Prostate !! ?? What's the latest approach? | GTAMotorcycle.com

Prostate !! ?? What's the latest approach?

MacDoc

MacDoc

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Prolonged recovery period using a catheter has exposed a situation that was likely brewing for while. Enlarged prostate impinges on uretha opening making it hard to pee and or induces dribbling etc...all joys of getting old for men. mntypythbrajpg.jpg

Enlarged Prostate (Benign Prostatic Hyperplasia)​

  • •Swelling in the prostate gland due to hormonal changes and cell growth during the aging process
  • •Symptoms include needing to urinate frequently, weak urine stream, and decreased ejaculate
  • •Treatment includes medications, laser therapy, and outpatient procedures
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About 50% of men between the ages of 51 and 60 have BPH, and that number jumps to 70% among men aged 60 to 69 and around 80% of men over 70 years of age.
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Taking DuoDart generally let me sleep 6 hours and eliminated the leaks but the post accident recovery period has exacerbated the situation so I'll be wearing a catheter to get home ...not a big thing and eliminates need to get up during a flight but would like a fix.
There is surgery....not an option I'd prefer.
Some laser ablation to enlarge the opening is available.

Anyone have experience with sorting the problem???
 
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MacDoc said:
Prolonged recovery period using a catheter has exposed a situation that was likely brewing for while. Enlarged prostate impinges on uretha opening making it hard to pee and or induces dribbling etc...all joys of getting old for men. View attachment 63443


Taking DuoDart generally let me sleep 6 hours and eliminated the leaks but the post accident recovery period has exacerbated the situation so I'll be wearing a catheter to get home ...not a big thing and eliminates need to get up during a flight but would like a fix.
There is surgery....not an option I'd prefer.
Some laser ablation to enlarge the opening is available.

Anyone have experience with sorting the problem???
Click to expand...
The upside to the aging population on GTAM is more than a few members have experienced similar issues (and are willing to talk about them for which I applaud them). I believe there was a thread earlier this summer about this issue.
 
Sorry can’t help with this as I am not there yet.
However, I can sympathize as I have a neighbour who went through a similar thing and I can only image now annoying this could be.

Keep the topic going.
 
I spent a year psyching myself up for the finger. Got to doctor

‘We don’t do that anymore…we just run tests now. It’s just as accurate but less invasive.’
 
Flomax works, but messes up your love life.
Cialis also works.
Drinking coffee causes frequent urination.
 
Baggsy said:
Flomax works, but messes up your love life.
Cialis also works.
Drinking coffee causes frequent urination.
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Rapaflo if you have a drug plan. Flomax if you don't. Read the side effects. Not the mandated ones on the drug's site. All of them in the comments sections on sites like WebMD. You may not be able to/want to live with them.
 
mimico_polak said:
I spent a year psyching myself up for the finger. Got to doctor

‘We don’t do that anymore…we just run tests now. It’s just as accurate but less invasive.’
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My doc stopped that test this year too.

Bummer. She had mastered the procedure.
 
Mad Mike said:
My doc stopped that test this year too.

Bummer. She had mastered the procedure.
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And they never buy you flowers or candy.
Seriously, having gone through the process of probes, MRIs and polyp removals all I can say is do what the doctor tells you to do.
Currently I am diagnosed with prostate cancer but at this point the specialist says it's something I'll die with rather than from.
He treated Mark Dailey (the City TV guy) and I trust him implicitly.
Take the drugs, learn the side effects, put up with them (as unpleasant as they may be) and hopefully you'll live a long and useful life.
 
TK4 said:
And they never buy you flowers or candy.
Seriously, having gone through the process of probes, MRIs and polyp removals all I can say is do what the doctor tells you to do.
Currently I am diagnosed with prostate cancer but at this point the specialist says it's something I'll die with rather than from.
He treated Mark Dailey (the City TV guy) and I trust him implicitly.
Take the drugs, learn the side effects, put up with them (as unpleasant as they may be) and hopefully you'll live a long and useful life.
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Most guys get prostate cancer. Thankfully for most of them, they die with it instead of from it.
 
If you have issues with Tamsulosin (Flomax etc.) Saw Palmetto helps.

610vU+jMI7L._AC_SL1500_.jpg
 
Wingboy said:
Did she use her thumb?
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No - that's gross.

I wouldn't let her do a thumb under any circumstances... she's my friend's wife.
 
Some info wrt diagnostics ....
The "glove" (mostly not done anymore):
The "finger" procedure allows the doc to explore only one side of the prostate, what if the swelling is on the other side? The "physical" is not entirely reliable.
The PSA test (modus operandi today and a "pay for" procedure):
The PSA blood test readings should be monitored, a rapid change in the reading indicates an issue.
BTW extended sitting on a bicycle or motorcycle elevates PSA levels.
MRI
The MRI procedure is the best in circumstance, but OHIP will not fund that as a primary diagnosis.

(I am not in the medical profession, garnered the above from a webinar by Dr. Peter Lin, CBC Health Columnist)
 
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MacDoc said:
Prolonged recovery period using a catheter has exposed a situation that was likely brewing for while. Enlarged prostate impinges on uretha opening making it hard to pee and or induces dribbling etc...all joys of getting old for men. View attachment 63443


Taking DuoDart generally let me sleep 6 hours and eliminated the leaks but the post accident recovery period has exacerbated the situation so I'll be wearing a catheter to get home ...not a big thing and eliminates need to get up during a flight but would like a fix.
There is surgery....not an option I'd prefer.
Some laser ablation to enlarge the opening is available.

Anyone have experience with sorting the problem???
Click to expand...
I will give my 2 cents here....

My dad was diagnosed with prostate cancer and was given the option of the chemo/radiation or the surgery. He was told if he opted for the chemo/radiation and it did not work, he could no longer opt for the surgery so he went for the surgery. This may be based on his age as well. He was 70 at the time. Had it removed and was fine for well over a year or so and they found some of it had come back. He went for radiation treatment, not chemo for about 6-8 months and he is again in remission. He seems fine now. Uses incontience products daily. He does say he has no desire for any "hanky panky" anymore. He just learned to live with the newer him. He is not married or in a relationship.

Everyone is different.

We also had a family friend around my dad's age as well who went for the chemo and ended up taking medication (Sorry don't know the name). He went into remission and lasted another 3 years until he passed.

NOTE: they were both in their late 60s/early 70s.
 
MacDoc said:
Prolonged recovery period using a catheter has exposed a situation that was likely brewing for while. Enlarged prostate impinges on uretha opening making it hard to pee and or induces dribbling etc...all joys of getting old for men. View attachment 63443


Taking DuoDart generally let me sleep 6 hours and eliminated the leaks but the post accident recovery period has exacerbated the situation so I'll be wearing a catheter to get home ...not a big thing and eliminates need to get up during a flight but would like a fix.
There is surgery....not an option I'd prefer.
Some laser ablation to enlarge the opening is available.

Anyone have experience with sorting the problem???
Click to expand...

I don't know what your exact situation is, but my prostate was to the point where I couldn't pee at all, had ~1L of bladder full !

Had the TURP procedure (gen anast / completely out). (Nov 2023)

After a couple of weeks, and ever since, peeing back to normal / better than it's been for years.

My surgeon was Dr. Chawla / St Jo Med Centre.


Mike
 
TURP

Trans urethral resection of prostate Also known as the roto router from hell. Some days in hospital peeing blood. A friend had it done and in spite of the ugly nature of the procedure he said it was the best thing he's ever done. Another person I know had it done and he now has a problem stopping peeing. However before the op his situation was so bad he was going for catheters on a regular basis.

Uralift (Sp?)

If you buy a pair of gloves or socks and they held together with a nylon string with a T at each end you have seen a semblance of what they use in a Uralift. The string is poked through the prostate and it applies a counter tension to the enlarging gland.

Some urologist think strings aren't forever.

Resume

A shot of steam delivered to the prostate causes underlying tissue to pull back. The results vary for each patient. Not covered by OHIP so have ~$7,000 on hand.

Springs

The University of Ohio is experimenting with a spring that is inserted into the prostate, applying opening pressure. It is removable. Again experimental. IIRC they were looking for guinea pigs.

Flow Max / Tamulosin

An alpha blocker that relaxes the smooth muscle in the prostate. It's reliable and covered by the Ontario Drug Plan.

Other sphincters are also smooth muscle so getting carried away with the alpha blocker could have side effects.

Prostate Shrinking drugs.

There are other drugs that actually shrink the prostate but at least one has been linked to a greater risk of some cancers.

The term FFS takes on new meaning with any discussion on this subject.
 
nobbie48 said:
TURP

Trans urethral resection of prostate Also known as the roto router from hell. Some days in hospital peeing blood. A friend had it done and in spite of the ugly nature of the procedure he said it was the best thing he's ever done. Another person I know had it done and he now has a problem stopping peeing. However before the op his situation was so bad he was going for catheters on a regular basis.
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My TURP was nothing like that.

I felt no post-operative effects, was not peeing blood at all.

I did have a "false start" of about 1 1/2 weeks when my catheter was removed / still couldn't pee / replaced / removed - could pee for ~ 1 week / stop being able to pee / catheter re-inserted for ~ week / catheter replaced ~ 1 week / catheter removed ..... able to pee normally ever since.

Here are my actual "post operative notes" :


A 26-French continuous flow resectoscope was then inserted into the
urethra and the bladder was entered with no difficulty using an
obturator. Urine was sent for culture. Bilateral ureteric orifices
were identified. They were well away from the bladder neck.

We identified the verumontanum as a distal margin resection. We began
resecting between the 5 and 7 o'clock positions from the bladder neck
all the way down to the verumontanum. We then resected the left
lateral lobe.

This was taken down to the capsule. We then resected
the right lateral lobe. At the end of the resection, the prostatic
urethra was wide open. Adequate hemostasis was ensured. All the
prostate chips were sent to pathology. We had another look. There
was no evidence of injury to the ureters. Adequate hemostasis was
ensured. The scope was removed. A 22 three-way catheter was inserted
and attached to CBI. It was draining clear at the end of the case.

Stabilized with the PACU.
 
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