Hello Everyone-

I was writing in the hope someone in the group had experience with
this.

My story as briefly as possible; I'm a 50 y.o. whose dealt with what I
thought was BPH for 25 years. The onset occurred in my early twenties,
I was referred to a urologist who diagnosed "prostatitis" after x-rays
of my bladder showed no restriction passing urine. He described my
prostate as usually swollen, but with never any sign of infection.

After beginning saw palmetto in the late 1980's I had some relief and
have since kept it manageable until the last six months, where my
symptoms have become awful, up 7-8 x a night, and a new sensation like
a "swollen fist" in my abdomen. Main symtoms are difficulty starting,
hesistency, interuption, weak stream (avg. 30cc over 5 seconds) and
sensation of uncomplete bladder voiding.

My doc prescribed Hytrin, which hasn't really helped. After being
examined by a Urologist, I was told my prostate is normal for a man my
age (slightly swollen). Ultrasound showed no urinary retention.
Cytoscopy revealed what my uro described as a "tight bladder neck",
simply put, more muscle than normal reducing the opening to a much
smaller size. He says he's sees this several times a year.

His recommendation is a modified TUIP, using electricity to cut two
"flaps" in the ring of muscle of the bladder neck (not the whole
length of the prostate) to increase the size. He says roughly 3/4 of
patients who do this procedure describe substantial improvement,
though there is a slight risk of retro.

Has anyone else here heard of this or dealt with it? I'd greatly
appreciate any help you could give me.

Thanks so much-

Mark