Has anyone had prostate removed ?

[Robbieseal]

I have been suffering with BPH, not cancer, for about 18 months now.

I have tried everything from saw palmetta and dark chocolate, thro Cardura XL and Harnal. (Cardura gets the highest rating from users on drugs.com)

Also try to eat a good diet. However it is getting worse, peeing hourly now.

I have looked at the operations, on youtube,(many of the less invasive I doubt are available here) and am thinking about the op.

Incidentally Bumrungrad give detailed quotes, but well outside my budget

Queen Sirikit seem to specialise with this op.

The prospect of walking around post-op with a catheter and a bag, and adult diapers as the price to pay does not appeal too much.

Has anyone here had the op and would like to PM me or post their experience please?

[thrilled]

I have A friend of mine who had his removed.He now wears A diaper.He never knows when he goes.He wakes up wet.If you don't have cancer you might want to try something else.

[elgordo38]

I had that operation in Mexico years ago. Enlarged prostate. I had the opposite effect I could not pee. They gave me a spinal and had me sign a paper saying that if they found cancer they could remove my prostate. They also do the Nuclear medicine test you drink the fluid and then they scan you for about 20 minutes and they also go up your rectum and take out plugs from your prostate to test. I think by the time they operate they know what they are dealing with. Once frozen they put me on the table and I watched the operation on CCTV. They put a light and a roto router up your penis and trim away you can watch the flesh fly. They kept flushing this material out with a water line (amazed how much equipment they got up there) They took the trimmings to pathology to be tested for cancer. I tested negative but they cut away something like 30% of my prostate. They also gave me a DVD of the operation. I was in the hospital for another 3 days being flushed out with material from large plastic bags hanging over me bed. Yes they do put a catheder up there and you plea blood for days into a bag. After a week your good to go. Hope this helps.

[xylophone]

Do you really need it "removed"?

Perhaps a TURP will suffice (basically the prostate is reamed out) and if done properly by an experienced surgeon, the after effects can be minimal........I had one done about 8.5 yrs ago and all is well now.

You may experience some difficulty after the op and need to use a catheter for a very short while (not as bad as it sounds) but the results do justify the operation.

[1FinickyOne]

A friend of mine had his removed due to cancer - he is now incontinent and mostly stays home… I did not ask for details but I believe he is diapered and uncomfortable…

keep researching and good luck -

[xylophone]

A friend of mine had his removed due to cancer - he is now incontinent and mostly stays home… I did not ask for details but I believe he is diapered and uncomfortable…

keep researching and good luck -

Yes this can be a result of prostate removal............however the use of the robotic "Da Vinci" machine lowers this risk considerably and they are in use in Thailand.

[MaeJoMTB]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

[xylophone]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

Again, the "Da Vinci" machine in good hands lessens this outcome , but let's hope that the OP's condition can be treated with drugs or a TURP at the worst.

[Tolley]

Lot of nasty side effects from prostate removal. I would not do it unless I had a very aggressive cancer.

There is a cancer clinic in Germany that does work with prostate issues using non invasive methods.

http://germancancerclinics.com/clinics/st-george-hospital-cancer-treatment

Definitely worth spending a bit of money trying all possibilities.

[rodcourt49]

I had that operation in Mexico years ago. Enlarged prostate. I had the opposite effect I could not pee. They gave me a spinal and had me sign a paper saying that if they found cancer they could remove my prostate. They also do the Nuclear medicine test you drink the fluid and then they scan you for about 20 minutes and they also go up your rectum and take out plugs from your prostate to test. I think by the time they operate they know what they are dealing with. Once frozen they put me on the table and I watched the operation on CCTV. They put a light and a roto router up your penis and trim away you can watch the flesh fly. They kept flushing this material out with a water line (amazed how much equipment they got up there) They took the trimmings to pathology to be tested for cancer. I tested negative but they cut away something like 30% of my prostate. They also gave me a DVD of the operation. I was in the hospital for another 3 days being flushed out with material from large plastic bags hanging over me bed. Yes they do put a catheder up there and you plea blood for days into a bag. After a week your good to go. Hope this helps.

..this stenting procedure may be of interest too!

https://video.search.yahoo.com/search/video;_ylt=A0SO8zBR9ZZWgtgAyZFXNyoA;_ylu=X3oDMTByNWU4cGh1BGNvbG8DZ3ExBHBvcwMxBHZ0aWQDBHNlYwNzYw--?p=New+Prostate+Stent+Procedure+In+Sydney&fr=ush-mail

Edited January 14, 2016 by rodcourt49

[Robbieseal]

Thanks to all who have offered their experiences and relevant info.

Thankfully, there are no issues with sexual performance at my age.

My biggest issue with my BPH is broken sleep.

II see that the TURPS is available in Pattaya and not overly expensive at USD$3000, plus probably extras.

Interestingly one of the surgeons also practices at Sirikit. I have Social Security so will check if he does the op there.

I will update any info and decisions.

Thanks again.

[Robbieseal]

Thanks to all who have offered their experiences and relevant info.

Thankfully, there are no issues with sexual performance at my age.

My biggest issue with my BPH is broken sleep.

II see that the TURPS is available in Pattaya and not overly expensive at USD$3000, plus probably extras.

Interestingly one of the surgeons also practices at Sirikit. I have Social Security so will check if he does the op there.

I will update any info and decisions.

Thanks again.

[tartempion]

I have BPH for 10 years probably, since I noticed my PSA is up and Stable around 9/10.

On medication for almost 3 years.

Tried many things like Tamsulosine and Saw palmetto.

Did consider TURP but my physician advised not to.

Since September I take Combodart and feel a lot better.

It is expensive at 90 euro for 90 pills.

Not sure if Combodart is available in Thailand, I bring my own.

Still go for a pee in the middle of the night.

Will wait for May for a prostate evaluation.

Edited January 15, 2016 by tartempion

[ajahnlau]

Diagnosed with cancer about 4 mos. ago. First was hormone therapy,a shot every 6 mos, then did radiation 38 times. PSA dropped from 33 to 0,01 all done in Canada

[simple1]

A friend of mine had his removed due to cancer - he is now incontinent and mostly stays home… I did not ask for details but I believe he is diapered and uncomfortable…

keep researching and good luck -

In Oz the stats are only 2% experience incontinence a year after surgery. It is strongly recommended to use pelvic floor muscle strengthening exercises to assist with regaining control of urine flow. Should there be ongoing problems your friend can have a Male Sling procedure to resolve incontinence problems related to prostate surgery.

http://prostatecanceruk.org/media/975926/pelvic_floor_exercises-ifm.pdf

http://www.uhb.nhs.uk/Downloads/pdf/PiMaleSlingProcedure.pdf

Edited January 17, 2016 by simple1

[geriatrickid]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

Cute. And what percentage were impotent before the procedure? You know, from their obesity, or smoking, or circulatory disease.

The option for these people is death.

With advances in surgical techniques and treatments that do not require intervention, the likelihood of incontinence is greatly minimized.

[Tolley]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

Cute. And what percentage were impotent before the procedure? You know, from their obesity, or smoking, or circulatory disease.

The option for these people is death.

With advances in surgical techniques and treatments that do not require intervention, the likelihood of incontinence is greatly minimized.

One of my best friends had exactly the same issue as the OP. Enlarge prostate with problem peeing.

He decided to have surgery for partial removal of prostate. I begged him not to do it and consider other options.

He went ahead with the surgery. He has been in agony every since when he pees. Almost a year now. This was done in a top hospital in Australia. Scar tissue formed after the operation and the only thing he can do is another operation but the doctors aren't that keen to do it as it carries too many risks apparently.

[simple1]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

Cute. And what percentage were impotent before the procedure? You know, from their obesity, or smoking, or circulatory disease.

The option for these people is death.

With advances in surgical techniques and treatments that do not require intervention, the likelihood of incontinence is greatly minimized.

One of my best friends had exactly the same issue as the OP. Enlarge prostate with problem peeing.

He decided to have surgery for partial removal of prostate. I begged him not to do it and consider other options.

He went ahead with the surgery. He has been in agony every since when he pees. Almost a year now. This was done in a top hospital in Australia. Scar tissue formed after the operation and the only thing he can do is another operation but the doctors aren't that keen to do it as it carries too many risks apparently.

Can I suggest your friend contact Dr Chandra Perumalla (Sunshine Coast) for a review, he is recognised as one of the top urological surgeons in Oz.

[Tolley]

Nobody mentioned impotence .......... 60% of victims can't ever do it again.

Cute. And what percentage were impotent before the procedure? You know, from their obesity, or smoking, or circulatory disease.

The option for these people is death.

With advances in surgical techniques and treatments that do not require intervention, the likelihood of incontinence is greatly minimized.

One of my best friends had exactly the same issue as the OP. Enlarge prostate with problem peeing.

He decided to have surgery for partial removal of prostate. I begged him not to do it and consider other options.

He went ahead with the surgery. He has been in agony every since when he pees. Almost a year now. This was done in a top hospital in Australia. Scar tissue formed after the operation and the only thing he can do is another operation but the doctors aren't that keen to do it as it carries too many risks apparently.

Can I suggest your friend contact Dr Chandra Perumalla (Sunshine Coast) for a review, he is recognised as one of the top urological surgeons in Oz.

He lives in Perth so too far for him.

[xylophone]

Best not to have surgery, you are likely to die of something else anyway before prostate cancer kills you, and who wants to live a life after pissing yourself and impotent ?

The OP has BHP and not cancer, and the swelling of the prostate is restricting his urine flow, so he has no option but to seek help because if the flow stops completely he will be in SERIOUS trouble.

If the medications are not helping then a TURP may be the only answer and this procedure is the Gold Standard and has been in use for many decades although some newer ones use a Holmium laser, although its use can be restricted if a bladder neck incision is needed at the same time.

Obviously there can be side effects however these depend upon many factors and in the main this operation has a high success rate.

There are however less invasive procedures...........

Minimally Invasive Procedures for BPH

"Minimally invasive surgical therapies for BPH, such as free-beam laser therapy, radiofrequency ablation, transurethral needle ablation, prostatic urethral stents (UroLume), and alcohol injection, are relatively simple procedures that can usually be performed in an outpatient setting, often with decreased postoperative catheterization time.

For patients at very high medical risk who cannot safely undergo significant anesthesia or surgery, these minimally invasive treatments may offer some benefit. Prostatic urethral stents, for example, have been suggested as a reasonable BPH treatment alternative when medical therapy has failed and the medical risks of surgery are unacceptably high. Stent migration, dysuria, and pain are relatively common complications but are easily reversible with stent removal.

These minimally invasive methods do not allow tissue to be saved for pathological analysis and do not remove the entire adenomatous prostate; thus, retreatment and even TURP is sometimes required later. Up to 25% of patients who receive these minimally invasive treatment alternatives ultimately undergo a TURP within 2 years".

AND this is a great article on BHP and the Turp procedure…………

http://emedicine.medscape.com/article/449781-overview#a2

[Aforek]

He decided to have surgery for partial removal of prostate.

With somebody in good condition and a normaly good surgeon, it's a very simple operation: I had it 6 years ago, lasted about 1 hour and a half , stayed 3 nights in hospital just to check and that's all; it was the first time in my life I went to an hospital ( in Paris ) and I have a very good remembrance of it

but my neighbor had the same operation and stayed after me ( infection ) , it depends of the health condition of people

by the way, good hospital in Thailand to have the same operation ( not the expensive ones like Bangkok hospital ) ? thanks

[Sheryl]

Several off topic posts have been removed. The "B" in "BPH" stands for benign. The OP does not have prostate cancer.