surgery for enlarged prostate.

[p414]

I have been taking medicine for enlarged prostate for 2+ years but I want to have surgery now.

Bangkok Hospital Pattaya is now offering REZUM  surgery for enlarged prostate.

Has anyone had this done or had prostate surgery in Pattaya or Bangkok?

 Any remarks re your surgery/doctors and after care would be appreciated.

 

[couchpotato]

4 minutes ago, p414 said:

I have been taking medicine for enlarged prostate for 2+ years but I want to have surgery now.

Bangkok Hospital Pattaya is now offering REZUM  surgery for enlarged prostate.

Has anyone had this done or had prostate surgery in Pattaya or Bangkok?

 Any remarks re your surgery/doctors and after care would be appreciated.

 

BPH had a seminar on this recently. Rezum reports very favourable.

Make an appointment to see Dr Nitti, who has trained on the procedure.

It is quite costly..about 200,000 baht.

[novacova]

I’m not a MD or have any qualifications to give any medical advice. But I can attest to my personal experience with this issue, went on a 100% raw food diet (ingesting nothing that has ever been heated) of mostly juiced dark leafy greens for two weeks and took saw palmetto. No swelling whatsoever and wiz like a fire hose. 

[p414]

4 minutes ago, couchpotato said:

BPH had a seminar on this recently. Rezum reports very favourable.

Make an appointment to see Dr Nitti, who has trained on the procedure.

It is quite costly..about 200,000 baht.

thanks Potato.

[Will B Good]

Not at that stage.....yet......but can anyone comment on the impact Rezum has on one's sex life? ....(as poor as it already is).

[Lacessit]

I have been taking medication for BPH for more than five years.

 

My urologist in Australia is as high up the totem pole as anyone can get in Western medicine. FRCS, FRACS. I have been seeing him since 2006, when I had bladder cancer.

 

On my last visit, I asked him if I could have surgery, as I was sick of taking medication.

 

He said as long as I could still pee, stick with the medication.

 

He explained there was a 80-90% chance with ANY form of surgery the following problems would occur:

 

Incontinence, retrograde ejaculation, impotence, and urinary tract infection.

 

Your choice. Do you feel lucky?

[p414]

1 minute ago, Lacessit said:

I have been taking medication for BPH for more than five years.

 

My urologist in Australia is as high up the totem pole as anyone can get in Western medicine. FRCS, FRACS. I have been seeing him since 2006, when I had bladder cancer.

 

On my last visit, I asked him if I could have surgery, as I was sick of taking medication.

 

He said as long as I could still pee, stick with the medication.

 

He explained there was a 80-90% chance with ANY form of surgery the following problems would occur:

 

Incontinence, retrograde ejaculation, impotence, and urinary tract infection.

 

Your choice. Do you feel lucky?

Thanks for your input Lacessit

[Lacessit]

3 minutes ago, Will B Good said:

Not at that stage.....yet......but can anyone comment on the impact Rezum has on one's sex life? ....(as poor as it already is).

Dutasteride and finasteride both affect libido. It can be offset with Viagra or Cialis, but one risks low blood pressure.

[Will B Good]

Just now, Lacessit said:

Dutasteride and finasteride both affect libido. It can be offset with Viagra or Cialis, but one risks low blood pressure.

 

Cheers, but what about this operation? 

 

I've heard horror stories associated with prostate surgery.....does Rezum circumvent those problems?

[Celsius]

Just now, Will B Good said:

 

Cheers, but what about this operation? 

 

I've heard horror stories associated with prostate surgery.....does Rezum circumvent those problems?

 

 

Out of curiosity I just read the list of side effects. It does not look good. The sites fail to mention if these are temporary.

[Lacessit]

1 minute ago, Will B Good said:

 

Cheers, but what about this operation? 

 

I've heard horror stories associated with prostate surgery.....does Rezum circumvent those problems?

Conventional TURPS and Rezum treatment both destroy tissue. My urologist said Rezum was no better.

 

I said to him you are doing yourself out of profitable surgery. He laughed, and said I would rather give my patients good advice.

 

Perhaps that is worth thinking about when one has a doctor touting Rezum. And it becomes even more profitable if there are post-op complications.

[JimTripper]

33 minutes ago, novacova said:

I’m not a MD or have any qualifications to give any medical advice. But I can attest to my personal experience with this issue, went on a 100% raw food diet (ingesting nothing that has ever been heated) of mostly juiced dark leafy greens for two weeks and took saw palmetto. No swelling whatsoever and wiz like a fire hose. 

Did it cure the condition or do you have to stay on the diet?

[Lacessit]

6 minutes ago, Celsius said:

 

 

Out of curiosity I just read the list of side effects. It does not look good. The sites fail to mention if these are temporary.

Urinary tract infections should be temporary. Incontinence, retrograde ejaculation and impotence probably won't be.

[Lacessit]

34 minutes ago, novacova said:

I’m not a MD or have any qualifications to give any medical advice. But I can attest to my personal experience with this issue, went on a 100% raw food diet (ingesting nothing that has ever been heated) of mostly juiced dark leafy greens for two weeks and took saw palmetto. No swelling whatsoever and wiz like a fire hose. 

Saw palmetto is one of the mystery remedies where the evidence for and against seems to be equal.

 

It does have anti-inflammatory properties, so it probably does more good than harm.

[MeaMaximaCulpa]

54 minutes ago, Lacessit said:

I have been taking medication for BPH for more than five years.

 

My urologist in Australia is as high up the totem pole as anyone can get in Western medicine. FRCS, FRACS. I have been seeing him since 2006, when I had bladder cancer.

 

On my last visit, I asked him if I could have surgery, as I was sick of taking medication.

 

He said as long as I could still pee, stick with the medication.

 

He explained there was a 80-90% chance with ANY form of surgery the following problems would occur:

 

Incontinence, retrograde ejaculation, impotence, and urinary tract infection.

 

Your choice. Do you feel lucky?

Wow, 80-90% chance of those side effects, is it really that bad? That's in Russian roulette territory...

[Lacessit]

3 minutes ago, MeaMaximaCulpa said:

Wow, 80-90% chance of those side effects, is it really that bad? That's in Russian roulette territory...

You will get different opinions, depending on who you consult. I have a friend in Australia who claims he had no problems after a TURP.

 

As far as I am concerned, I will have the surgery when I start having to self-catheterize.

[MeaMaximaCulpa]

1 minute ago, Lacessit said:

You will get different opinions, depending on who you consult. I have a friend in Australia who claims he had no problems after a TURP.

 

As far as I am concerned, I will have the surgery when I start having to self-catheterize.

I agree with your last sentence, although I would probably give in just a bit before the catheter...

[Ben Zioner]

The safest procedure with regards to BPH is "Prostate Artery Embolisation", not available in Thailand yet, in Singapore yes. But it isn't totally safe as the radiologist may inject pellets into the wrong artery and cause bladder damage, for instance.

 

I doubt it will come to Thailand anytime soon as it would shift a lot business from the Urology mafia to Interventional radiology mafia.

[LosLobo]

The UroLift procedure is a great option for managing benign prostatic hyperplasia (BPH).

It can significantly improve symptoms and quality of life, potentially delaying the need for more invasive surgery for 5 to 10 years.
 

It’s minimally invasive, involves a quick recovery time, and preserves sexual function, making it a good choice for many.

UROLIFT, a minimal invasive innovation for enlarged prostate disease (bumrungrad.com)

[Lacessit]

7 minutes ago, LosLobo said:

The UroLift procedure is a great option for managing benign prostatic hyperplasia (BPH).

It can significantly improve symptoms and quality of life, potentially delaying the need for more invasive surgery for 5 to 10 years.
 

It’s minimally invasive, involves a quick recovery time, and preserves sexual function, making it a good choice for many.

UROLIFT, a minimal invasive innovation for enlarged prostate disease (bumrungrad.com)

Have you had this procedure yourself? My urologist was equally dismissive of it.

 

Unfortunately, it is in the financial interest of medicos touting various procedures to minimize the risk of complications. After all, it's their living at stake.

[NativeBob]

@LosLobo thanks!

[LosLobo]

My urologist of 7 years in Oz recommended it for me, but when I recently had the bladder flow test he suggested I would not gain enough from the procedure at the moment.

[MarkBR]

1 hour ago, Will B Good said:

 

Cheers, but what about this operation? 

 

I've heard horror stories associated with prostate surgery.....does Rezum circumvent those problems?

I had a bladder stone, they did lithotripsy (blasting with lasers) but had to shave the prostate so the wee pipes (laser guide, water pipe for irrigation, & camera) could get to a position where they could blast the target. 

Pain gone, but not back to the previous position in regards to urination although a lot better - 1-3 times a night as opposed to 7-8 times a night.

So, all prostate surgeries carry risk, you must assess whether the gain is work the risk.  In my case definitely due to pain levels suffered (attack of the cheese-grater levels of pain).

[Will B Good]

1 minute ago, MarkBR said:

I had a bladder stone, they did lithotripsy (blasting with lasers) but had to shave the prostate so the wee pipes (laser guide, water pipe for irrigation, & camera) could get to a position where they could blast the target. 

Pain gone, but not back to the previosu positinare regards urination although a lot better - 1-3 times a night as opposed to 7-8 times a night.

So, all prostate surgeries carry risk, you must assess whether the gain is work the risk.  In my case definitely due to pain levels suffered (attack of the cheese-grater levels of pain).

 

 

Yikes......I guess if I get to the........ must have an operation stage.....I best push the boat out just beforehand.

[MarkBR]

1 minute ago, Will B Good said:

 

 

Yikes......I guess if I get to the........ must have an operation stage.....I best push the boat out just beforehand.

Yes, you do not want the level of pain I suffered.  Apart from the 5kg weight gain due to inability to exercise - did not want to move the lower anatomy for obvious reasons!!!

[Will B Good]

Just now, MarkBR said:

Yes, you do not want the level of pain I suffered.  Apart from the 5kg weight gain due to inability to exercise - did not want to move the lower anatomy for obvious reasons!!!

 

 

Not on your level, but I contracted Ecoli in the bladder after a prostate biopsy.....OMG....I was in tears.

[MarkBR]

Just now, Will B Good said:

 

 

Not on your level, but I contracted Ecoli in the bladder after a prostate biopsy.....OMG....I was in tears.

Minimise all surgery to absolutely necessary all surgery carries risk.

[novacova]

5 hours ago, JimTripper said:

Did it cure the condition or do you have to stay on the diet?

I stagger the diet four or so times a year to maintain good health. The rest is maintaining a good diet without sugar, processed carbs and anything fried. And physical activity is an imperative of course. So no, not a problem since the initial diet. 

[xylophone]

4 hours ago, LosLobo said:

The UroLift procedure is a great option for managing benign prostatic hyperplasia (BPH).

It can significantly improve symptoms and quality of life, potentially delaying the need for more invasive surgery for 5 to 10 years.
 

It’s minimally invasive, involves a quick recovery time, and preserves sexual function, making it a good choice for many.

UROLIFT, a minimal invasive innovation for enlarged prostate disease (bumrungrad.com)

 

6 hours ago, p414 said:

I have been taking medicine for enlarged prostate for 2+ years but I want to have surgery now.

Bangkok Hospital Pattaya is now offering REZUM  surgery for enlarged prostate.

Has anyone had this done or had prostate surgery in Pattaya or Bangkok?

 Any remarks re your surgery/doctors and after care would be appreciated.

 

Urolift is one of the procedures I investigated when I thought my prostate had "regrown" after my TURP at Epworth Hospital in Melbourne some 15 years ago, and from all of the research I did, it would certainly be one which I would choose if I had my time again, but of course it wasn't available in those days.

 

There was another thread on here which dealt with the Rezum procedure and the feedback was, should I say, pretty average with some good stories and some not so good stories, so it may pay to try and find that before you proceed with anything @p414

 

As things stand at the moment neither the TURP, nor the Urolift would be any good for me because I have to self-catheter twice a day in order to empty my bladder which has stopped functioning and even the best urologist at Bumrungrad does not know how to fix it. Whilst not exactly painful, it is a little uncomfortable and one has to be totally sure that everything is clean and sterilised before proceeding.

 

Good luck with whatever you decide.

 

[p414]

14 hours ago, xylophone said:

 

Urolift is one of the procedures I investigated when I thought my prostate had "regrown" after my TURP at Epworth Hospital in Melbourne some 15 years ago, and from all of the research I did, it would certainly be one which I would choose if I had my time again, but of course it wasn't available in those days.

 

There was another thread on here which dealt with the Rezum procedure and the feedback was, should I say, pretty average with some good stories and some not so good stories, so it may pay to try and find that before you proceed with anything @p414

 

As things stand at the moment neither the TURP, nor the Urolift would be any good for me because I have to self-catheter twice a day in order to empty my bladder which has stopped functioning and even the best urologist at Bumrungrad does not know how to fix it. Whilst not exactly painful, it is a little uncomfortable and one has to be totally sure that everything is clean and sterilised before proceeding.

 

Good luck with whatever you decide.

 

Thanks for that Xylo...... Urolift appears to be my besot option.. especially re my age.