Enlarged Prostate/BPH - What operation to have ?

[Pumpuynarak]

Now i'm rapidly approaching the time when i'm gonna need an operation to hopefully cure/help my enlarged prostate/BPH problems as the meds i'm taking are not really doing anything positive.

Can anyone share their experiences/knowledge as to what is the most effective operative treatment ? I'm reading via Google that there are many procedures ie, Turp, Rezum, Urolift and a recently announced ''Steam'' treatment but i believe not all of these procedures are available in Thailand.

I'm seeing my Urologist in a few weeks time for a discussion on operative procedures but would like to be informed as to which procedure is the most effective and the least invasive.

Thanks for any help guys.

[forcebwithu]

Have a look at this topic. From @tommy dee's and a good friend of mine's experience, I think Rezum would be high on my list of procedures to consider.

 

[Pumpuynarak]

1 hour ago, forcebwithu said:

Have a look at this topic. From @tommy dee's and a good friend of mine's experience, I think Rezum would be high on my list of procedures to consider.

 

Thanks mate. So it looks like Rezum is the way to go, Tommy seems happy with it. I'm wondering if anybody else has any experience of Rezum or other procedures. 

[Glasseye]

I have no clue mate.

 

But.... I am interested in learning more about the options, as we are all reaching the age that this may be necessary.

What I recall from past research (several years back) there can be issues related to such surgeries, including certain nerves getting nicked, etc. 

I would think since then new procedures have developed that may reduce the possible negative "side effects", but really have no knowledge regarding. I do know one thing.... if ever I have to have this done I will think long and hard (no pun intended) about whether or not to follow through. And...if I do, find the best doctor possible.

 

 

[Pumpuynarak]

33 minutes ago, Glasseye said:

I have no clue mate.

 

But.... I am interested in learning more about the options, as we are all reaching the age that this may be necessary.

What I recall from past research (several years back) there can be issues related to such surgeries, including certain nerves getting nicked, etc. 

I would think since then new procedures have developed that may reduce the possible negative "side effects", but really have no knowledge regarding. I do know one thing.... if ever I have to have this done I will think long and hard (no pun intended) about whether or not to follow through. And...if I do, find the best doctor possible.

 

 

BINGO mate, i to share your thoughts and thats why i'm investigating all the current procedures to find the most effective and free of or at least minimal side effects.

Finding the right/best urologist is critical, TIT

Edited December 27, 2022 by Pumpuynarak

[Yessongs]

Cliff, My Dad had " Rezum" procedure in his Urologist office I believe in 2002 when he was only 66 years old at the time if I remember correctly. After that, it seemed all went well as far as his Prostate. 

Seems relatively easy procedure in this video..hope you get this taken care of and they can do it locally in an office here too. 

https://www.rezum.com/what-is-rezum/how-does-it-work.html

[Pumpuynarak]

36 minutes ago, Yessongs said:

Cliff, My Dad had " Rezum" procedure in his Urologist office I believe in 2002 when he was only 66 years old at the time if I remember correctly. After that, it seemed all went well as far as his Prostate. 

Seems relatively easy procedure in this video..hope you get this taken care of and they can do it locally in an office here too. 

https://www.rezum.com/what-is-rezum/how-does-it-work.html

Thanks Mike, i'm hoping the Rezum procedure will be appropriate for me as it seems the way to go for non invasive surgery. I got an appointment at the end of January where i intend to have a discussion with my urologist as to which procedure i go for. I've been taking different meds for the last 6 months which don't appear to be doing anything to help my condition so its time to do something different.

Once again mate, thanks.

[Glasseye]

 

[CalEden]

First of all, I am just a lay person that researched this topic a decade ago. I am not up to date on the latest!

Here are some important takeaways: 

1. Prostate cancer is one of the slowest growing cancers there is.

2.Most men diagnosed or not diagnosed that have prostate cancer will die of something other than prostate cancer. Such as old age.

3. Medical Science is very good at detecting prostate cancer early on in its emergence. Depending on the progression/stage of the prostate cancer a monitor and observe would be the most prudent treatment. Because it's the big "C" there is pressure on the medical profession and expectations by the patient to do something. It is not stressed enough prostate cancer is one of the slowest growing cancer types.

4. Before going through any radical treatment and/or treatment seek second or third professional opinions, more if you're not satisfied. It's your sex life and quality of life that's on the line. Many men are incontinent and must wear diapers today becuase of various treatments for prostate cancer. 

My father was diagnosed with prostate cancer and died of natural causes at the age of 85.

My youngest sister died of ovarian cancer at a young age. She was diagnosed and died of the cancer within 4 months, very heart breaking.  

 

     

Edited December 30, 2022 by CalEden

[lazarus]

Survival of prostate cancer

https://www.cancerresearchuk.org/about-cancer/prostate-cancer/survival

Generally for men with prostate cancer in England:

• more than 95 out of 100 (more than 95%) will survive their cancer for 1 year or more
• more than 85 out of 100 (more than 85%) will survive their cancer for 5 years or more
• almost 80 out of 100 (almost 80%) will survive their cancer for 10 years or more

[Mrmango]

3 hours ago, CalEden said:

1. Prostate cancer is one of the slowest growing cancers there is.

From what I have been told and read, there are at least 2 types of prostrate cancer. The most common one is the one you describe, but there is a type that is very aggressive and fast spreading that can kill you quickly.

[Toy Boy]

I had the prostate package done at BHP a few weeks ago. It takes all afternoon, and includes a discussion with the urologist, renal function and urine analysis looking for infection markers, plus an ultrasound scan of the kidneys, bladder and prostate, wrapped up by another chat with the doctor. I think it cost around 4,000 Baht in total, while I had an ultrasound scan done in the UK back in October and it cost £138 (an NHS appointment would have taken 6 months or so), so for what you get the prostate package is good value.

[tommy dee]

the operations discussed by the OP are not designed for cancer in any way.  they will reduce restriction thru the prostate to allow urine a better and unrestricted flow.  

[ChiFlyer]

3 hours ago, tommy dee said:

the operations discussed by the OP are not designed for cancer in any way.  they will reduce restriction thru the prostate to allow urine a better and unrestricted flow.  

Excellent point. An enlarged prostate and prostate cancer are two different things.

I have never had a reason for enlarged prostate surgery, so I have nothing to say about that.

I was diagnosed with prostate cancer about 5 years ago. When I got that phone call it sat me back in my chair. Much of what has been said above regarding this topic is true. That phone call turned out to be good news wrapped in bad news. I now knew what the story was for the rising PSAs and it turned out to be more plus than minus. I am 73.

I have maintained a Stage-1 "Watchful Waiting" status for 5 years. My cancer is very localized in only 1 of the 6 prostate segments. It is growing very slowly. MRIs have shown that there is no evidence of metastatic tumors.

I keep an eye on things, so to speak. I get a PSA every 4 months and try to schedule an MRI every 18 months or so. I am overdue on the MRI, but would rather do that in the US (insurance and method). I had a followup biopsy done in the US about a year ago and it substantiated that the cancer had not become more aggressive.

When I was diagnosed, I found the John Hopkins site to be informative. It no longer is IMO, but might be worth a quick read if someone is interested. I did not receive my analysis through John Hopkins (probably could not afford it). I did work with a local urologist in the US who was himself a prostate cancer survivor who spoke frequently at conventions. He is now retired and I see one of his former staff when in the US. In Thailand I see a urologist at BPH who used to work in the US.

https://www.hopkinsmedicine.org/brady-urology-institute/conditions_and_treatments/prostate_cancer/index.html

 

 

 

Edited December 30, 2022 by ChiFlyer

[ChiFlyer]

On 12/31/2022 at 12:10 AM, ChiFlyer said:

Excellent point. An enlarged prostate and prostate cancer are two different things.

I have never had a reason for enlarged prostate surgery, so I have nothing to say about that.

I was diagnosed with prostate cancer about 5 years ago. When I got that phone call it sat me back in my chair. Much of what has been said above regarding this topic is true. That phone call turned out to be good news wrapped in bad news. I now knew what the story was for the rising PSAs and it turned out to be more plus than minus. I am 73.

I have maintained a Stage-1 "Watchful Waiting" status for 5 years. My cancer is very localized in only 1 of the 6 prostate segments. It is growing very slowly. MRIs have shown that there is no evidence of metastatic tumors.

I keep an eye on things, so to speak. I get a PSA every 4 months and try to schedule an MRI every 18 months or so. I am overdue on the MRI, but would rather do that in the US (insurance and method). I had a followup biopsy done in the US about a year ago and it substantiated that the cancer had not become more aggressive.

When I was diagnosed, I found the John Hopkins site to be informative. It no longer is IMO, but might be worth a quick read if someone is interested. I did not receive my analysis through John Hopkins (probably could not afford it). I did work with a local urologist in the US who was himself a prostate cancer survivor who spoke frequently at conventions. He is now retired and I see one of his former staff when in the US. In Thailand I see a urologist at BPH who used to work in the US.

https://www.hopkinsmedicine.org/brady-urology-institute/conditions_and_treatments/prostate_cancer/index.html

 

 

 

Oh - something else I usually mention with regard to a discussion about prostate cancer is -> if prostate cancer is in progress, using testosterone will likely cause the cancer to advance more aggressively. Please note that I did NOT say that testosterone causes prostate cancer. Before beginning a testosterone program one should at a minimum have a PSA test done.      

[forcebwithu]

PR article on the Rezum treatment.

Should you get Rezum treatment for BPH in Thailand?

 

[Derek Dangleberries]

Wank. Your life may depend on it!

I still ejaculate at least once a day at age 66yrs old.

I wanked twice just listening to her!!!... what else can I say...

 

[Glasseye]

On 1/8/2023 at 2:57 PM, forcebwithu said:

PR article on the Rezum treatment.

Should you get Rezum treatment for BPH in Thailand?

 

 

Excellent info. This thread is providing some very good info. that I hadn't given much though to as of yet.

Also shows another option for how someone may chose to get their cock reamed out in Bangkok while staying at a first class hotel. A bit pricey though, I would probably opt for the Grace Hotel.

[tommy dee]

the PR is a little misleading.  REZUM does work well, but the idea that you will be back on track in a few days is unlikley, as effectively your prostate has to generate new skin in the urinary track  and deal with having a catheter and bag to deal with for a week or so.  I recommend leaving the bag in in for as long as theylet you to allow everything to heal faster.

[Zeb]

There was/is a related conversation over on our sister website sometime ago about BPH but focused on drug treatment and the impact of BPH on the capacity to get and maintain an erection.

One BM recounted how he has BPH (enlarged prostate) and was taking Tamsulosin (Flomax) for it when he read low dose Cialis was also beneficial for the treatment of  enlarged prostate, so he asked his GP about it.

His GP was quite positive and gave him a script for Tadalafil 5mg 28 tabs (AUD $28) and asked him to come back in a month and they would discuss putting him on "compound Cialis". He asked what that was, he just said you'll see.... 

After a month he went back and was asked "how was it?"

He said "great getting morning wood again" He said compound Cialis will be much cheaper but only Compounding pharmacies make it...said it was 6mg Tadalafil and 100mg Saw Palmetto in the one tab. The cost was AUD $125 for 100 tabs.

The BM said the effects have been remarkable, back to pissing like a fountain and an erection when he needed it without having to plan ahead.

Anyone heard about or used this, basically one medication to address two matters ?

It does raise the interesting issue about availability of a good reliable Compounding Chemist in Bangkok/ Pattaya who is willing to do this work as there must be heaps of older blokes with BPH as well as using Cialis/ viagra.

An alternative for them might be low dose Cialis (if available in Thailand) with a separate dose of Saw Palmetto which should be available without prescription.

Edited January 12, 2023 by Zeb

[Painter]

 

[Pumpuynarak]

Well i'm booked in this saturday at St Marys private hospital here in Korat for the Turp procedure, Korat does not have any hospital doing the Rezum procedure.

I have to say i'm somewhat apprehensive but something has to be done.

[Pumpuynarak]

1 minute ago, Painter said:

 

In all my enquiries mate i'm told 5mg Apcalis is not available in Thailand and the Cialis is very expensive.

[Zeb]

9 minutes ago, Pumpuynarak said:

Well i'm booked in this saturday at St Marys private hospital here in Korat for the Turp procedure, Korat does not have any hospital doing the Rezum procedure.

I have to say i'm somewhat apprehensive but something has to be done.

Best wishes mate for an excellent outcome.

[Jambo]

5 hours ago, Pumpuynarak said:

Well i'm booked in this saturday at St Marys private hospital here in Korat for the Turp procedure, Korat does not have any hospital doing the Rezum procedure.

I have to say i'm somewhat apprehensive but something has to be done.

Good luck mate.