Experienced Rezum Surgeons – Top BPH specialists
2. REZUM Treatment Failure: Options if REZUM for Enlarged Prostate Does Not Work

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REZUM is an effective procedure that offers numerous advantages to many men with an enlarged prostate. It works for many men but not for all men.  The success of treatment depends on patient characteristics including the severity of symptoms, size of the prostate, and severity of blockage caused by an enlarged prostate.

What Can Be Done If REZUM for BPH Does Not Work?

While many men experience an improvement of urinary symptoms after the REZUM procedure, some men experience no improvement or insufficient benefit from the REZUM procedure.  Other men who obtain significant benefit from the REZUM procedure may subsequently experience deterioration of urinary problems caused by BPH sometimes as soon as 1-2 years after the procedure or later, 3-5 years after the procedur

Edited March 11, 2022 by fredscats

[Paradise Pete]

17 hours ago, xylophone said:

 

As I said in another post, it may be just as cheap for me to travel to Australia to get it done, however I will do some more research, and thanks again for your help, very much appreciated.

If you're willing to travel you might look into South Korea. Their healthcare is among the best in the world.

For example, this place does PAE almost daily.

https://www.humic.co.kr/guide/prostate/

(Chrome can translate it)

 

I know that's not what you're looking for, but it might be a place to start.

 

[GarryP]

Had I been much older and not sexually active, I would perhaps have gone with TURP as the results are almost immediate, but there are still possible side effects such as ED, retrograde ejaculation and even permanent incontinence in some cases.

 

Many sites pushing the Rezum treatment are misleading in regard to how long it takes to see the benefits of the treatment, particularly those in the US. They use wording such as "and improvement has been seen at 2 weeks post treatment". However, many of the Aussie and UK sites are more truthful saying that in most cases your condition will get worse before it gets better and you should start to see improvement at around 2 months after treatment. What you need to realize is that the results are never the same across the board and what works for some may not work for others. Also, people have a different physical responses to the treatment. I certainly did get worse and went back on meds for a couple of weeks, but now I am much better and sleeping better. I am peeing much stronger than pre-treatment even though I was taking meds then. That is, I am happy with the results of Rezum treatment.  

 

Do your research and choose which way you want to go, but don't forget that while a particular treatment may seem to be the one you want to try, you may not necessarily be a suitable candidate. For example, after checking my prostate the doctor let me know that I would not have been a suitable candidate for Urolift because of the shape of my prostate, not that I wanted that treatment anyway.  

 

As to ultimately having to have the treatment again or something different, I am aware of that. Your prostate only stops growing when it is removed from your body or you are dead. So tissue may start impinging on my urethra again down the road.  I can accept that.    

[riclag]

54 minutes ago, Paradise Pete said:

If you're willing to travel you might look into South Korea. Their healthcare is among the best in the world.

For example, this place does PAE almost daily.

https://www.humic.co.kr/guide/prostate/

(Chrome can translate it)

 

I know that's not what you're looking for, but it might be a place to start.

 

“Prostatic Artery Embolization (PAE) is a cutting-edge procedure performed to help improve urinary symptoms caused by an enlarged prostate without the risk of sexual side effects. Originally developed in Europe and South America”,

 

 I was researching this and had hopes of finding some conversations on here about the procedure and possibly reviews. Anything but the gold standard(turp procedure) would suffice imop  

Thanks for the comment!

[riclag]

19 minutes ago, GarryP said:

Had I been much older and not sexually active, I would perhaps have gone with TURP as the results are almost immediate, but there are still possible side effects such as ED, retrograde ejaculation and even permanent incontinence in some cases.

 

Many sites pushing the Rezum treatment are misleading in regard to how long it takes to see the benefits of the treatment, particularly those in the US. They use wording such as "and improvement has been seen at 2 weeks post treatment". However, many of the Aussie and UK sites are more truthful saying that in most cases your condition will get worse before it gets better and you should start to see improvement at around 2 months after treatment. What you need to realize is that the results are never the same across the board and what works for some may not work for others. Also, people have a different physical responses to the treatment. I certainly did get worse and went back on meds for a couple of weeks, but now I am much better and sleeping better. I am peeing much stronger than pre-treatment even though I was taking meds then. That is, I am happy with the results of Rezum treatment.  

 

Do your research and choose which way you want to go, but don't forget that while a particular treatment may seem to be the one you want to try, you may not necessarily be a suitable candidate. For example, after checking my prostate the doctor let me know that I would not have been a suitable candidate for Urolift because of the shape of my prostate, not that I wanted that treatment anyway.  

 

As to ultimately having to have the treatment again or something different, I am aware of that. Your prostate only stops growing when it is removed from your body or you are dead. So tissue may start impinging on my urethra again down the road.  I can accept that.    

Yes, worse before it gets better ! I’ve seen this on some YT sites! 

[Paradise Pete]

3 hours ago, riclag said:

“Prostatic Artery Embolization (PAE) is a cutting-edge procedure performed to help improve urinary symptoms caused by an enlarged prostate without the risk of sexual side effects. Originally developed in Europe and South America”,

 

 I was researching this and had hopes of finding some conversations on here about the procedure and possibly reviews. Anything but the gold standard(turp procedure) would suffice imop  

Thanks for the comment!

I asked about it at Bumrungrad (with the same Dr. Charuspong who I now see has been recommended in this thread) and they don't have immediate plans to offer it.

 

Before returning to Thailand after a two-year Covid hiatus I was having serious flow problems, as well as some irritation. A friend had some Tamsulosin tablets that he was no longer taking, as his doctor switched him to finasteride.

 

I had been researching things such as PAE and checked Korea due to its reputation for healthcare quality. But then the Tamsulosin improved my flow enough that I put any more serious plans on hold, considering the newness of PAE. But I think Korea is well ahead in its research. If I were planning on acting soon I personally would start by contacting them and seeing what they had to offer in terms of cost and logistics.

 

At Bumrungrad the doctor recommended I stay with the tamsulosin, and add saw palmetto to address the irritation when a test for prostatitis was negative.

 

I was rather skeptical of the saw palmetto, but four months later I have to say the irritation is greatly reduced. The tamsulosin I get at Fascino under the name UroFlow for 715 baht or so for 30 tablets. That's the best deal I've found, though I haven't shopped it extensively.

 

My flow now ranges from steady dribble at worst to reasonably good most of the time. before tamsulosin it ranged from nothing at all on the worst days to not very good at best. Fortunately the "nothing at all" never lasted more than a few hours.

 

By the way, Dr. Charuspong has called me three times to check up on me ('m in Jomtien, not Bangkok). The first call was a promised follow-up, the other two were of his own volition. No charge for any of the calls.

 

(I also has an excellent experience at Bumrungrad for cutting basal cell carcinoma from my nose, but that's for a different thread).

 

 

 

 

 

 

 

Edited March 11, 2022 by Paradise Pete
grammar

[xylophone]

6 hours ago, fredscats said:

No,not rare You used a catheter on yourself,you cleared the blockage at the end of your cock,could not do it myself,local Thai hospital did it  530 baht. Was painful passing water,so painful could hardly scream,2xs  so had it unblocked.

   Rezum or whatever its called,just likened to the bead implants few years before,load of hospital get rich quick until its recognised what it is,rubbish

First of all I did not have a blockage "at the end of my cock" (your words and about as subtle as an air raid) but swelling at the bladder entrance and the urethra, and after an emergency procedure at the hospital, the nurse taught me how to do this myself until the swelling subsided, and this took more than a week or so to come right (long time ago now so not too sure about the time).

 

So in my case it was not just a "one-off" to "clear the blockage" because there wasn't a blockage per se.

 

The Rezum treatment looks promising, as do the Urolift and and iTind procedures, so good luck to those folks looking at trying one of these.

 

Your knowledge of these things is about as good as your punctuation skills – – just about non-existent.

[fredscats]

6 hours ago, riclag said:

“Prostatic Artery Embolization (PAE) is a cutting-edge procedure performed to help improve urinary symptoms caused by an enlarged prostate without the risk of sexual side effects. Originally developed in Europe and South America”,

 

 I was researching this and had hopes of finding some conversations on here about the procedure and possibly reviews. Anything but the gold standard(turp procedure) would suffice imop  

Thanks for the comment!

Yes it was cutting edge 5 years ago or so,called beads in other words.  No surgery involved,just fill up two of the 5 blood infills to prostate and hope it rots away. Other words to describe it a "waste of time"   Aussie on first plane to India when announced,heard nothing after few weeks

[fredscats]

1 hour ago, xylophone said:

First of all I did not have a blockage "at the end of my cock" (your words and about as subtle as an air raid) but swelling at the bladder entrance and the urethra, and after an emergency procedure at the hospital, the nurse taught me how to do this myself until the swelling subsided, and this took more than a week or so to come right (long time ago now so not too sure about the time).

 

So in my case it was not just a "one-off" to "clear the blockage" because there wasn't a blockage per se.

 

The Rezum treatment looks promising, as do the Urolift and and iTind procedures, so good luck to those folks looking at trying one of these.

 

Your knowledge of these things is about as good as your punctuation skills – – just about non-existent.

I stated "no blockage" used catheter,that cleared it I did not,could not stand the thought of shoving it up the pipe,hence 530 baht to remove it

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

[xylophone]

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 will be looking into that shortly, and thank you for the information, however a couple of questions for you if I may, because the answers will help determine what course of action I take: –

 

– An outpatient procedure, but how long do I have to be "near to/around" the hospital to get checkups or similar. I.e. how many times do I have to revisit after the original op.

 

– Overall how long does it take for the tests to be undertaken to see if it will be successful, and then how long to fit the device "permanently".

 

The reason I ask is because if it is a matter of weeks which are needed, then travelling backwards and forwards to Bangkok, and staying in hotels etc is going to be a pain.

 

Having said that, if I did travel to Brisbane and the same scenario unfolded, I do have friends nearby which would be very helpful, but then of course there is the cost involved of the airfares and the operation, so I'm hopeful that after seeing Prof Dr Art tomorrow at Bangkok Phuket Hospital, things will become clearer.

 

Any light you can throw on the process/procedure regarding the implant would be most helpful.

 

Thank you.

[simple1]

12 hours ago, xylophone said:

I will be looking into that shortly, and thank you for the information, however a couple of questions for you if I may, because the answers will help determine what course of action I take: –

 

– An outpatient procedure, but how long do I have to be "near to/around" the hospital to get checkups or similar. I.e. how many times do I have to revisit after the original op.

 

– Overall how long does it take for the tests to be undertaken to see if it will be successful, and then how long to fit the device "permanently".

 

The reason I ask is because if it is a matter of weeks which are needed, then travelling backwards and forwards to Bangkok, and staying in hotels etc is going to be a pain.

 

Having said that, if I did travel to Brisbane and the same scenario unfolded, I do have friends nearby which would be very helpful, but then of course there is the cost involved of the airfares and the operation, so I'm hopeful that after seeing Prof Dr Art tomorrow at Bangkok Phuket Hospital, things will become clearer.

 

Any light you can throw on the process/procedure regarding the implant would be most helpful.

 

Thank you.

I cannot accurately answer your questions as wll depend on the policies of your specialist. I didn't undergo a test evaluation of the device, the go ahead for my implant was based on a urine flow test and my feedback concerning quality of life issues i.e. being wakened 7/8 times a night with 'urgency pressure', but unable to actually urinate. My operation took about 30 minutes under general anesthetic which required an overnight stay for recovery. In my case the after operation review was over the phone. I have had a further operation to replace the device battery which is usually once very five years. Again cross check the lead to be implanted is compatible for MRI infrastructure at the hospital in case MRI is required at some point in the future.

Edited March 13, 2022 by simple1

[fredscats]

iTind   is this the procedure in the last two comments?  If so looking at the advertising bumf of the Israeli founders it gives all the answers "not good for client if loab too enlarged"  that must be a game changer,what if "loab" continuous growth , crushes implant,another load of expensive rubbish,just like the bead therapy. 

 

The old goat pictured in this featured advertising brochure sure gives the game away,happy smiling content with the world,not that he faced the procedure,more like slipped in some dog sh.it

 

No getting away from it a TURP is the obv way out,no cold steel cutting or green light,but hot wire,but even after unsuccessful TURP,which I think would be nigh on imposs. (No change out of  8/900 quid these days I suspect) go west India. One hospital there Chennai  3 hours from BKK likes to refer itself as a refer all from prostate problem.

Anyway come July when hopefully all reentry requirement to Thailand finish I'm off there to "get thy eyes reopened" not at the ridiculous pricing of Bumgrad or Ruthin

 

End of cock blockage? "meatal stenosis" is the wording sought

[xylophone]

50 minutes ago, fredscats said:

iTind   is this the procedure in the last two comments?

No.

So you are way off track with your inane comments, and if you understood the purpose of the device you would know that it is removed after about a week.......but then why expect you to understand a simple procedure!

 

PS. For your enlightenment, no-one has mentioned "meatal stenosis" on this thread, other than you, originally in your crude description.

Edited March 14, 2022 by xylophone

[fredscats]

1 hour ago, xylophone said:

No.

So you are way off track with your inane comments, and if you understood the purpose of the device you would know that it is removed after about a week.......but then why expect you to understand a simple procedure!

 

PS. For your enlightenment, no-one has mentioned "meatal stenosis" on this thread, other than you, originally in your crude description.

Permanent Implants

 

Another option is to permanently implant strings with anchors which will compress the prostate tissue to ease the flow of urine. Most permanent implants are placed via a minimally invasive procedure through the urethra that allows relatively fast recovery time and effective relief of symptoms in some patients. However, reliance on a permanent implant in the prostate carries certain risks, such as migration to other areas of the body or becoming encrusted which can lead to bladder stones. If this happens or symptoms recur, the implants must be surgically cut out of the prostate tissue^4,5. 

 

Was  looking at permanent solution to problem,not one that takes 7 days  and more than probably the effects last far short of 7 days,   anyway awaiting results(thought they would be through by now)

[fredscats]

1 hour ago, xylophone said:

No.

So you are way off track with your inane comments, and if you understood the purpose of the device you would know that it is removed after about a week.......but then why expect you to understand a simple procedure!

 

PS. For your enlightenment, no-one has mentioned "meatal stenosis" on this thread, other than you, originally in your crude description.

"Well my urine flow did improve for a while, but retrograde ejaculation was the outcome, and just a few months ago, I found I could not pass any urine whatsoever, so I took to using a catheter on myself three times a day, before consulting the urologist at Bangkok Phuket hospital here."       From your good self

Edited March 14, 2022 by fredscats

[Farmerslife]

I have reluctantly accepted that I have to do something about my BPH. For a number of reasons and on advice from a couple of urologists I have settled on a TURP rather than some of the newer alternatives.

I have received quotes from Sukumvit Hospital in Bangkok and Mittraphap Hospital in Saraburi. Does anyone have any first-hand experiences of these two hospitals.

 

Thanks. 

 

[GarryP]

5 minutes ago, Farmerslife said:

I have reluctantly accepted that I have to do something about my BPH. For a number of reasons and on advice from a couple of urologists I have settled on a TURP rather than some of the newer alternatives.

I have received quotes from Sukumvit Hospital in Bangkok and Mittraphap Hospital in Saraburi. Does anyone have any first-hand experiences of these two hospitals.

 

Thanks. 

 

I think I mentioned before that had I been in my 70's and no longer sexually active, then perhaps I would have gone the TURP route. It all depends on what you are looking for from a personal perspective. The problem is, it seems that some doctors push one particular treatment over an other and their patients sometimes then go ahead without a clear understanding of the possible negative outcomes. At least it seems like you have sought second opinions on what treatment would be best for you and I wish you all the best.

 

FYI my father had TURP just over 2 years ago when he was 88 years old. He told me that he wishes he had not waited so long. He had been on medicines since his late 50's and suffered a lot from side effects, including impotence from the age of 62. That is one of the reasons I went ahead with Rezum, as I tend to suffer the same side effects to medicines as my father.   

[riclag]

1 hour ago, Farmerslife said:

I have reluctantly accepted that I have to do something about my BPH. For a number of reasons and on advice from a couple of urologists I have settled on a TURP rather than some of the newer alternatives.

I have received quotes from Sukumvit Hospital in Bangkok and Mittraphap Hospital in Saraburi. Does anyone have any first-hand experiences of these two hospitals.

 

Thanks. 

 

Are they going to put you to sleep or use a spinal tap?

[Farmerslife]

7 minutes ago, riclag said:

Are they going to put you to sleep or use a spinal tap?

General anaesthetic. I'm no hero. ???? 

[Sheryl]

3 hours ago, Farmerslife said:

I have reluctantly accepted that I have to do something about my BPH. For a number of reasons and on advice from a couple of urologists I have settled on a TURP rather than some of the newer alternatives.

I have received quotes from Sukumvit Hospital in Bangkok and Mittraphap Hospital in Saraburi. Does anyone have any first-hand experiences of these two hospitals.

 

Thanks. 

 

It is not the hospital that matters, it is the doctor.

 

At Sukhumvit Hospital I have heard favorable reports of Dr. Umaporn Nuanthaisong

https://www.sukumvithospital.com/doctorprofile.php?id=188&language=en

 

 

 

 

 

[xylophone]

4 hours ago, fredscats said:

Was  looking at permanent solution to problem,not one that takes 7 days  and more than probably the effects last far short of 7 days,   anyway awaiting results(thought they would be through by now)

Obviously you're playing the fool, because no one can be this dim in real life, surely?

 

Just to help you out a little (as you obviously need it), the iTind device is put in place, painlessly, for up to 7 days and then removed, and thus far there have been favourable results for up to 3 years for this procedure. It takes less than half an hour and one is all set for up to three years of effortless peeing.

 

4 hours ago, fredscats said:

Well my urine flow did improve for a while, but retrograde ejaculation was the outcome, and just a few months ago, I found I could not pass any urine whatsoever, so I took to using a catheter on myself three times a day, before consulting the urologist at Bangkok Phuket hospital here."       From your good self

The part of my post which you have reproduced, has nothing whatsoever to do with meatal stenosis, and if you had understood my post you would have known this, but then again it is difficult for some people to understand the basics, as you have proven.

 

My bladder has stopped working and it has nothing to do with a blockage anywhere, so please refrain from your inane comments on something you obviously know absolutely nothing about – – shortly to go on the "ignore list" I think.

[Farmerslife]

49 minutes ago, Sheryl said:

It is not the hospital that matters, it is the doctor.

 

At Sukhumvit Hospital I have heard favorable reports of Dr. Umaporn Nuanthaisong

https://www.sukumvithospital.com/doctorprofile.php?id=188&language=en

 

 

 

 

 

Thank you. Yes, she was helpful and put me on Dutasteride after me being on Tamsulosin for more years than I can remember. She recommended the TURP if the Dutasteride doesn't improve matters for me.

 I would love to avoid surgery if I can and am trying a combination of Prostagutt and Tamsulosin/Dutasteride as prescribed by the Hospital in Saraburi. As I have only been trying this for a couple of weeks I will give it another month or two before making a decision on the TURP.  

 

 

[xylophone]

4 hours ago, Farmerslife said:

I have reluctantly accepted that I have to do something about my BPH. For a number of reasons and on advice from a couple of urologists I have settled on a TURP rather than some of the newer alternatives.

I have received quotes from Sukumvit Hospital in Bangkok and Mittraphap Hospital in Saraburi. Does anyone have any first-hand experiences of these two hospitals.

 

Thanks. 

 

With all due respect Farmerslife, I have had a TURP in one of the best hospitals in Australia and it wasn't all smooth sailing although it did come right after a few months.

 

If I was in the same position again I would certainly look at the iTind procedure, because it's quick and painless and if it doesn't work then nothing lost apart from a few thousand baht – – that's presuming that the size of your prostate does not rule it out.

 

Again if I had been in this position when the Urolift procedure was around, this would have been my second choice, and I think I would have met the criteria for this procedure with regards to prostate size.

 

The "gold standard" TURP should be the last resort, because it does involve an invasive procedure/surgery and is irreversible, and things can go wrong, whereas with the two options above, any problems and you can revert to the norm and then consider the TURP.

 

Just my opinion for what it's worth, and as Sheryl has said, it's the doctor and the number of the operations he has done, which should be a guide, and my doctor/surgeon in NZ has said exactly the same.