Prostate :: Urolift Procedure Didn't Work


Sep 1, 2015

I am healthy non smoking 65 year old, very active physically and overall healthy. I had the urolift procedure done May 23 2015 at which time the surgeon installed 5 clips. Prior to surgery I was on 8 mg of flomax which made it possible for me to urinate.I did wear a catheter bag for awhile then. After surgery I was on 4mg of flomax for approx. 1 month. I was able to urinate adequately for about 8 weeks. Never but once what you would consider a flow. At about the 9th week I started slowing down again until it got to the point (about 11 weeks) where it took me 8 minutes to start peeing and then it took two more times in the next half hour to finally eliminate somewhat completely. Now in the 14th week  of post op I'm on 8mg of flomax right back where I was before surgery.I am now considering what options are available to me now.

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Urology :: Frequent Urination - Urolift Procedure?

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Prostate :: My Results After A PAE Procedure

I had a Prostatic Arterial Embolization (PAE) procedure done at the University of Miami on June 2, 2015 by Dr. Shivank Bhatia. Prior to the procedure I had completely lost my urinary function and was wearing an in dwelling Foley Catheter. I had been told by a prominent Urologist at UM that I would never urinate on my own again, I needed to learn how to self catheterize and that if I chose to have the PAE procedure I should expect it would not be successful. My prostate was over 100 grams, I was not a candidate for the TURP and I should go home and have a nice weekend.

My attitude was I had nothing to lose. If the PAE did not work I was no worse off than if I did not try. Dr. Bhatia was an expert in this procedure so I took a shot. My results have been nothing short of miraculous. The procedure was done on 6/2/15. I never had one ounce of pain, either during or after the PAE. I continued to wear the Foley, but it was horrible. I went for my first follow-up 10 days after the PAE. I still could not pee on my own. Dr. Bhatia wanted me to continue wearing the Foley for another week, but I just could not. He was understanding of my discomfort and I was shown how to self catheterize and went home without the Foley, thank God!

I used the catheters approx. every 6 hours or 4 times per day. Each time I used them, I would try to urinate on my own. On June 25th at around midnight I attempted to pee on my own and 6 drops came out. It was a revelation. I then used the catheter and went to bed, arising at 6 am. This time when I went to use the catheter 12 drops came out. Each time I went to use the catheter things would improve. From a weak stream to ultimately a regular pee. I reduced using the catheter from 4 times per day to 3, then 2, then I was comfortable knowing I did not need them at all. On July 1, 2015 I stopped using catheters. I never have looked back. 

Three months post procedure I had an MRI. My prostate had shrunk from 0ver 100 grams to 72 grams. My PSA had gone from 8.7 to 2.5. I no longer had any symptoms that would indicate prostate or urinary issues. I sleep through the night. I pee when I have to go, but can go 6-8 hours in between bathroom breaks. I have no discomfort, no pain, my sex life is outstanding and I am 66 years old! Dr. Bhatia has given me my life back.

My suggestion to anyone who is having symptoms: Explore ALL OF YOUR OPTIONS!! I am certain the PAE will become Standard of Care in the future. Try and understand what the potential side effects are of the "traditional" surgical procedures. They may be acceptable for some, but they were not acceptable for me. I take no drugs or medications. The PAE had no side effects. There was no possibility of becoming incontinent or impotent or having an orgasm without an external  ejaculation. Find a facility that is doing clinical trials with the PAE and a Dr. who is experienced. Peeing through a straw for the rest of my life was a real possibility. Now I function like I was 40 years old, not 66 years old. I highly recommend Dr. Shivank Bhatia of the University of Miami. He learned this procedure from the man who invented it and he trained with him in South America to perfect it. You have very little, if anything to lose, and you have getting the rest of your life back to normal to gain. Happy to answer any questions or inquiries. Good Luck to all.

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alas 2 weeks later i was in severe pain and discomfort and phoned the consultants office that i was in bad pain and was told the consultant was on holidays and would not be back for a further week!

at this stage i was told by my doctor to attend hospital a+e for emergency

treatment ,this i did and was told to present myself at the hospital fasting from night before to see a new consultant---Phew it gets worse!

arrived at the hospital new consultant in fairness said he would put me under a full GA and see what is going on there

the following morning he told me yes indeed the piles were back there was one internal and one external and that i was better off going for the laser treatment called THD, which i booked in for the following week this was at this stage mid may had the procedure and for 2 weeks felt great
however on the third week i was in severe pain in the anal area and knew something was wrong (bearing in mind i was told the THD procedure has a 90%success rate..presented myself back to the consultant in hospital had to go under a full ga again he told me afterwards that the procedure had not worked for me for fu..s sake i was one of the 10% that it did not work for so i was booked in for the following week to have the piles which i was now told one of them was thrombosed removed by surgery so have had this done in mid june and have been in terrible pain since, especially after bm to the point where all i could do is sit/lie in the house all day taking pain killers stool softeners and baths every day. every time i phoned the consultant i was told it takes time to heal so after 7 weeks of severe pain id had enough, i went to my doctor got a letter of him to see the consultant urgently as i was in severe pain meet with the consultant am now booked in again for early next week this is what he said the wound is healing however it is a time thing, he will have a further look at me to see if there is something else causing this awful pain he said there is no fissure but wants to give me a botox injection in the anal area to help with the healing, can anyone please advise with this as i do not want to get any worse pain than i am in presently sorry for the long rant but this is actually what happened to me it has changed my life whereby in the last 6 months being in terrible pain and discomfort and am now wary about this botox injection

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I tried Olive Oil but it wasn't that great. The Doctor prescribed Sylk vaginal moisturizer and that can either be Okay or not. 

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Then 2 days after same problem but they kept on bleeding, had to go back to the Hospital and same thing.

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