Implant with possible surgery for BPH

[george]

I have been in the shadows for a few years. My implant surgery was on Dec 2010 with a very successful outcome.
Now at the age of 67, I am experiencing the usual problems of noncancerous BPH. Cialis has helped with the BPH, and improved my erections, but with ongoing kidney stones and weak urine flow it means that some type of surgery is the next
alternative. I am looking at the options of the AMS-TMX 3000 (possible implant contradiction) office procedure, or possibly
the (TUNA), (TUMT), or (TURT). Ultimately my Urologist will make the final decision, but I want to try and have the least evasive surgery, with the best outcome. My head might in the sand. I don't have any serious problems yet. It wouldn't be fair to my wife to have to haul me to the ER, because I didn't get this taken care of. Thanks for letting me post this, any comments from anybody who has had any one of the various surgeries with an implant would be greatly appreciated.

Thanks,
George

[billylee]

George,
If you are thinking of TURP surgery, I do not see how that would be a problem with your implant. I had TURP several years ago and it was not bad at all, I suggest not even in ballpark of IPP. Possibly the only change you will find when over is you will probably have reverse ejaculation. No mess anymore, semen reverses to bladder, sort of weird and I do not exactly understand it, but it happens.
b

[Dave92014]

the (TUNA), (TUMT), or (TURT). Ultimately my Urologist will make the final decision, but I want to try and have the least evasive surgery, with the best outcome. My head might in the sand. I don't have any serious problems yet. George

I had the implant surgery one year ago and BPH surgery 10 years ago. Before BPH surgery my prostate was unusually huge. At the time of surgery my doc checked the situation with a scope of the urethera (after doing a spinal block anesthsia) and decided it was too large to fix with any of the intra-urethera methods. So he did an open abdomen surgery and removed 80% of the prostate. The remaining 20% works fine for sex and no more peeing problems over the last 10 years. My doc tells me the results should be good for my lifetime and so far my PSA is holding at 0.8. That surgery was only slightly more pain, etc, than my implant surgery. I did have to stay in the hospital for 3 days and keep the catheter in for 10 days. That is the most invasive surgery that you are trying to avoid. It was 10 years ago and maybe they have improved methods available now. And most likely your prostate is not as large as mine was. But I put this forth so you will know that the most invasive surgery is not all that bad. Of course your doc should make the final decision but if he decides you need the open abdomen, you can get through that.

Dave

[george]

Thanks for all the replies. My family doc. has mentioned to me that the TURP is the only option that will work for me. Evidently the heat from any type of laser or microwave surgery will fry the implant. I have tried various medications like Flomax, and Raipdflo, but side effects have left me very dizzy at times. Right now, I am taking Alfuzosin which isn't too bad
but I still have some dizziness with this prescription. Years ago my dad had the TURP or the "Rotor-Rooter" as he use to call it. He said it wasn't easy, but he didn't complain about it.
I have searched on the web, and found a new procedure called the "Urolift" which has been recently approved by the FDA,
It works by using tiny clips that pull back the prostate around the urethra. This type of procedure might be used before the TURP is required. It has been performed in other countries before being approved in the U.S. My appointment with the Urologist is in a few weeks, so I will find out what my options will be. If the the TURP is the only option, then I will make it work.
Thanks,
George

[JerGeezer]

The "microwave" procedure was performed on my prostate five years ago and did not harm my implant that had at the time been in there nine years. It recently became defective and I think the cause is simply its age, but don't know for sure.

[george]

Thanks! Jer Geezer for the info. Looks like I have some homework to do in the next couple of weeks. This website is very
valuable with first hand experience.

George