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Enlarged Prostate, Prostatitis, BPH and Prostatectomy

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User
Posted 28 Jul 2023 at 11:17

Enlarged Prostate, Prostatitis, BPH and Prostatectomy


Before I had robotic prostatectomy 12 years ago I had, off and on, a long history of urinary problems – frequency, hesitancy, burning and urgency. After several investigations over a period of several years I was told that I was suffering from prostatitis. It seemed to me at the time that because the urologists could not help me I was fobbed off with the diagnosis of prostatitis!  I continued to have yearly PSA tests and was diagnosed with prostate cancer in 2011. I was lucky that the cancer was well contained with good margins. One of the reasons I chose prostatectomy was that because I thought that I would kill two birds with one stone – remove the prostate gland which will ‘cure’ me of other problems as well. My urologist said that he could not comment on that but to my great relief all my prostatitis symptoms disappeared! Would I have experienced this had I chosen radiation treatment? I don’t know!


I am flagging this up because many older men have enlarged prostate/prostatitis/BPH and if they are diagnosed with cancer, they may wish to add this aspect into the mix when deciding on treatment options if prostatectomy is offered to them.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate


 


 

User
Posted 28 Jul 2023 at 11:17

Enlarged Prostate, Prostatitis, BPH and Prostatectomy


Before I had robotic prostatectomy 12 years ago I had, off and on, a long history of urinary problems – frequency, hesitancy, burning and urgency. After several investigations over a period of several years I was told that I was suffering from prostatitis. It seemed to me at the time that because the urologists could not help me I was fobbed off with the diagnosis of prostatitis!  I continued to have yearly PSA tests and was diagnosed with prostate cancer in 2011. I was lucky that the cancer was well contained with good margins. One of the reasons I chose prostatectomy was that because I thought that I would kill two birds with one stone – remove the prostate gland which will ‘cure’ me of other problems as well. My urologist said that he could not comment on that but to my great relief all my prostatitis symptoms disappeared! Would I have experienced this had I chosen radiation treatment? I don’t know!


I am flagging this up because many older men have enlarged prostate/prostatitis/BPH and if they are diagnosed with cancer, they may wish to add this aspect into the mix when deciding on treatment options if prostatectomy is offered to them.

 'Physics is like sex: sure, it may give some practical results, but that’s not why we do it.'                    Richard Feynman (1918-1988) Nobel Prize laureate


 


 

User
Posted 28 Jul 2023 at 11:52
I too had urinary issues for several years before my RARP - slow flow, never quite finishing etc. Never diagnosed with any infections but my first echo scan did indicate a slightly enlarged prostate.
After the RARP and after the small amount of debris cleared itself from the urether, I now pee like a horse. From always having a peeing problem, the ability to stand there like a hosepipe and completely empty is extremely satisfying.

I would also add that for me, prior to RARP, my orgasms were not particularly satisfying - I never ejaculated large quantities and afterwards, it would leak out for several minutes, a drop at a time. Basically it was a pretty messy affair. Now of course there is nothing being ejaculated and the orgasms have become far more enjoyable, especially being kept 'on the edge'.
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User
Posted 28 Jul 2023 at 11:49

It's a good point, and I do mention it for someone with other prostate problems.


Prostatitis does seem difficult to cure. I think this may in part be because very few urologists seem to have any specialist knowledge of it, beyond trial and error antibiotics, but it can be a chronic (long standing) issue, and isn't always (or even often) caused by infection.

User
Posted 28 Jul 2023 at 11:52
I too had urinary issues for several years before my RARP - slow flow, never quite finishing etc. Never diagnosed with any infections but my first echo scan did indicate a slightly enlarged prostate.
After the RARP and after the small amount of debris cleared itself from the urether, I now pee like a horse. From always having a peeing problem, the ability to stand there like a hosepipe and completely empty is extremely satisfying.

I would also add that for me, prior to RARP, my orgasms were not particularly satisfying - I never ejaculated large quantities and afterwards, it would leak out for several minutes, a drop at a time. Basically it was a pretty messy affair. Now of course there is nothing being ejaculated and the orgasms have become far more enjoyable, especially being kept 'on the edge'.
 
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