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Medical Forum / Diseases and Disorders / Prostate BPH / October 2004

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TURP - is it inevitable?

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Gutbuster - 06 Oct 2004 22:54 GMT
Been told it is a number of times, now. I have had CP since the middle 80s
when the pain became noticeable and was diagnosed with CP in 99. So far,
flow is OK almost all the time but once in a while seems restricted though
it is only once and not there the next time.

I do all the wrong things - I don't eat the way you are supposed to with
this problem and I have LOTS of caffeine out of need to work for the day. If
I don't have lots of strong morning coffee and a Red Bull, I cannot work.
That seems to make the pee flow freely and naturally caffeine is a diuretic
so crapping isn't a problem, either.

So far I have seen no reason to undergo a TURP for me, personally but I
wonder if people are correct in saying that I will have no choice in around
5 years.

Anyone got a comment?
Philip Magallanes - 07 Oct 2004 18:22 GMT
I has CP for a number of years with reduced flow.  It was over 20 years
before I needed a TURP.  Maybe they will have something better than Flomax
by the time you get there.  Five years seems way too soon, but everyone is
different.

Wishing you good health.  And take care of yourself.

Phil

> Been told it is a number of times, now. I have had CP since the middle 80s
> when the pain became noticeable and was diagnosed with CP in 99. So far,
[quoted text clipped - 12 lines]
>
> Anyone got a comment?
Spread deMocracy - 10 Oct 2004 11:32 GMT
Gutbuster:  forgive me, but I am totally in the dark on CP and would
appreciate picking your brain to learn more. Most of what I know is merely
BPH, (non-CP).  You mentioned about "eating the way you are supposed to
and...caffeine..."   Though I understand that caffeine is supposed to
irritate a prostate, I have never heard that aggravating CP?  Can you
explain or share what your doctor told you, or what you learned/where
regarding eating and/or caffeine and CP?   Sorry to trouble you.   Thanks in
advance.

> .... I have had CP since the middle 80s ...I do all the wrong things - I
> don't eat the way you are supposed to ...LOTS of caffeine ...
Gutbuster - 10 Oct 2004 22:12 GMT
> Gutbuster:  forgive me, but I am totally in the dark on CP and would
> appreciate picking your brain to learn more. Most of what I know is merely
[quoted text clipped - 4 lines]
> regarding eating and/or caffeine and CP?   Sorry to trouble you.   Thanks
> in advance.

CP is Chronic Prostatitis. So, you said you understand that caffeine is
supposed to irritate a prostate. If it irritates a prostate on a person
suffering CP, then of course it will affect your prostatitis.

Doctor told me not to have coffee or tea (tea being worse than coffee as
there is more caffeine in it than in coffee) etc, eat the right foods (low
carbo and higher protein supposing the kidneys can take it - which they can
in my case). Higher carbo put more fat on the body (mid section) and thus
more pressure on the prostate even just from the effect of more fat pushing
against it. He told me to pee often though that isnt an option for me, drink
a lot of water, take doxy etc. In my job, driving from spot to spot to put
out computer "fires" (so to speak), drinking a lot of anything isnt an
option and of course I dont take any antibiotics after learning for myself
that constant use of them lessens the impact on your CP pain. He said not to
take anti inflammatory pain killers if possible (realising sometimes you
dont have a choice) as constant use of them is unsafe but before it gets
that far, it irritates the gut which in turn irritates the prostate and thus
CP. Lots of common sense stuff but some of it I cannot do in my job.

One of the things he said was to pee often NOW to avoid it being a problem
as soon later in life. I cant do THAT in my job, either - I can sometimes
start work at 9AM and run from job to job and get a chance to pee at 4PM. I
find that has made my sleep time a lot more bearable as I guess my bladder
has expanded somewhat or maybe isnt as hard walled and somehow helps with
urinary retention even though the pain in the prostate seems worse - which
may just be coincidental.

Hope that helps.
Ironman - 11 Oct 2004 04:46 GMT
> > Gutbuster:  forgive me, but I am totally in the dark on CP and would
> > appreciate picking your brain to learn more. Most of what I know is merely
[quoted text clipped - 33 lines]
>
> Hope that helps.
Gutbuster,
    I can think of three things to help you with your CP: 1)take a combination
of an alpha blocker such as FloMax or Hytrin, plus a DHT inhibitor such as
Proscar or Avodart.  This is currently the treatment of choice for BPH with
prostatitis. It worked for me, but takes at least six months to realize the
benefit.  This combination will shrink your prostate and lessen the
inflammation. 2)Carry a plastic pee bottle in your truck, and pee regularly,
hourly if possible, then empty the bottle in the toilet at the end of the
day.  This will help you enormously.  Your Uro was right, but didn't explain
all of the reasons why this would be sooo helpful, especially if you take
diuretics like caffeine regularly. 3)Take anti-inflammatories on an
intermittent basis, such as Advil 600mgm four times a day with food for
three days, then not again for another 10 to 14 days, so that you don't
"bust your gut", but get the benefit.  This works as well for prostatitis,
but can also take a couple of months to realize the benefit.
    Be patient, and take care of yourself or the next you know you will
experience obstruction and that is not good.  Sounds to me like you have all
too brief a visit with your Uro and don't get enough explanation.  If that
is the case, get another opinion.  I have seen four Uros so far, and learned
something new from each of them.
        Fred, aka Ironman
Gutbuster - 11 Oct 2004 14:28 GMT
> experience obstruction and that is not good.  Sounds to me like you have
> all
[quoted text clipped - 3 lines]
> something new from each of them.
> Fred, aka Ironman

I went to a GP who sent me to someone searching for bowel cancer (I was
bleeding from the bowel intermittently at the time) who found I have an
enlarged prostate and the bleeding was because of acid in my bowel
deteriorating it from the inside. Losec fixed the acid thank goodness.

That guy sent me back home to the GP who referred me for blood tests and
based upon them, sent me for an ultrasound which finally found the CP for
sure.

In short, never seen a Uro.

As to the drugs you said, thanks for the info but I want to take as little
drugs as I possibly can and see if I can fight it out on my own. I have
quite a few other things wrong with me and I am hitting them all the same
way. I have to take drugs for CP, drugs for this, drugs for that and I was
feeling a lot worse than I am today when, in a fit of despondency, I threw
them away and never went back. Within a few weeks I was remarkably better
but still incapable of being employed, unfortunately.
 
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