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I know many people...men particularly don't like to talk openly about BHP and all the uncomfortable problems it causes us as we get older. However let's face it, it's a fact of aging and hard to avoid. Not talking about it won't make it go away, so facing it and dealing with it is the only choice we have, right?

How one deals with it to make it bearable is the issue and as anyone with it will know there are a variety of ways to do that, both medicinal, surgical, and now with a couple of different types of laser treatments via catheter.

Forget about the surgical treatment because I would have to be dying from it to let anyone cut out part of my prostaate. That's because aside from it being an invasive surgery, and frequently causing urinary incontinence (although that Depends), there are the other less pleasant ramifications which I won't go into here because they make me cringe like most men will. These surgical methods were the so-called gold standard at one time (in the Paleolithic I think) but are the genital equivalent of a lobotomy IMO and there is no longer any justtification for them. If you want to know how awful that is read the following, if not skip ahead.

My oldest closest friend, who sadly just died unexpectedly of acute pancreatitis and the spectic shock it caused, had his prostate removed two years ago because they found two types of cancer in it. He told me recently that it was far worse than he had imagined it would be when he decided to do it. This was because it basically left him sexless, not just due to impotence and lack of any ejaculate but because the hormonal loss made his genitals totally shrink away to practically nothing. Like a little boy again. Nuff Said, right?


Okay, so due to the urinary issues of this problem and the related sexual issues, I have been considering one of the laser treatments to open up the restricted uretha. Reportedly it is generally quite successful and isn't dangerous like normal surgery nor does it cause incontinece or anything like that. The most I have heard that can happen is that you have retrograde ejaculation. But due to my heart meds I have that already anyway. So it's no biggie.

What I would like, is to hear some testimonials, experiences, comments from anyone who has had it done about if it really is as beneficial as the literature says (from the places that do it of course) and therefore worth doing. My insurance will cover it so money is not a problem. It's more a question of whether I want to have yet another medical procedure done on my already multi-operated-on body.

Also, for the past year I have been taking a med called Silodyx which has really helped me greatly. It helps with the flow of urine and relaxes the prostate and works much better than the other meds normally prescribed. I tried two of those and they did nothing. With this I hardly have to get up at night to pee more than once any more and that after over 15 years of 2,3, and 4 times a night.

On the other hand I take a diuretic for my heart condition in the morning so that gets most of the liquid out of me earlier on in the day. Before I took the silodyx I still had to pee 2 and 3 times a night. Now I often actually wake up with a parched mouth in the morning from lack of liquid and have to get a drink of water even though I only peed once during the 10 hours I usually sleep.

So you might ask why I would want to do the laser treatment at all, and the answer is that I want to feel like a man again. I'm sure any guys over 65 will know what I mean by that. If not, remember that the laws of fluid dynamics dictate that you can't get water to come out of a crimped hose in anything but a dribble unless you remove the crimp. :cry::cry::cry: Doing that is the only way to be able to write your name in the snow again and I'd like to be able to do it before I go where all the old huskeys go.
 

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I had the new(ish) "Urolift" procedure done last September, and results have been pretty good, though not as good as they might be if I lost a bunch of weight. Anyway, getting more than one hour of sleep at a time (without having to get up to pee) is a huge improvement!
 

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I've never heard of that one. I'll have to look it up. So far I only know of the two types of lasers one of which may be the so-called Green Laser.

BTW, for anyone who is embarassed or squeamish about posting their details on here, please just send me a PM. I will keep your reply totally confidential. I am just trying to get customer reviews, like I do when I shop on Amazon for anything, to help me decide if I want to go for this procedure or not.
 

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I'm having a procedure, hopefully, within six weeks, because of an enlarged prostate. What prompted the procedure is it got infected last August. (I've been through hades with symptoms such as EXTREME fatigue, sweats and chills, lost a lot of weight in a short period of time, producing the fear of cancer... not to mention the crazy side effects from a multitude of drugs.}

I got rid of the infection but the swelling remains. So the doc's going to staple the prostate off the urethra so I can pee without a catheter.
The upside is it's an In Office procedure thereby avoiding the high cost of a hospital ER.
 

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Man, I am so sorry for you. I know what a pain in the d**k this is. And as one on many drugs for my heart as well as one for this and an antidepressant since forever, you never know if what you are experiencing is a new medical issue or simply something caused by a med or the interaction of the meds. Anyway I wish you well on that procedure although it sounds scary to me. The word staple in relation to anything close to down there is kind of a bad image in my mind. Then again when they close your chest back up after OHS, they basically use staples....wire twist-ties to hold the sternum back together again. Sometimes they pop loose on people from what I read on a FB Bypass group. It's called the zipper club cause we all have a zipper right down the middle of our chest.

For me however I was looking for a procedure that actually retunnels the original passageway through the prostate like it was before the enlargement shut it down. That way you can get some real flow going. No more dripping on your shoes after standing at the urinal for 5 minutes shaking out drips and drops and everyone young (who doesn't know why) thinks you're a perv.

One question though, why would the alternative to an office procedure be the ER and not a regular operating room? All I can say is that if he comes at you with a big 3M staple gun, get up and run like hell.
 

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Benign Prostate Hyperplasia - BPH

Brake Horse Power - BHP

It's not easy dealing with both OCD and lysdexia. :bluewink:
 

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Discussion Starter · #7 ·
Benign Prostate Hyperplasia - BPH

Brake Horse Power - BHP

It's not easy dealing with both OCD and lysdexia. :bluewink:
Oh damn, did I really get that acronym back asswards? LOL. Part of the reason is that I live my life half in Spanish and half in English. All Spanish acronyms are the English ones inside out. For example, AIDS is SIDA, and the UNO....United Nations Organization is ONU and HIV is VIH. So BHP in Spanish is HPB and between the too I seem to have split the difference to come up with what I really want is to get rid of the BPH and get back to having lots of BHP down there.
 

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One question though, why would the alternative to an office procedure be the ER and not a regular operating room? All I can say is that if he comes at you with a big 3M staple gun, get up and run like hell.
IN OFFICE means the doctor's operating room, rather than the hospital's operating room, .

The staple procedure done In Office, rather than ER(hospital), is a financial break for me, meaning a lower copay and out of pocket expense.
Some of the other prostate procedures require being done in the hospital's ER, and can require a two or three day hospital stay. FWIW, My out of pocket fee for a four-day hospital stay (because I hadn't peed in 3 & 1/2 days and tests) was $1300+.
All this with Medicare/BCBS.
 

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Discussion Starter · #9 ·
IN OFFICE means the doctor's operating room, rather than the hospital's operating room, .

The staple procedure done In Office, rather than ER(hospital), is a financial break for me, meaning a lower copay and out of pocket expense.
Some of the other prostate procedures require being done in the hospital's ER, and can require a two or three day hospital stay. FWIW, My out of pocket fee for a four-day hospital stay (because I hadn't peed in 3 & 1/2 days and tests) was $1300+.
All this with Medicare/BCBS.
When you said doctors office I was envisioning just a room with a gurney and not an actual operating room. But if the other procedures are scheduled in advance and not emergencies won't they be done in a regular surgery? Does that cost the same as the ER or more.....or less? Ambulatory procedures are always cheaper than ones that require a stay, obviously, because you aren't occupying a room, for which they really stick it to you. Just out of curiousity, was that amount a copay before the insurance coverage kicked in, or was that just a fee on top of your insurance coverage. The system is different here so I have no real familiarity anymore with what these things cost in the US.
 

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I've never heard of that one. I'll have to look it up. So far I only know of the two types of lasers one of which may be the so-called Green Laser.

BTW, for anyone who is embarassed or squeamish about posting their details on here, please just send me a PM. I will keep your reply totally confidential. I am just trying to get customer reviews, like I do when I shop on Amazon for anything, to help me decide if I want to go for this procedure or not.
I definitely recommend checking it out, it's far less invasive and destructive of prostate tissue than the traditional surgeries. Didn't even have to stay in the hospital overnight, though the first day or two after were pretty tough.
 

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When you said doctors office I was envisioning just a room with a gurney and not an actual operating room. But if the other procedures are scheduled in advance and not emergencies won't they be done in a regular surgery? Does that cost the same as the ER or more.....or less? Ambulatory procedures are always cheaper than ones that require a stay, obviously, because you aren't occupying a room, for which they really stick it to you. Just out of curiousity, was that amount a copay before the insurance coverage kicked in, or was that just a fee on top of your insurance coverage. The system is different here so I have no real familiarity anymore with what these things cost in the US.
In Office is the doctor's own operating room. In my case my Urologist is part of a conglomeration of physicians gotten together and provide surgical procedures in their own facility. (my gastroenterologist has the same setup) Anyhow, I guess it's more economical for the physicians to have their own OR rather than renting the hospital's.

Copay is what the doc charges just to see him.

I'm not sure what you mean with 'ambulatory' services? Ambulatory here just means transporting you from your home to the hospital, or from any point to another. My copay for that is $250! that's if my insurance BCBS covers it.
 

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Once upon a time I worked for the Merck pharmaceutical company, and they developed a BPH drug called Proscar. It was a big deal at the time, as I think it was the first of its kind.

Then they found it grew hair. They renamed it as Propecia and sold it at a much higher price.

Otherwise known as Finasteride.
 

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Once upon a time I worked for the Merck pharmaceutical company, and they developed a BPH drug called Proscar. It was a big deal at the time, as I think it was the first of its kind.

Then they found it grew hair. They renamed it as Propecia and sold it at a much higher price.

Otherwise known as Finasteride.
They gave me Finasteride for an enlarged prostate. I don't know what it's supposed to do exactly, shrink it? Anyhow it didn't work, or I didn't take enough of it....Jeez, I hope I don't have hair growing on my prostate. lol
 

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My old man died from prostate cancer back in 85. At the time he was only 59 years old. The Doc told me he could have had it for 10 years before it killed him, said it is a slow growing cancer. Anyway, I've been getting checked for years because of that history and while the prostate is enlarged some, my PSA levels are good. I only get up once at night to go, but I usually drink a glass of water before bed to keep hydrated. Part of all this is that human beings were not designed (for the lack of a better word) to live as long as we are now. If we (mankind) make it another hundred thousand years our prostates my hold out until we're 80.
 
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