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BANGKOK 19 June 2019 05:55
Tracyb

Has anyone had laser prostate surgery?

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Posted (edited)

I am considering having laser surgery to address BPH.  Doctors are recommending that I do this because I’ve been having more and more difficulty with issues surrounding enlarged prostate.  

 

I am asking for your actual experience with this surgery.  What was it like?  What was the outcome? Did your symptoms improve right away? Was there much pain involved afterwards? How long did you spend in the hospital? What was the cost?  What hospital did you use? Who was your doctor?  If you had it to do over again....would you?

 

if you prefer to answer directly, (and privately) please feel free to send me a message with your thoughts and comments.

 

Thanks, I appreciate your time!

Edited by Tracyb

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Where are you considering to have this done? At Samitivej?

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I have a female dr who said next year it's time for a prostate exam. I'm mortified.

 

Does she stick her finger up my arse?

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I thought the light shone out of most TV posters. Now it appears they may need some in the opposite direction

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"I am considering having laser surgery to address BPH."

 

I assume you are considering a prostatectomy.

 

" If you had it to do over again....would you?"

 

I have never had it done. I have seen and heard of people who have regretted it.

 

The possibility of impotence and/or incontinence would make me seek every alternative.

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Posted (edited)

Results are not so good.

"For a month or so after surgery, most men are not able to become erect. Eventually, approximately 40–60% of men will be able to have an erection sufficient for sexual intercourse."

 

So 40-60% of men having TURPs never manage to have an erection again.

https://www.surgeryencyclopedia.com/St-Wr/Transurethral-Resection-of-the-Prostate.html

 

I found other more optimistic studies claiming after recovery 14% ED and 5% incontinence .........

But I still don't like those odds.

Edited by BritManToo
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43 minutes ago, moe666 said:

I would try the various non invasive medical trearments first like finasteride which you can buy at any pharmacy.

Sold as Firide 5mg in Thai pharmacies, they all seem to have it but not cheap at 800bht for 30 tabs.

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2 hours ago, elektrified said:

Where are you considering to have this done? At Samitivej?

I’m considering Bangkok Hospital here in CM.  I’ve been taking flomax and avid art for six years now and my prostate continues to enlarge.  I’m at the end of the pharmaceutical line.

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The studies I’ve read about thulium laser treatment are more encouraging than the older monopolar and bipolar TURP treatments.  No radical prostectomy for me...  too harsh and too many complications.

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3 hours ago, JimmyJ said:

"I am considering having laser surgery to address BPH."

 

I assume you are considering a prostatectomy.

 

" If you had it to do over again....would you?"

 

I have never had it done. I have seen and heard of people who have regretted it.

 

The possibility of impotence and/or incontinence would make me seek every alternative.

The usual surgery for BPH is a transurethral resection of the prostate (TURP) which normally would not bring about impotence or incontinence, although there may be some reduction as regards semen output, because it can flow back into the bladder after such an operation, but the feelings are just the same.

 

I had a TURP done in the Epworth Hospital, Melbourne in 2009 because I was seeking the laser method rather than the old-fashioned cut and flush method, however after discussing this with the surgeon there, he then went ahead with the operation and used the old-fashioned method, which I was very unhappy about (and that was the only reason I went with that hospital, because of the laser treatment).

 

I did have some problems with regards to emptying my bladder for about a week or so afterwards, and had to self- catheterise during that time, however others I have spoken to have not had that problem, or have only had to do it for a couple of days.

 

As for a prostatectomy, personally it scares the beejeezus out of me, although with the new Da Vinci robotic equipment a great percentage of side effects (bad) are overcome, and it appears that even better techniques are appearing right now.

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7 hours ago, Tracyb said:

I’m considering Bangkok Hospital here in CM.  I’ve been taking flomax and avid art for six years now and my prostate continues to enlarge.  I’m at the end of the pharmaceutical line.

I would seek another opinion in Bangkok before committing to this procedure. C.M. urologists are a clique and all will likely concur with each other. The best of them is not performing procedures now. I had lots of problems due to what I thought was BPH but after researching on my own, I demanded I be treated for prostatitis although the docs said not necessary. After 2 30-day courses of Levofloxacin 500 mg. I have absolutely no symptoms of BPH anymore and my PSA dropped by 40%.

 

Make further inquiries and try other treatments before committing to surgery.

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8 hours ago, BritManToo said:

Sold as Firide 5mg in Thai pharmacies, they all seem to have it but not cheap at 800bht for 30 tabs.

Come on, you probably pay more than that for a shag that lasts 2 minutes.

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