TURP vs HOLEP

Hello Chris (Odd Man In ) 

As you know I have had a TURP at North Manchester General. It was pain free, I was in overnight and out the next morning. The catheter came out the following morning and I was good to go the day after. Yes a bit of blood loss but nothing excessive. Happy to answer any questions if you have any.

As to HoLEP here's some information for you:

Enucleation-of-the-prostate-HoLEP.

Here's some information regarding the TURP:

NHS - The TURP Operation..

The costs for each are HoLEP between £6.5 and £10K and the TURP between £7.5 and £9K

I hope the above helps.

Kind regards - Brian.

Thank you Brian. My leaning towards HOLEP is based largely on my prostate size and the fact that I take aspirin for anti-clotting (I think). I realise HOLEP is not widely available, so waiting time could be a factor.

I'm glad to get your first-hand experience of the TURP. It's very much 'on the table' for me currently.

Regards,

Chris

Hello Chris (Odd Man In ) 

If it helps to know - I had my pre-op for the TURP a couple of weeks before the operation but was called in the day before the TURP for a "blood match".

When I asked why, they did say they like to have some handy "just in case".

Now I am a wimp when it comes to hospitals and pain but I had no issues with the TURP. 

Kind regards - Brian.

Apologies for being a bit late on parade.

I failed a TWOC and was told the waiting list for an operation was 12 months on NHS. When I said I would consider going private the urology nurse gave me literature for HoLEP and Aquablation. She also gave me a copy of the attached literature, that helps chose which is best based on your personal priorities

www.england.nhs.uk/.../Decision-support-tool-making-a-decision-about-enlarged-prostate-easy-read-version.pdf

There was an article on the BBC very recently regarding Aquablation being available at some NHS hospitals, in this particular case, Cheltenham General Hospital, which has become the South Wests centre of excellence which may be of interest:

www.bbc.co.uk/.../cpvwezlpy8lo

Hi, Agent99 I have private healthcare and I finally decided to use it to get a second opinion on the TURP vs HOLEP dilemma. The consultant had looked at a CT scan done in mid-June this year. I trust him to have reliably estimated my prostate volume now to be 65 ml, down from 115 ml before my cancer treatment started. Crucially it's also less than the 80 ml, which is notionally the point at which HOLEP would be recommended. And I have to tell you this; the consultant believes he has a better chance of preserving my pelvic floor with a TURP because it removes less tissue.

Food for thought...

Chris

As I mentioned above, it's horses for courses. I had a catheter fitted for 4 months and my main priority was becoming catheter free. In this respect HOLEP is better than TURP, and it's suitable for any size of prostate. My consultant was aware that I have had RT and he said they could be sparing near the pelvic floor.