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Is prostate surgery the only solution to an enlarged prostate?


I've had two bad experiences with my urologists. Both seemed to persuade me to believe that surgery is the best option of the three choices: TURP Surgery, take flowmax, etc, cath often and keep the urine in the bladder 200 cc's,... giving me no hope that my prostate will ever get back to normal.

This has been very depressing to me. Apparently they believe that the reason I cannot empty the bladder is because my (supposed) enlarged prostate is cutting off urine flow (even though I've been able to urinate again since my urinary tract infection). I'm told that "just because I can urinate again does not mean that my urinary tract is working right."

I've chosen to cath at least two times a day as the third option was that the kidneys and bladder could shut down if I don't chat.

Do I really need to worry if my bladder is 500 cc's even though I was able to urinate frequently?

P.S. After I've chated, I have not been able to urinate for at least 10 hours. I do not like the idea of being dependent on catheterizing.

Hope to hear from you. Maybe you have some insight in regards to this dilemma.


Ron here:

If normal urination does not return, then using a catheter is a must. But this is not a solution, only a temporary relief.

I would investigate Rezum which may be much less invasive than a TURP operation as it uses water/steam.

In the end, the skill of the surgeon is key to success.

Comments for Is prostate surgery the only solution to an enlarged prostate?

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Jun 15, 2021
by: Anonymous

As a followup to Ron's comment to check out Rezum: I just wanted to mention (as I have previously) that many urologists will only do Rezum on prostates of up to 80 ml, while some might do them on prostates a bit larger. Richard Levin in the Baltimore area seems to be quite comfortable doing the procedure on much larger prostates. So, it may be important to find the right urologist. There's also a paper on Rezum for catheter-dependent urinary retention:

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