TURP

Hello Everyone,

I went for a standard check with my urologist this afternoon, (Actually saw one of his Partners because my Urologist unexpectedly retired). I have an enlarged Prostate 67cc according to my 1st biopsy and 75cc according to the MRI. My original Dr. had advised against a TURP to treat the BPH due to the PCA stating that when it became more of an issue he would just take the whole prostate to take care of everything at once. The new Dr. said that since my original biopsy showed such a small amount of G6, (only 1 of 12 cores and a very small amount in that core, & the 2nd biopsy found no PCA) and my PSA has remained low, that I should consider a TURP to address the BPH now as I may never need to address the PCA. He also mentioned that if left untreated the BPH could lead to other serious issues such as damaged nerves in the bladder, damage to the bladder, and damage to the kidneys.

Has anyone had a TURP after learning that you had PCA?

Looking for wisdom from those with experience or knowledge.

Thanks,
gemson8

Hi Gemson

I had a turp while I was going through chemo. My medical oncologist agreed that I needed it, so my Urologist did it the next day after a chemo treatment infusion. I was in and out in under 22 hrs I stayed overnight and was out the next morning. I pee like a teenage boy now. No problems after. I would not hesitate to do it again if it was every needed.

I don't know the answer to this question.

But if a patient had PCa would there be a risk of spreading it systemically by having a TURP concurrently?

A prostate biopsy only reveals the cancer that the needle hit. In my case it took 4 biopsies to find the Grade 4.

My dad had a TURP and he was bleeding for a week afterwards.

TJ123 said...

But if a patient had PCa would there be a risk of spreading it systemically by having a TURP concurrently?

I was told very conclusively, by several physicians, that a TURP can not spread PCa., which was backed up by research I did before my TURP. I didn't save the studies, however. The TURP discovered my PCa.

Note that a TURP is a serious procedure, you want an experienced surgeon doing it, and unlike Green Light laser, only a TURP will yield pathology results, usually much more complete than a biopsy.

I had Green Light Laser ablation while on AS. Details below. I would suggest that you explore alternatives to TURP. There are a number of less invasive procedures. My GL Laser treatment took place at 6pm and I headed for home the following morning after the catheter was removed. It was a breeze with minimal recovery time.