New poster - BHP

Hi Hop1 

Welcome to our community, I hope you find it both informative and supportive.

When I was diagnosed with BHP my urologist presrcribed tamulosin and I have been on that for a while. Recently after a couple of bursts of epidimitis my GP suggested that if I wanted I could move over to finestride but so far I have not taken that.  I am not aware that tamulosin would affect the size of the prostrate itself.

Hopefully the tests you are going through will pick up any reason for the higher PSA, fingers crossed it is nothing serious. Perhaps it might be a good idea when you get the results to talk about next steps including is a HoLEP might be approrpiate.

<<hugs>>

Steve

What’s BHP?

Sorry, but i guess it’s not Brake Horse Power

Hi Mr U 

It is "benign prostatic hyperplasia" - or more simply an enlarged prostrate.

cheers

Steve

Ah! Not BHP then.

BPH (benign prostatic hyperplasia) thanks but 

Yes, a typo on my part, apologies

Hi, thanks for sharing your experience, yes following the MRI i’m due to meet a uroligist to discuss results. I believe the discussion to be whether or not to have a biopsy.

my plan is that in the absence of a lesion which i guess is when a biopsy would be suggested, then to discuss a HoLEP, it isn’t offered by our trust so it would require a referral outside of the area. I believe our Trust use the TURP method which research suggests is not as effetive as Holep and recovery is longer.

thanks again

Hello Hop1 

Welcome to the group - although I am so sorry to find you here.

I didn't have BPH - however I did have a large prostate - indeed it grew into my urethra, caused my bladder to swell with retained urine - which then attempted to kill me off by crushing my kidneys stopping them from working.

So after being fitted with an indwelling catheter to get me passing urine again, once my kidney function returned to something like near normal - I hade a TURP to open up the urethra. This was 2021/2022 (click on my name or avatar for the full story).

Since the TURP in November 2022 I have had no issues but was warned i may need further treatment in say 10 years.  All is good so far.

I hope this story helps - if you need to know anything else just ask,

Best wishes - Brian.

Thanks for sharing.

i was diagnosed with BPH in 2007 after struggling to pass urine. Unbeknow to me this had resulted in my bladder stretching to the point i was 1.5 Litres. I was put on intermittent self cathertisation immediately, The downside to that was i have not been able to empty my bladder or urinate without a catheter since. I was utinating prior but with difficulty.

In the 18yrs since diagnosis, i have had 3 meetings with a consultant to discuss condition, 2 cystoscopies, 1 procedure to remove bladder stones, following a period where i was having blood in my urine an mri and ct scan no issues found other than enlarged prostate which by now was 104cc.

To be honest, other than the nuisance of self cathetising 4 times a day and the occadional UTI there’s been no major issues.

i’m not one for procedures unless absolutely necessary, my interest in the prostate reduction is driven by my prostate protruding uncomfortably into my rectum. I am hoping a resection would relieve this.

The consultant also suggested i could vonsider an electrical implant to correct the signalling issues that prevent me from emptying my bladder.

So interesting time

thanks again

Hello Hop1. 

Well not being medically qualified I don't know what the answer to your long term issue is - I know the TURP worked for me and I now keep an eye on my eGFR too!

I can remember about 12 months ago we had a Community member who had the electrical implant to enable him to empty his bladder at will - I can't find the thread - but I recall it wasn't a complicated operation and it was working well.

Good luck moving forward and do let us know how you get on.

Best wishes - Brian.

Thats good news, i’ll progress that when i meet the consultant next

best regards