It's been close to a year and a half since I posted.
I wonder how Neil123 made out. He was scheduled for his procedeure in October, but hasn't posted since September.
Steve-in-Boston stated he was reluctant to take Finasteride because of side effects. I've been taking Dutasteride (stronger than Finasteride I believe) since Nov., 2015 and have had no side effects, except my PSA went from 8.7 to 1.2. I wish I had started taking it 5 years ago. It might have saved me some pain and suffering, though my urologist was reluctant to suggest it until I brought it up and tried to discourage me from taking it, offering Finasteride instead. But my research indicated Dutasteride has had superior results to Finasteride.
For those not familiar with my story, I was interested in PAE and GG, after having had not great results with the Greenlight laser in June 2012 on a 128g. prostate. But two emergency procedures over the next 3 years precluded my having a choice in the matter. In Dec. 2013 I had spontaneous bleeding of frank blood from the prostate and had an emergency second greenlight laser to cauterize several bleeding spots, resection part of the bladder mouth, and remove bladder stones. In April 2015 I had another spontaneous prostate bleed of clotting blood that sent me to the hospital. On my first bleed I needed 8 pints of whole blood. On the second bleed I needed 6 pints. This time a GL machine wasn't available (lucky for me) so my uro did a classic turp. My prostate had grown to 313g. before the turp, but was measured at 195g. afterward. The turp also had the benefit of providing tissue for a biopsy, which showed no cancer.
Six months later my prostate was up to 205 g. and I started taking the dutasteride (0.6mg. daily) and still do. However I had no problems urinating and my PVR (post void residual) was only 32ml. After a year on dutasteride my prostate was measured at 235g. but I still had no trouble urinating and my PVR was still 32ml. I've been on dutasteride almost 2-1/2 years now and still have no trouble urinating, but I haven't gone back for an ultrasound or PVR check. I figure at this point I'll wait for symptoms.
Regarding all three procedures, they solved my retention problem, and the last procedure solved my PVR problem (my PVR was 400ml prior to the first GL and 125-200ml after) but never fixed my urinating at night. I still get up 3 times a night on average, and pee in a bedside urinal I keep in a basket by the bed, in the dark, and get right back to sleep.
An interesting fact I learned is it's not the size of the prostate but the path from the bladder to the urethra that causes the retention. If the passage is large enough, it seems it doesn't matter how large the prostate is.
I also had a fairly large median lobe (my uro claimed he reduced it somewhat during the turp) but as long as it doesn't block the bladder mouth, all it does is decrease your bladder capacity. Around 6 months after my first GL some scar tissue grew across my external sphincter (between the prostatic urethra and the urethra) which was removed with a systoscope tool. However I had to cath once a month for a year to keep the channel
open. While cathing I could tell the median lobe protrusion was about
an inch inside my bladder mouth, so it didn't block the blsdder mouth. An ultrasound showed the median lobe took up about
15% the volume of the bladder after the second GL.
While I would never recommend the Greenlight laser, I seemed to have good results to date (almost 3 years) with the classic turp. Whether it was the turp, or the fact that this was the third procedure in just 3 years, I don't know. The turp did give me retro, but it didn't effect my sex life. Orgasms are dry as the sperm goes into the bladder, but just as enjoyable as they always were.
I don't know if my experience will be of any use to those here, but I'm somewhat of an abnormality. My uro said I had the largest prostate he had ever seen. What I did find out was that most of what I had read about
, hoped for or feared in dealing with my prostate turned out to be different than what I expected.
Post Edited (Bob_NJ) : 5/10/2018 12:35:31 PM (GMT-6)