Urolift procedure for enlarged prostate

Lillian, AL, Us

beachbabe9454, I had the Resume procedure as well about three months ago. I had been on Flomax for years and it took away the cum as it goes back in the body. I am now able to cum a little bit after many years of not being able to. I am sure that different people have different reactions to each and every one of these procedures and medications.

mayhem8Veteran
Auburn, NH, Us

The urolift still allows me to cum, but it is a diminished amount, which I think was the case even before the procedure. I attribute that to the generic Flomax, but I'm no longer taking Flomax.

I do notice that getting up to pee at night tends to have the weak stream issue, where during the day is not. Just being upright for 5 - 10 mins makes a noticable difference.

I had the REZUME procedure a couple of years ago. One of the side effects is no more cum on orgasm. Doc said he told me, my wife was with me and he never said a word. No correction available. If you like cum play don't REZUME.

Pactola Lake, SD, Us

6 years out on water vapor therapy (Rezum and similar) - no long term issues, quick procedure with no scaring or other issues. I'd recommend it and would do it again without hesitation.

I studied the procedures and outcomes for UroLift and Rezum and opted for the Rezum procedure. Less than 10 minutes in the Dr.'s office (on Nitrous), had to have a catheter for 4 days... but after 2 months of healing I was able to pee again like I was a 17 year old boy - full stream with no effort at all. The procedure gives results after the 1 to 2 month healing time as your body needs time to reabsord the tissue killed in the procedure. Once I hit 3 months I was completely off Flomax - now take no drugs for prostate at all. Been over 2 years and I couldn't be happier.

If anyone has questions just ask away.

Mr. Wiggles123

Riverside, CA, Us

I had the procedure and I recommend being "put under" rather than local or nitrous. The procedure was rough, painful, but I didn't need a catheter upon leaving the doctor's office. I peed in all directions, had some blood for several days, some burning. It worked well for about two months, then I had trouble emptying my bladder, had penis scoped again, it seems the three staples were in place, but there was a small extension on one side which caused the "dribble" after peeing. I'm back taking Terazosin, and Finesteride. One to relax the prostate and one to shrink the prostate. Side effects, little to no ejaculate. It now takes much longer to get hard. Consulted with two other Urologist and both said I should have avoided the procedure. The Urologist who did the procedure said he could do it again and put in two additional staples. I declined.

Charles Town, WV, Us

Thank you Mayhem, yes, it will be a long recovery, very long. No lifting for 6 weeks and nothing of any significance for 4 months (20lbs), then increases can be made over time. They removed a lot of tissue.

The cath should be able to be removed in 4 days pending passing a sonography and voiding test.

~Allen

mayhem8Veteran
Auburn, NH, Us

While women go through much more in their lives (like gyno visits/pap smears, mammograms, etc), it seems the prostate is natures way of trying to balance things out so men get to share in all of that "fun" as they get older ;-) Good luck Allen. It sucks, but one way or another, you'll get through this.

If it's any consolation, we have a LS friend that had most (all?) of their prostate removed, and I've seen him pound the Mrs for about an hour straight and both enjoyed themselves, so full recovery is definitely possible. He did say it took like 6-7 months though, so give it time.

Charles Town, WV, Us

Prep in 27 minutes.

~Allen

Charles Town, WV, Us

Thanks Mayhem, yeah, it sucks, I just have to make sure (34) 12ft sheets of drywall get hung this weekend because I am uncertain of my lifting restrictions after; I imagine no lifting of anything significance for several months.

~Allen

mayhem8Veteran
Auburn, NH, Us

Ugh. That sucks Allen. Sorry to hear that. Hoping that everything works out for you.

Charles Town, WV, Us

FYI: Had my annual check up. I’m kinda down about the results. I did my pre-op, ekg and today was the phone call to seal the deal with anesthesia. They’re putting me under in 8 days, will be bed ridden for about a week and have a catheter. No qualifying for a Urolift, but a partial prostate removal due to growth.

~Allen

mayhem8Veteran
Auburn, NH, Us

FWIW - I have tried other options. Saw Palmetto as an example is something that has worked well for a while, but it got to a point where I needed the Tamsulosin. Tamsulosin has side effects and I was to a point where it was either do something like this, or double the dosage of a prescription drug that I'd rather not be on, or switch to another that could have other side effects.

One key to a good outcome is to find a doc that has a lot of experience with a given procedure. Mine has been doing these for over 3 years now. The procedure itself sucks as does any procedure where someone is shoving something up your dick or ass, but it will be worth it to me if it works and I get off the Tamsulosin.

Also GoodClean, you are over 15 years younger than me. I would probably not consider this option at your age either, but then again, this wasn't an issue when I was your age.

Newport Beach, CA, Us

Personally I would exhaust all of the other options first before committing to any surgical procedure. It doesn't matter how simple a procedure is because anything can go wrong, and worst if your body generates scar tissue then you're going to be worse off than before. I've had a cystoscopy before, and the idea of it is much worse than when it's actually done. The thing to consider with these types of procedures is the doctor can easily botch it to the point of damaging one of the nerves to where it may cause a level of impotence.

Try some of the herbal supplements from places like theralogix for the prostate or even try low dose cialis as that may work too, but ONLY do the procedure as an absolute last resort.

mayhem8Veteran
Auburn, NH, Us

Just a random thought, but the prostate for men may be natures way of getting even for all of the crap that women have to go through due to their specific female body parts ;-)

mayhem8Veteran
Auburn, NH, Us

So, last night was the first time I took the little guy for a test drive since the procedure on Tue. I didn't push things but all went well. I was told to wear a condom because there may be blood, but there was not. The healing process normally takes about 2 weeks, but by 3 days later things were mostly back to normal. I was told it could take a month or more to see the full benefit, but I suspect it may be sooner in my case.

I am still on the Tamsulosin and was told it was OK to double it for the first week after the procedure, which I'm doing. I did produce slightly more cum than normal (for me anyway), but that was after not having sex for about a week.

The effect of the Tamsulosin on my ejaculate took a while, so no reason to think it will abruptly change when I stop taking it. It will be interesting to see if it does change though, and by how much.

FWIW - I have still had orgasms even with little to no elaculate. A side effect of this is that my downtime is about 5 secs rather than 5 mins or so. If it's feeling good for both of us, I normally just keep going most times. This side effect tended to make me popular at parties ;-) I should be 100% before we get back to parties, which was another reason for wanting to do this sooner rather than later.

mayhem8Veteran
Auburn, NH, Us

I decided to go ahead with the procedure. One thing I will NEVER do again is opt to do something like this with nitrous (laughing gas). Even at the max allowable level of 50%, I'd have been way more relaxed after 4-5 gin and tonics than the nitrous. I couldn't even imagine doing dental surgery with that, which is a fairly common use for it. I did tell my doc that I have a bad combination. I have a low threshold of pain and a high threshold of drugs ;-)

I was able to pee immediately after the procedure, so no catheter needed, thank God. This is day 2 of healing. It was expected that it would burn to pee for a while, but that hasn't been too bad. There is a med for that and I took my first one just after the procedure was done, and I have a 3 day supply.

The worst part is that I have a constant feeling that I have to pee and poop, and most times I can't do neither. They do a 3 day course of antibotics starting with the day before the procedure. Not sure if that has me constipated but this is day 2 without pooping.

I was told to continue with the Tamsulosin until my follow-up in mid-Feb. Like other procedures, it takes time to heal and things are worse before they get better. Time will tell.

Timing wise, we are visiting my daughter for a week in early Feb and she is the one with the immunocomprimised kid, so we knew we needed to quarentine for that and there wasn't going to be any playing at all. This puts most of my healing time in that 3 week window, which is why I decided to pull the trigger on this sooner rather than later.

I had the cool thermal therapy procedure (Google it ) about 9 years ago. Although it was most painful expierence I ever had in my lifetime, it worked shaving about 10-12 years of prostrate growth.. I have been taking calls 5 mil everyday as well since then and feel great, the only side effect I have is the 4 am boner I get most mornings lol

mayhem8Veteran
Auburn, NH, Us

One thing I have noticed is that the day following a night of drinking, peeing is noticeably worse. I have literally gone outside to pee because it will come out in two different directions.

If I have this procedure done, I will still continue with the Saw Palmetto either way. When I first went on Tamsulosin I went off the Saw Palmetto, but noticed that the Saw Palmetto was helping, so I continued with that as well. I take 450 mg 3 times a day (when I remember). Saw Palmetto is recomeded for overall prostate health and has, as far as I can tell, no side affects for me personally.

mayhem8Veteran
Auburn, NH, Us

I would prefer the Mrs be there as well, but with Covid, she can't even be in the office, much less the procedure room.

As for the humiliation, that's on me specifically. Most people have no issues being exposed in a medical setting, but then, most people never experienced some of the medical BS I went through over the course of my life. It literally leaves psychological scars in much the same way a woman getting raped does. People tend to be a product of their life experiences.

FWIW - With the Rezum procedure you're guaranteed to have to be catheterized for a while, so after they're done shoving something up your dick for the procedure, they have to shove a catheter up there immediately afterwards, then walk you through "catheter lessons" with a nurse before you leave. That would be my own personal little nightmare right there. Hell, I cringed when I read the Sounding thread, and at least that was a sexual context.

Most people do not require a catheter after the Urolift procedure. The downside of the Urolift is that it basically works like a toggle bolt with a small metal plate on the inside. If the prostate continues to grow to the point where you need another procedure, it could complicate that. If that were to happen, I would be under a general anesthesia. Once I'm out, I don't care who's in the room or what they do to me,

mayhem8Veteran
Auburn, NH, Us

"Some of my best sexual experiences have been in doctor offices and hospitals."

My first thought was, "You're not going to the right parties then." ;-) I have played with nurses before, and if one of those nurses was assisting with this sort of procedure, I'd be more than OK with it.

I know this is totally opposite of the way many (most?) think. I've heard many people say they are OK being exposed in a medical setting and would be uncomfortable in a LS setting.

mayhem8Veteran
Auburn, NH, Us

I swear, if another nurse says something like that to me ever again I'm going to say, "So I've also seen a lot of vaginas. I don't suppose that would make YOU any more comfortable showing me yours now, would it? If the answer is No, perhaps you should rethink ever saying something so stupid to a patient in the future."

Spring, TX, Us

Mayhem - Getting naked in a doctor's office isn't my favorite thing either. I went in for my colonoscopy and when they wheeled me in the procedure room, there was my female neighbor who was on the team to do the procedure. I don't remember exactly what I said when I saw her, but I remember she said, "don't worry, I've seen all the butts in the neighborhood." Great.

mayhem8Veteran
Auburn, NH, Us

I am currently on Tamsulosin. I have noticed that I have little to no ejaculate when I cum. Apparently that is a side effect of this med. It is the only prescription drug that I'm on and would just assume get off of it. While checking out Urolift reviews, I've heard some refer to Tamsulosin as "pharmaceutical castration". Not sure how accurate this really is, but again, I'd rather be off of it.

For me, one of the hardest parts of either procedure is the thought that I'll be laying on a table while someone shoves something up my dick. Thinking this has to universally be most (if not all) guy's worst nightmare of a procedure. I know it is for me.

So aside from the laying on the table part, having a woman in the room to witness all this adds the elements of humiliation and embarrassment to the mix for me personally. If I do this, I can pretty much guarantee the overall experience will make this one of the top 5 worst days of my life, but that's pretty much just me.

While I have zero care about being naked in a LS context, I have issues with doing so in a medical one. This is due to things that happened in my past that shouldn't have. Many of these happened when I was too young to know better or be able to really do anything about it.

They have also happened to me as an adult, and I have written to the hospitals they happened at and it was literally the beginning of the end for them. One resulted in a whole group being disallowed to practice out of one of the hospitals in my netwok. It's one of the reasons I know that common sense isn't as common as it's name implies. In cases like this, the pen really can be mightier than the sword. It doesn't hurt that we have 2 major hospitals competeing for the same customer (patient) base.

Spring, TX, Us

A_A - Great that you're in the support group and that a good number of the contributors are other than those who profit from doing procedures or selling devices. Feedback from patients in these kinds of groups/blogs can be better than what people like me can glean from studies or from talking to key opinion leaders.

Regarding asking a doc a slew of questions - I agree to an extent - don't bombard them with uneducated questions. Since I'm in the business, I usually answer most of my questions from reading studies, analysis of the device and procedure protocol, and interviews with docs/patients. I make sure and read independent studies as well as any sponsored by the product's maker. There is quite a bit of info on EuroLift already. But sometimes I still have unanswered questions. Any doc that doesn't want to spend time to answer good questions or doesn't know the correct answers should be avoided.