Based on my experience the total prostate volume is much less important than the pvr (post void residual). A sonogram can measure both and also see if your median lobe is protruding into the bladder.
The pvr is really the important number since it tells wether or not you are voiding completely. My last procedure was a turp in April 2015. In Nov. 2015 my pvr was just 32 ml., my voiding stream was good, but I still get up 3 - 4 times a night. I believe this is because the bladder capacity decreased after 20 years of bph, and as you age your bladder can be more active at night. I will be 70 this month.
I haven't taken tamsulosin in a few years but am taking dutasteride since Nov 2015 to shrink the prostate. Before my turp the prostate measured 313 g. with a median lobe protruding into the bladder, taking up about
15% of the lower bladder. I asked for the CD of the sonogram and saw this image of the lobe and bladder myself on my computer. However, during self cathing before the turp, I realized the protrusion was about
3/4 of an inch from the bladder mouth, so it didn't block the bladder
In Nov. 2015 my prostate measured 203g. and yet my stream has been fine and my pvr negligible. So the total size of the prostate is not a significant factor in my bph. I have a couple of bedside urinals in a small plastic waste basket by the head of my bed and generally void 1 to 2 liters per night, with no hesitancy, a good stream and volumes of 200 to 400ml per void. I've trained myself to go in the dark sitting on the edge of the bed. I hold up the urinal against an lcd clock to check the volume and then go right back to sleep.
You might want to get a second psa test. I also had an 8.9 result a few years ago, but the next test was in the 6.7 range. My uro said the first test was an "outlier". I never got a biopsy, but when I had the turp, about
35 g. of tissue was sent to pathology and they found no malignancies.
Hi All, Hope everyone's doing ok. UPDATE. I had my GG in March 2102. Overview, Prior to GG, was getting up numerous times nightly, taking up to half hr to pee each time and never feeling MT. Daytime visits similar, on prescribed drugs..... Now Sept 2016.... Never need to get up nightime unless drinking fluids late and then usually only once with flow usually continuous - although I do double void. First pee of the morning normally a bit slow especially if I sleep on my back. Daytime, flow improves second pee to almost normal. Daytime visits frequency normal. Pee force, medium to good if that makes any sense.
I take no drugs.
NOW, here's what I have experienced and that has thrown me:
As others testify, improvements are sporadic with times when you think you are regressing.. then bam!
a couple of weeks down the line, the flow improves..... This has happened several times over the period since the procedure. During these periods, I have resorted to finasteride & diffundox. The lastes regression was a few months ago - 4years down the line - when I completely regressed to pre GG symptons, so I had a blood test - PSA was at 9.5. I then started retaking Finasteride and diffundox to improve things. I took what remaining tablets I had for a couple of weeks. I was really worried thinking this is it! But, a couple of weeks down the line, flow improved again and since then waterworks have improved to the best I've ever experienced since my problems first began. CRAZY!
I've now decided to visit the urologist - I spoke to Dr G and he has asked me to get my prostate volume checked. I'm also looking now to have a Urine test PcA3 rather than biopsy just to check for PCA and will keep you all posted.
apart from that... all's well, i feel great and hopefully all is..... any other suggestions gratefully received
Post Edited (Bob_NJ) : 9/3/2016 10:33:46 AM (GMT-6)