Friday, February 23, 2018

What's next?

BPH tablets not working...


INVASIVE: Laser surgery being performed

Mark Fraser

I am beginning this article with some feedback from last Monday’s article.

“Doc, what to do about this BPH”, before talking about surgery for BPH. One non-profit foundation representative felt my reference to potential sexual side effects when using 5-ARIs was understated.

With his permission, I have posted his entire comment and the shocking supporting data he included under the title “POST FINASTERIDE SYNDROME” on my blog.

Continued inability to empty your bladder completely can lead to things like urinary tract infections, bladder stones, kidney damage or ongoing hematuria (blood in your urine). A major complication of unmanaged BPH is Acute Urinary Retention (AUR), an inability to pass any urine when you need to. Acute urinary retention is a medical emergency and requires immediate attention. A tube (catheter) will have to be put into your bladder to help remove the urine.

If your symptoms continue to worsen while on medication a urologist may suggest you have surgery to open up the urinary passage. The number one treatment for many years has been trans-urethral resection of the prostate, otherwise known as TURP.

Essentially, a urologist will use an instrument called a “resectoscope” to remove the tissue that is pressing on your urethra causing the blockage of urine.

This procedure usually takes around 60 to 90 minutes and they either put you to sleep (give you a general anesthesia), or they just “numb” the area they need to work on (give you spinal anesthesia). Only the enlarged tissue that is pressing against the urethra is removed; the rest of the inside and outside of the prostate is left alone.

It generally takes four to eight weeks to fully recover from a TURP.

Some advantages of this procedure are:

• It is a very common procedure with a good track record

• Men will notice improved urinary flow quickly

• The prostate tissue that is removed can be checked for cancer

Some disadvantages include:

• A longer time to recover

• You may have to repeat the procedure sometime later (prostate tissue can regrow). Estimates are 7-8 out of 100 men will have to repeat the surgery.

• Some men might need a blood transfusion ( roughly 3 out of 100 men)

• You will have a catheter for a few days.

Reports estimate the number of TURPs today is less due to the development of newer procedures offering less discomfort with faster recovery and the possibility of not needing a catheter.

Here are a few.

1. Laser (focussed light that generates heat to a specific area to destroy prostate tissue) It is like using a magnifying glass in the sun to burn a piece of paper. Most men will be able to return to normal activity within a few days after Greenlight laser therapy.

2. Microwave (microwave energy is used to heat up and destroy prostate tissue). Procedure takes about one hour and you go home usually the same day.

3. HIFU (uses ultrasound energy to heat up and destroy prostate tissue) is a one-four hour procedure that requires a device be inserted into your rear passage. Most men resume normal activity within a few days.

Some men may not be good candidates for these newer procedures. Your doctor will advise you as to what is best in your situation.

For more information on Greenlight laser surgery, just send a blank e-mail to

Next week, RISK FACTORS for BPH. Ways doctors suggest you can help yourself.

Dennis is an Oncology trained Nurse and Cancer Consultant with over 20 years experience. He has a keen interest in Men’s Health with a focus on prostate disease, prostate cancer and prostate cancer risk assessment.


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Skype: Brachy4u

This Information is intended to be used as general information only and should not replace consultation with healthcare

professionals. Consult a qualified

healthcare professional before making medical decisions or if you have questions about your individual medical situation.