Posted 3/4/2021 4:39 PM (GMT 0)
I have been swaying back and forth between surgery. having TURP and going back for radiation.
The issue has been that radiation caused me to have urinary retention which led to a horrible condition called "Paraphimosis" after I was catherized. The surgeon did not offer a chance large enough to assure me that TURP would open me up enough to have the radiation so I thought surgery was the best route.
Flash back to before I started treatment, my urologist upstate told me to have TURP because radiation could close me up. When I spoke to the RO I had so many questions that my enlarged prostate did not come up so I guess I just trusted he would know best since he had all of my records-Bottom line, my family urologist warned me.
With that in mind, we just met via Tele-med and he did the ole' "I told you so" however he said after only 6 sessions, he believes TURP will work very well top allow me to go back to radiation.
I trust him and like him and would have had the treatment under his care in upstate Poughkeepsie but my wife lives in Manhattan (well me too most of the week) and I wanted to be near her 5 days a week. To add New York Columbia Presypeterian hospital has a good reputation.
I have lost weight and am working out and was prepared to have the RP but my first choice was and is radiation.
Speaking to the person I trust most thus far has in effect changed my mind from RP to TURP followed by radiation.
My urologist mentioned a couple of other items. I am to wait 3 months after the TURP and to ask the surgeon to not be aggressive with the TURP and something about using a green light laser. (I'll ask Dr Decastro the surgeon who will do the TURP about that)
I am blessed to have this forum and know that most here seemed to think the RP was the better choice, even my wife wants to "just get it out" however, I have to live with my choices and I just have too much fear of major surgery.
Afib, sleep apnea, overweight, diabetes, chronic pain, failed back surgery syndrome and emotional issues such as claustrophobia weight into this decision.
I speak next Wednesday to Dr Deutsch the radiological oncologist and will review my choice then or before then I'll schedule with Dr Decastro for the TURP Had my first Covid Moderna shot Monday the first of March and get the second March 30th so the TURP has to wait until maybe second week of April.
Thanks for reading.
Glen (AKA The Swan and Billypilgram)