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Medical Forum / Diseases and Disorders / Prostate BPH / January 2006Removal of prostate
I have been reading here for a few months now and naturally I have an interest in that I have BPH and am on Flomax which can be a nuisance as I am also on water tablets too. It has occurred to me that it maybe much easier for me to just have my prostate removed. What if any snags are there to this approach please? smicker hi smicker - i don't know how old you are, i will assume that you are ready to part company with this little organ and just say enough is enough. here are some things to consider. on the plus side - don't have to worry about BPH anymore - don't have to worry about prostate cancer - no more bouts with prostatitis and the pain from that - no more messy clean up from ejaculations on the negative side - will require surgery and recovery time - may or may not have a continence problem because they will have to cut the urethra off at the prostate at both ends and sew it back onto the bladder - will lose some orgasm pleasure one gets from the feedback nerves in the prostate - will lose some penile length due to the shorten of the urethra - about 15% - loss of ejaculation (i put this in both columns because it can be view both ways) - possible loss of erections (depends on how skilled your surgeon is) i can't answer your question as to a yes or no as to whether or not you should have the prostate removed. i don't know what kind of insurance you have. this operation is not going to be cheap. the final answer is a personal one. what i can tell you is that i've had it done,. i can tell you that i've had everything before i had it done. i had the prostatitis, the BPH, the prostate cancer. my body has been through hell, but i'm still able to remain 99% continent and kept the erections after all of this. if you have any questions, feel free to contact me. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." >hi smicker - i don't know how old you are, I am 61 and disabled. >i will assume that you are ready to part company with this little organ >and just say enough is enough. [quoted text clipped - 7 lines] >- no more bouts with prostatitis and the pain from that >- no more messy clean up from ejaculations Yes they are plus points for me too as my wife has had an operation that makes sex out of the question and it now appears this will never improve. >on the negative side > >- will require surgery and recovery time >- may or may not have a continence problem because they will >have to cut the urethra off at the prostate at both ends >and sew it back onto the bladder I already have BPH so I am already experiencing some urgency problems but incontinence would be very hard to live with. I am in a wheel chair and sores are something that occur easily without incontinence:-( >- will lose some orgasm pleasure > one gets from the feedback nerves in the prostate That is already at an end due to my wifes condition:-( >- will lose some penile length due to the shorten of the urethra - >about 15% I have already lost some length and now when an erection happens (usually because I awake needing a pee) my penis had a sharp bend in it. >- loss of ejaculation (i put this in both columns because it >can be view both ways) >- possible loss of erections (depends on how skilled your surgeon >is) That is no longer a problem. >i can't answer your question as to a yes or no as to whether or not you >should have the prostate removed. i don't know what kind of insurance >you have. this operation is not going to be cheap. the final answer is >a personal one. I am in the UK and my medical stuff is free if I can get it done. >what i can tell you is that i've had it done,. > [quoted text clipped - 4 lines] > >if you have any questions, feel free to contact me. Thank you for your post and I can see advantages but the incontinence bit is a gamble I would rather not take:-( smicker PALMER_ENT@webtv.net (c palmer) wrote: hi smicker - i don't know how old you are, I am 61 and disabled. i will assume that you are ready to part company with this little organ and just say enough is enough. here are some things to consider. on the plus side - don't have to worry about BPH anymore - don't have to worry about prostate cancer - no more bouts with prostatitis and the pain from that - no more messy clean up from ejaculations Yes they are plus points for me too as my wife has had an operation that makes sex out of the question and it now appears this will never improve. on the negative side - will require surgery and recovery time - may or may not have a continence problem because they will have to cut the urethra off at the prostate at both ends and sew it back onto the bladder I already have BPH so I am already experiencing some urgency problems but incontinence would be very hard to live with. I am in a wheel chair and sores are something that occur easily without incontinence:-( - will lose some orgasm pleasure one gets from the feedback nerves in the prostate That is already at an end due to my wifes condition:-( - will lose some penile length due to the shorten of the urethra - about 15% I have already lost some length and now when an erection happens (usually because I awake needing a pee) my penis had a sharp bend in it. - loss of ejaculation (i put this in both columns because it can be view both ways) - possible loss of erections (depends on how skilled your surgeon is) That is no longer a problem. i can't answer your question as to a yes or no as to whether or not you should have the prostate removed. i don't know what kind of insurance you have. this operation is not going to be cheap. the final answer is a personal one. I am in the UK and my medical stuff is free if I can get it done. what i can tell you is that i've had it done,. i can tell you that i've had everything before i had it done. i had the prostatitis, the BPH, the prostate cancer. my body has been through hell, but i'm still able to remain 99% continent and kept the erections after all of this. if you have any questions, feel free to contact me. Thank you for your post and I can see advantages but the incontinence bit is a gamble I would rather not take:-( smicker <nambucca@nospam.com> wrote: "smicker" <rossprat@hotmail.com> wrote in message news:u50690h4u2i1pvb9nvp9hdarok0o966od0@4ax.com... I have been reading here for a few months now and naturally I have an interest in that I have BPH and am on Flomax which can be a nuisance as I am also on water tablets too. It has occurred to me that it maybe much easier for me to just have my prostate removed. What if any snags are there to this approach please? smicker Much much easier to have PVP and certainly better than the side effects of Flomax .......hiatus hernia being a typical result .......change one problem for another !!! As for complete removal of prostate its major open surgery and you will almost certainly become impotent Unless you have Cancer I cant see the benefit Well your post certainly cancels out the benefits I saw in the post from Curtis. smicker "Gutbuster" <dont-stare@me.dot> wrote: "smicker" <rossprat@hotmail.com> wrote in message news:u50690h4u2i1pvb9nvp9hdarok0o966od0@4ax.com... I have been reading here for a few months now and naturally I have an interest in that I have BPH and am on Flomax which can be a nuisance as I am also on water tablets too. It has occurred to me that it maybe much easier for me to just have my prostate removed. What if any snags are there to this approach please? smicker A guy I know has no control over when he pees after having that done. Another guy - a lucky one - does have control. However, both now don't want to have sex with their wives as the feeling when they come is disgusting to them both, so they say. Not going to go anywhere near that, myself. Yup, my idea has been stamped on I reckon:-( smicker hi smicker - i put all the posts together so to address them as one. first and foremost - it is your decision. i posted to address your questions. you ask point blank questions and i gave you point blank answers. but as nambucca that the PVP would be an answer without going to the seriousness of the prostate removal operation, and as gutbuster pointed out about the outcomes of the prostate surgery, it can have some bad side effects. i do want to take a little time to address some of these issues about what gutbuster said because they are very important. to all the men in the newsgroup. BPH is not fun thing, we know that. but the prostate surgery is not fun thing, as is the TURP, or a PVP. each has the problems and their set of complications. and what happens after one has their treatment of choice can effect us differently. there has been posters who have had nightmares from the PVP, TURP TUMA just to name a few. but after studying the prostate and prostate cancer for over 15 years, the only thing i have found to fit the situation is 'the luck of the draw' you get all you facts you can before you make you decision, then go for it and hand is dealt and it is the luck of the draw after that. as to peeing after prostate surgery - i'm one year post op and i'm not 100% dry. some are dry right from the git go. luck of the draw. and for some men, the leakage happens at the worse of times. if they were able to get sexual aroused, that is when they leak. can you imagine how a man must feel about something like that. but again, for every situation, there is a challenge and one man's junk is another man's treasure. couples do work it out and have very satisfying sex lives. and if i may be allowed to remain on this soap box for just a little longer, always remember this. the erectile nerves run underneath the prostate. having BPH drives up the psa reading, but if prostate cancer does develop, it is like a plant that goes to fertilizer, the nerves emit an enzyme that attracts the prostate cancer that that is why it is one of the first area it goes to once it grows out of the prostate. so, my advice - for what it is worth - is you want TWO tests ran. one is the psa test and the other is the "free psa" test or what the call a psa II test. this measures the amount of free psa that is in your body. as prostate cancer develops the level of free psa in the body drops. if you have a psa of 8 which is above the cutoff of 4, but you free psa test is 27, then don't worry about it. but if you have the same high psa of 8 and your free psa test has dropped to 15, then you know that something is going on inside your body. just wanted to pass this on. ok, i'll step off my soapbox now........... low psa's to all. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." >on the negative side >- possible loss of erections (depends on how skilled your surgeon >is) Viagra and Prostate Cancer (ED treatments, erectile dysfunction and prostate) Men with prostate cancer who have their prostate removed are usually free of cancer, but the procedure often comes with a cost -- impotence. A new study, however, shows that Viagra (sildenafil), the popular medication for erectile dysfunction, can restore impotency lost in surgery. Whether men respond, however, depends on how much nerve damage occurred during surgery. Each year some 200,000 men are diagnosed with prostate cancer and, of those, 50,000 will have to undergo surgical removal of the prostate. "Incontinence and impotence are the two most common [prostatectomy] side effects. A large number of patients, even with nerve-sparing techniques, end up with erectile dysfunction," Milton Lakin, MD, who leads the medical urology section at Cleveland Clinic Foundation, tells WebMD. "The first thing [doctors] want to do is a very good cancer operation. Cancers are being discovered early enough that in many cases it is possible to spare both nerves, or at least one." The new study, which appears in the November Journal of Urology, was completed by physicians at Baylor College of Medicine in Houston. It involved about 80 men who ranged in age from 47 to 76 years old. All were prescribed Viagra following prostate removal surgery. Based on their responses to a series of questionnaires, 53% had improved erections and 40% had improved ability to have intercourse. Among those with nerves spared on both sides of the prostate, almost 60% had improved erections and about 45% reported improvement in their ability to have intercourse. Of men who had nerves spared on one side of the prostate, close to 40% had improvement of their ability to have intercourse. For men with no nerves spared, the reported increase in erections dropped to 20%, with only 10% noting an improvement in the ability to have intercourse. At least one side effect each was experienced by 63% of the men, most commonly flushing, headache, nasal congestion, and heartburn. Brian Miles, MD, one of the study authors, called the results "gratifying" and noted that the findings indicate patients should start on the medication about six months after surgery. He tells WebMD that he has had success with nerve transfers that involve implanting a leg nerve in the pelvis, which can help maintain normal erectile function. These findings confirm previous study results and put a greater spotlight on the prostate surgery itself, says Lakin, who was not involved in this study but has been part of nearly identical studies that produced similar results. "I am not a surgeon. I deal primarily with sexual dysfunction. But where I think this [study] will have the most impact is in causing physicians to pay more attention to nerve sparing," he says. Lakin says that he commonly prescribes Viagra following surgery for prostate cancer because other options are more invasive. "Unfortunately, it's very hard not to offer a patient a pill even if their nerves have been cut, but I am very honest with them. And if they call and say it didn't work, we go on from there." If Viagra fails, physicians can recommend other options, including injections and vacuum devices, both of which have good success rates, even among men whose nerves were damaged, according to Lakin. Vital Information: Viagra is an effective treatment for impotency in men who have their prostate removed. For men whose nerves have been spared, the drug improves the ability to have an erection by nearly 60%, but the effectiveness drops to 20% in those with no nerves spared. There are other options for men who don't respond to Viagra, including injections and vacuum devices. Generic Viagra costs 80% less http://www.mensgenerics.com/viagra.php  Signaturehttp://www.bzpharmacy.com/cialis.php > I have been reading here for a few months now and naturally I have an > interest in that I have BPH and am on Flomax which can be a nuisance > as I am also on water tablets too. It has occurred to me that it maybe > much easier for me to just have my prostate removed. What if any snags > are there to this approach please? > smicker A guy I know has no control over when he pees after having that done. Another guy - a lucky one - does have control. However, both now don't want to have sex with their wives as the feeling when they come is disgusting to them both, so they say. Not going to go anywhere near that, myself. >> I have been reading here for a few months now and naturally I have an >> interest in that I have BPH and am on Flomax which can be a nuisance [quoted text clipped - 10 lines] > >Not going to go anywhere near that, myself. Yup, my idea has been stamped on I reckon:-( smicker > I have been reading here for a few months now and naturally I have an > interest in that I have BPH and am on Flomax which can be a nuisance > as I am also on water tablets too. It has occurred to me that it maybe > much easier for me to just have my prostate removed. What if any snags > are there to this approach please? > smicker Much much easier to have PVP and certainly better than the side effects of Flomax .......hiatus hernia being a typical result .......change one problem for another !!! As for complete removal of prostate its major open surgury and you will almost certainly become impotent Unless you have Cancer I cant see the benefit >> I have been reading here for a few months now and naturally I have an >> interest in that I have BPH and am on Flomax which can be a nuisance [quoted text clipped - 11 lines] > >Unless you have Cancer I cant see the benefit Well your post certainly cancels out the benefits I saw in the post from Curtis. smicker "nambucca" wrote: > Unless you have Cancer I cant see the benefit > [of having a radical prostatectomy for BPH]. I entirely agree that given the percentage chance of serious side-effects, the long recovery time etc., having a radical prostatectomy for BPH would be like using a sledgehammer to crack a nut (a walnut in this case, as the prostate often seems to be compared to that!) For cancer it might be a different story, of course. However, maybe "smicker" didn't actually mean complete removal, anyway, but PVP or a traditional TURP? Richard Slessor >"nambucca" wrote: >> Unless you have Cancer I cant see the benefit [quoted text clipped - 8 lines] >However, maybe "smicker" didn't actually mean complete removal, >anyway, but PVP or a traditional TURP? I am afraid the cowardly smicker was looking for a way to avoid being reamed while still conscious. When it does happen it will be a PVP though;-) smicker >I am afraid the cowardly smicker was looking for a way to avoid being >reamed while still conscious. When it does happen it will be a PVP >though;-) With a PVP the rearming doesn't have to be while you're conscious. The PVP and following recovery should be much easier than a trip to the dentist. At least that was my experience. >>I am afraid the cowardly smicker was looking for a way to avoid being >>reamed while still conscious. When it does happen it will be a PVP [quoted text clipped - 3 lines] >The PVP and following recovery should be much easier than a trip to >the dentist. At least that was my experience. Yes common sense tells me that. It is the thought of it happening that make my eyes water though. smicker > I have been reading here for a few months now and naturally I have an > interest in that I have BPH and am on Flomax which can be a nuisance > as I am also on water tablets too. It has occurred to me that it maybe > much easier for me to just have my prostate removed. What if any snags > are there to this approach please? > smicker My brother-in-law had his removed by a knife happy uro in Toronto who said there was a chance he had cancer (it turns out he didn't!). The poor guy still has problems with his flow and he has to wear Depends all the time. Think very hard before going ahead... jg >> I have been reading here for a few months now and naturally I have an >> interest in that I have BPH and am on Flomax which can be a nuisance [quoted text clipped - 10 lines] > >Think very hard before going ahead... Yes thanks. I have already decided against that course of action. smicker |
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