T.U.R.P - Knife or Laser?

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Tazio
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T.U.R.P - Knife or Laser?
It's that time when one of my tubes needs a rebore, for those that have already been through this, what is considered the ' better' choice, knife or laser? Instinct is take the laser option, purely on perceived healing time. Any thoughts?,
Wrightpayne
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I’d go for +60 thou! 

Tazio
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My Dad had the knife option, his words still linger in my mind...'Like p--s--g glass'.....quite succinct....
SM25T
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Newish procedure involving steam ... not suitable for all cases ... ask your consultant.
Jonathan Kay
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Cochrane Review: "Laser prostatectomy for benign prostatic obstruction". It's from 2004 and doesn't seem to have been updated. (Full list of Reviews from the Cochrane Urology group.)

NICE Guidelines:

NHS advice on TURP, but doesn't answer your question of method.

"Holmium laser enucleation of the prostate" from BAUS, ditto.

Cleveland Clinic has several pages on laser enucleation, including Risks and Benefits. (That's a single provider in the USA but they're highly respected. We were twinned with them for a bit.)

...

After a quick look through those I'd say it doesn't look like a simple decision. Which laser technology are they offering?

For anyone trying to navigate the evidence NB the difference between benign prostatic hyerplasia (BPH) and carcinoma of the prostate.

Jonathan

Jonathan Kay
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Newish procedure involving steam ... not suitable for all cases ... ask your consultant.

NICE Medtech Innovation briefing: Rezum for treating benign prostatic hyperplasia.

Jonathan

Graham King
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Tazio, I had to have the procedure a couple of years ago, I was offered and had green light laser treatment. I obviously can't compare the results with any other type of treatment. The surgeon recommended it based on recovery times and reduced likelihood of negative side effects. Full recovery time I would say was about 2 weeks, but I was back at work inside a week, but I don't do a manual job. 

Overall the operation was a great success, but your father's description still applies I'm afraid, although I guess for a shorter period maybe. 

If you have any specific questions feel free to PM me. 

Graham. 

Jonathan Kay
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Private Message sent.

Jonathan

anthonym
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Tazio, I had this about month ago, BPH. My anaesthetic was "local". I was walking on the next day. No pain except some catheter soreness on night one, which was fixed with some magical gel.  

My Swiss surgeon had been doing these for 30 years and is my own age, so I simply asked him what was best and went with that. It IS complicated and frankly beyond me despite vast amounts of research, all those links from JK are useful. One little trick I used was I spoke with a UK specialist (pm me) BEFORE my primary surgeon consult, armed with all my scans (online access), so I had a "second opinion" before I had my first opinion. Together with my research and second opinion (lovely chap £100 by phone, never charged me), when I went for my primary consult I understood everything (in French) and knew what he was suggesting was spot on for my very specific self (everyone is very specific).

As to the procedure, the physical side was never any issue from then until now. What was, was the mental/emotional journey of the last few weeks. A great deal of fear and other emotional symptoms so I have used every imaginable device to distract myself during this time, with grateful thanks to my long suffering friends who put up with my rambling. Likewise those unaware of same even on here.

Which was it? Not steam. Beyond that not sure, healing was fast and no pain; though much (pink not red) blood is normal after. On day three I was dancing (carefully!) with a nurse in the corridor.

I found the NHS docs most apt. I have not had your father's experience.

By all means ring to chat if you wish. It's all very fresh as you can no doubt tell; I am mostly out the other side, but not quite.

Regards

Anthony 

 

 

 

 

 

Wrightpayne
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I had noticed the forum post rate increase recently Biggrin Glad you are through it OK.

Us (slightly) younger members (no pun intended) have got so much to look forward to!

Ian

anthonym
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thanks Ian, yeah.. nothing like us lot to provide an engaging distraction. 

Of course I am now officially young again ;-)

anthony