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I Have BPH For 5 Years. I Take Avodart And

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Posted on Tue, 30 Mar 2021
Question: I have BPH for 5 years. I take Avodart and Alfuzosin and it is manageable but disturbs my sleep. When I look at surgical options, they mostly go through Urethra with potential risk of ED and reverse ejaculation. One option I find is going through the rectal area and cutting the size of the prostate.
1) What are your thoughts on this procedure.
2) For 2 to 3 weeks after surgery, I will need catherization. Does this go through the Urethra or otherwise. Please explain in detail.
Thank you.
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Follow up: Dr. Anders Mark Christensen (0 minute later)
I have BPH for 5 years. I take Avodart and Alfuzosin and it is manageable but disturbs my sleep. When I look at surgical options, they mostly go through Urethra with potential risk of ED and reverse ejaculation. One option I find is going through the rectal area and cutting the size of the prostate.
1) What are your thoughts on this procedure.
2) For 2 to 3 weeks after surgery, I will need catherization. Does this go through the Urethra or otherwise. Please explain in detail.
Thank you.
doctor
Answered by Dr. Anders Mark Christensen (8 hours later)
Brief Answer:
Cut the prostate

Detailed Answer:
Hi Ramamarda,

I would suggest cutting the prostate (transurethral resection) as opposed to a transrectal one, as this decreases the risk of severe sepsis. The catheter in question goes through your urethra and into your bladder.

Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
doctor
Answered by Dr. Anders Mark Christensen (0 minute later)
Brief Answer:
Cut the prostate

Detailed Answer:
Hi Ramamarda,

I would suggest cutting the prostate (transurethral resection) as opposed to a transrectal one, as this decreases the risk of severe sepsis. The catheter in question goes through your urethra and into your bladder.

Hope this helps. Please let me know if you have further questions.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Anders Mark Christensen (15 hours later)
Thanks for your reply.
Doesnt transurethral resection carry a significant risk of ED and reverse ejaculation ?
Why is severe sepsis risk more for transrectal.
Are there other procedures where they do not go through Urethra for reducing the size of prostate.
You mentioned that the catheter goes through urethra in case of transrectal surgery. Can it damage the urethra and cause ED.
Thank you.
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Follow up: Dr. Anders Mark Christensen (0 minute later)
Thanks for your reply.
Doesnt transurethral resection carry a significant risk of ED and reverse ejaculation ?
Why is severe sepsis risk more for transrectal.
Are there other procedures where they do not go through Urethra for reducing the size of prostate.
You mentioned that the catheter goes through urethra in case of transrectal surgery. Can it damage the urethra and cause ED.
Thank you.
doctor
Answered by Dr. Anders Mark Christensen (11 hours later)
Brief Answer:
There are risks

Detailed Answer:
Hi again,

There certainly is a risk of ED and reverse ejaculation. With a transrectal approach, you go through an area with bacteria (the rectum) and you risk spilling the bacteria over in your blood stream and this can cause sepsis. Placing a catheter is not dangerous and will not cause ED. There are no real alternatives, besides medicine such as Tamsulozine. Are you familiar with such drugs?

Best wishes.
Above answer was peer-reviewed by : Dr. Dr. Prasad
doctor
doctor
Answered by Dr. Anders Mark Christensen (0 minute later)
Brief Answer:
There are risks

Detailed Answer:
Hi again,

There certainly is a risk of ED and reverse ejaculation. With a transrectal approach, you go through an area with bacteria (the rectum) and you risk spilling the bacteria over in your blood stream and this can cause sepsis. Placing a catheter is not dangerous and will not cause ED. There are no real alternatives, besides medicine such as Tamsulozine. Are you familiar with such drugs?

Best wishes.
Above answer was peer-reviewed by : Dr. Dr. Prasad
doctor
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Follow up: Dr. Anders Mark Christensen (24 minutes later)
Thanks again.
I am already taking Avodart 3 times a week and Alfuzosin daily. It is working ok except I get up after 5 hours of sleep for urination. Is there a way to increase this 5 hours.
Is there any injection into prostate that can shrink it. Any other method without going through Urethra.
Thanks.
default
Follow up: Dr. Anders Mark Christensen (0 minute later)
Thanks again.
I am already taking Avodart 3 times a week and Alfuzosin daily. It is working ok except I get up after 5 hours of sleep for urination. Is there a way to increase this 5 hours.
Is there any injection into prostate that can shrink it. Any other method without going through Urethra.
Thanks.
doctor
Answered by Dr. Anders Mark Christensen (2 days later)
Brief Answer:
Then there is surgery

Detailed Answer:
Hi again,

If going through the urethra is out of the question, traditional prostatectomy using either open or robot-assisted surgery is an option. However, this is naturally more invasive and requires hospital admission and carries risks of postoperative complications.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Anders Mark Christensen (0 minute later)
Brief Answer:
Then there is surgery

Detailed Answer:
Hi again,

If going through the urethra is out of the question, traditional prostatectomy using either open or robot-assisted surgery is an option. However, this is naturally more invasive and requires hospital admission and carries risks of postoperative complications.
Note: Consult a Urologist online for consultation about prostate and bladder problems, sexual dysfunction, kidney stones, prostate enlargement, urinary incontinence, impotence and erectile dysfunction - Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
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Dr. Anders Mark Christensen

General Surgeon

Practicing since :2016

Answered : 1561 Questions

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I Have BPH For 5 Years. I Take Avodart And

I have BPH for 5 years. I take Avodart and Alfuzosin and it is manageable but disturbs my sleep. When I look at surgical options, they mostly go through Urethra with potential risk of ED and reverse ejaculation. One option I find is going through the rectal area and cutting the size of the prostate. 1) What are your thoughts on this procedure. 2) For 2 to 3 weeks after surgery, I will need catherization. Does this go through the Urethra or otherwise. Please explain in detail. Thank you.