I'm scheduled for a button turp on January 30th for severe BPH. Has anyone had this procedure done and what should I expect to experience after it's done right after surgery and long term. Are there any bad side effects to this surgery and how long does the benefits last. I had a urolift done just over 2 years ago and it has failed.

I had a TUIP, which is similar but not exactly the same - essentially just an incision to open it up. The worst part immediately following surgery was the indwelling catheter I had to wear for a few days after. It was VERY big, likely to ensure enough pressure to stop any bleeding, and quite painful to remove. After I removed that, however, I soon realized that I had zero bladder control, so be prepared for that. I actually timed it and found that the longest I could hold it was 6 seconds! It did improve over time, but since the reason I had surgery in the first place was due to incontinence issues, I didn't expect much.

Typical possible side effects for a TURP include retrograde ejaculation, erectile dysfunction, and urinary incontinence. My TUIP had similar possible side effects, but it did not affect ejaculation in my case, since they only made one incision instead of 2 or 3. I have read that TURP can last for 10-15 years or more, but also have spoken with people on other forums who had to have surgery again within a matter of a couple years. From what I've heard, much has to do with the build-up of scar tissue. Despite that, it is a solid treatment option for severe BPH.

Good luck with surgery! Please keep me updated on your progress.

How long did the incontinence last? Were you advised to do kegels before surgery?

Cseriess (imported) wrote: Thu Jan 09, 2020 8:43 am How long did the incontinence last? Were you advised to do kegels before surgery?

In my case, I was already having incontinence issues, but the complete loss of control lasted maybe 3-4 months, then gradually got better to the point that I could hold it maybe a minute or 2. I have never been advised to do Kegels by my urologist, though I suppose it wouldn't have been a bad thing to do. The idea of either surgery is to make it easier to empty your bladder more fully, so it is not uncommon to lose some control. With a neurogenic bladder, I was already behind the 8 ball when it came to control.

Mind if I ask what you do to manage it? I have very mild incontinence that is usually controlled by wearing training briefs. It has been worse with medications occasionally and I resorted to diapers. I tried catheters and bag, but not very comfortable or practical as I am pretty active.

Anybody know what I should expect after my surgery hopefully someone who has had it done themselves. I've been reading about it in the internet because my doctor didn't tell me anything about it the only thing I got out of him was he was going to remove over half of my prostate. I'm having a button turp done and the only way I know it is I overheard him tell the nurse scheduling it because the door was open and I was the one who opened it.

Get a second opinion! He sounds like an arrogant arse!

Cseriess (imported) wrote: Thu Jan 09, 2020 1:38 pm Mind if I ask what you do to manage it? I have very mild incontinence that is usually controlled by wearing training briefs. It has been worse with medications occasionally and I resorted to diapers. I tried catheters and bag, but not very comfortable or practical as I am pretty active.

I am basically in a diaper 24/7. There are times, depending on how things are cooperating, that I can get away without one as long as I'm very close to a bathroom and can do timed voiding. I would rather wear a diaper than wear a big wet spot down the front of my pants - especially since I do a lot of work in the public eye or in front of a class. I gave up on the meds because they didn't help and the side effects weren't pleasant, and catheters don't allow me to be as active as I am.

Cseriess (imported) wrote: Thu Jan 09, 2020 2:42 pm Get a second opinion! He sounds like an arrogant arse!

Or at the very least, disinterested and unprofessional. Have you been with this urologist long? If not the doctor, then at least his nurse or PA should have discussed the procedure with you and what to expect before, during, and after surgery. I am a member of an incontinence forum with some exceptional people and great information. I'd be happy to PM you the details if you'd like. As a side note, in many cases I believe urologists are kind of clutching at straws when it comes to causation and treatment of IC issues, and there are such diverse responses to treatments that it can be difficult to know how an individual will respond.

He's the best in his field just dosen't communicate well. I asked about my ED medication not working anymore and he prescribed muse penile supositories he said you put it in your urethra and it gives you an erection. I was doing research on how to use it and learned that he was supposed to show me how to use it and see if the dosage was correct. My insurance dosen't cover it and it's over $900 for 12 supositories and there's no generic alternative

I can't afford it. I've been on cialis 5 mg daily for over 2 years now and it isn't working anymore it worked fine until my castration and as time goes on it's lost it effect. I'm on HRT and my levels are 1050 so they're good he said it's arterial insufficiency. Does anyone know what that means because he didn't explain it.