- References from friends
- References from your doctor
- Talk to more than one Urologyst/Surgeon if you can
- Ask people here
- Look up web sites about BHP, TURP, TUNA, TUMT, etc and educate
yourself about what questions to ask your surgeon. If you are not
happy with the answers you get, try someone else.

In my case, my doctor recommended the surgeon I used. He is well known
in the Toronto area (Canada) and answered all questions to my
satisfaction. He also has been doing TURP and TUMT for several years
and gave me the advantages and disadvantages of each option.

I selected TUMT because it seemed to have the least number of possible
side affects while giving decent relief of symptoms. I have had no
side affects from the procedure and my quality of life is back to
normal. (I now sleep through the night and empty about 450 to 525 cc
of urine  in the morning).

I have found that PVP is now available in the Toronto area but still
appears to be new. If I need another procedure in the future, then I
will re-evaluate all my options.

Chris

How do you determine if your surgeon is any good?

Yes, I read that before my procedure.

However, TURP and other surgical solutions have a measurable "Death"
rate from the procedure. It may be small but is higher than the
problem described.

No medical procedure is 100% safe. When I had my TUMT, the nurse was
always in the room monitoring the equipment. In addition, the surgeon
came in every 5 minutes to check my status and told me to let them
know immediately if there was any pain. I think that would have
prevented most of the 16 thermal injuries that occurred.

The only pain I felt during the procedure was when the bladder went
into spasm. The heat was uncomfortable but not painful.

I also had bladder spasms for about 3 days caused by the catheter -
usually when I emptied the bag. They got milder and less frequent as
time went on. The week on the catheter was worse than the procedure
itself - at least for me.

Just make sure you pick a good surgeon. That's the secret to good
results.

Chris

You might want to read this site first.
http://www.fda.gov/cdrh/safety/bph.html

Burr

You may also want to consider TUMT which is a microwave treatment.

I had one done about 3 months ago with good results and no side
affects. The worst part is the catheder that you need in for about 1
week after the procedure. The procedure took about 2 hours with setup
and 1 hour of actual treatment.

Chris

Hi There,

My name is Lenny, I have an enlarge prostate(BPH) and I need some help in
making a decision if I should have surgery for enlarge prostate (BPH) or to
continued with my meds. (I am presently taking Flomax and Avodart). I am
hoping that someone in this newsgroup can help point me in the right
direction because I am a bit confused as to what to do. My doctor is pushing
this surgery called (TUNA)
Transurethral needle ablation.

What are the pros or cons about this procedure?

How will it affect my erection after the surgery?

I thank you all inadvance for your help.

Lenny.