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Prostate Cancer


Martian
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On 15/03/2023 at 09:16, Andy J said:

Well I may have to retract the above message as pomegranate juice does seem to work. Since my RT treatment in 2020 my PSA has steadily increased such that back in August 22 it was 0.82. Now it is 0.57 so I assume a year of drinking the juice does seem to have done something so will be interested to see what the PSA reading is after another 6 months.

Well another 6 months on Pomegranate juice (1l per week)  has lowered my PSA to 0.44. So do recommend it to others.  it is not a cure to improving the nightly toilet trips though.

 

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I see Nick Owen is returning to his news desk although only 1 day a week he is extremely fortunate after extreme Chemo and surgery he appears to be recovering well. A for me my psa levels continue to rise but only very slowly but the difficulty in passing urine is getting very difficult I guess I should be having that conversation soon instead of putting it off . I hope all you other guys are coping well and keep spreading the words GET CHECKED !

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Has anyone any experience of Holmium Laser Enucleation of the Prostate (HoLEP) ?

 

I am to be offered entry onto a waiting list for this procedure in the next month or so & would like to know as much about the pros & cons of the options available if I agree to go ahead with the operation. 

Also would like to know how much long term real life benefit & detriment (if any) experienced after the procedure.

 

Thanks in advance for any info.

 

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Prior to having a Prostatectomy some 5 years ago I was given detailed pros and cons by a Consultant Surgeon and Consultant Radiologist both specialising in treatment of Prostate cancer. The deciding factors for me choosing surgery over radiotherapy were the lengthy process of radiology plus hormone treatment and the consequent exclusion of surgery should further treatment be necessary. I'm not familiar with HoLEP treatment, but would suggest that you ascertain whether it might have an impact on any further treatment should it be required.

Wishing you well whatever you choose.

Ian

Edited by BackinBlack
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Thanks for the reply BiB. I should have mentioned HoLEP isn't a cancer treatment it's basically a "rebore" of the urethra (pee pipe) using laser to clear obstructions .

 

About 5 weeks ago Mr Dribbles elevated his prolonged industrial lethargy from go slow to all out strike, necessitating in a trip to A &E where I was fitted up with a semi permanent catheter with accessories. This has since been changed to a more discreet but in some respects less convenient DIY, disposable one shot catheters plus the return to nightly sleep walking comfort breaks routine.

Before I commit to a HoLEP operation I would like to hear the pros & cons from anyone else's experience of the procedure or alternative procedures.  

 

  

Edited by PatMc
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Hi Pat,

I can't speak about HoLEP as this wasn't offered to me. However I did have a TURP "rebore" 5 years ago. (In my case because I had serious aggressive prostate cancer causing the peeing problem) It has worked well, for me resulting in back to normal peeing . No leaking, no infection problems.

However, reading up on HoLEP it looks even better than a TURP with less risk of negative side effects. Good luck in making your choice. I'm certainly very glad I had my op which so improved my quality of life.

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I haven't had an opportunity to speak to my neighbour but I'm pretty sure he had a Holep procedure (his prostate was extremely large and causing quite a few problems) the procedure involved going in through the wall of the rectum into the prostate sac breaking all the prostate and flushing it to the bladder then after flushing the bladder his PSA reading were in the high twenties ,the sac is left intact .afterwards he had some discomfort which improve quickly within two months, during the recovery he had to wear pads. His whole life has changed from be afraid to go anywhere to hardly being at home to quote him it made a major change to his life, his PSA reading are less than 1 now. he had this done early this year the waiting list was horrendous so he opted to go private being in the enviable position to be able to afford the 8 grand it was that or a new kitchen. The rebore procedure that has been spoken about is called TURPS and as I understand is quite painful for sometime after not always completely successful  and often patient is left with urine drip . It really is a localised lottery as to what is available on the NHS. Hope this helps 

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On 30/10/2023 at 13:30, PatMc said:

Has anyone any experience of Holmium Laser Enucleation of the Prostate (HoLEP) ?

 

I am to be offered entry onto a waiting list for this procedure in the next month or so & would like to know as much about the pros & cons of the options available if I agree to go ahead with the operation. 

Also would like to know how much long term real life benefit & detriment (if any) experienced after the procedure.

 

Thanks in advance for any info.

 

so in answer to your question take the opportunity with both hands you are fortunate to be offered the chance. 

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Thanks Ian, David & Martian for the info & good wishes. 

 

Martian, the HoLEP op involves passing a telescope (Not James Webb proportions I hope !!) through the urethra & using laser fibre to do the "re-bore" then chop up & remove some more bits of the prostate. So it's front door entry not back door like your neighbour.  

 

In the mean time I've received a 4 month action plan starting tomorrow with a review by telephone then some more tests etc finaly to be offered to be added to the waiting list for HoLEP. If the opportunity arises I'll ask to be put on the list before the 4 months is up. 

 

Any further info will be gratefully received,

Pat.

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Have you considered Urolift? where the prostate is pinned back to keep the urethra open?

I'm going for assessment in about 2 months time but don't know anybody who has had it. It seems to be less brutal than other solutions and doesn't interfere with bedtime activities if you see what I mean. Its available on NHS but not all hospitals do it.

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16 hours ago, PatMc said:

Thanks Ian, David & Martian for the info & good wishes. 

 

Martian, the HoLEP op involves passing a telescope (Not James Webb proportions I hope !!) through the urethra & using laser fibre to do the "re-bore" then chop up & remove some more bits of the prostate. So it's front door entry not back door like your neighbour.  

 

In the mean time I've received a 4 month action plan starting tomorrow with a review by telephone then some more tests etc finaly to be offered to be added to the waiting list for HoLEP. If the opportunity arises I'll ask to be put on the list before the 4 months is up. 

 

Any further info will be gratefully received,

Pat.

good luck Pat hope it all goes well

 

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19 hours ago, i12fly said:

Have you considered Urolift? where the prostate is pinned back to keep the urethra open?

I'm going for assessment in about 2 months time but don't know anybody who has had it. It seems to be less brutal than other solutions and doesn't interfere with bedtime activities if you see what I mean. Its available on NHS but not all hospitals do it.

So far only HoLEP has been mentioned by the urologist but as far as I can see it's no more invasive than Urolift.

My bedtime activities are limited to walking to the loo several times each night poking Mr Dribles in the eye with a plastic tube waiting 'till the tears stop then making the return journey back to bed. 😒

 

Good luck with whichever procedure you choose 👍  

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