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Prostate Cancer (Expert Forum)
I have BPH. Whitch surgery should I make
Answered by
Ash Tewari, MD, M.Ch. - Prostate Cancer, Robotic Prostatectomy, Urology, Oncology, Surgery
Weill Medical College of Cornell University
New York - NY
This forum is for questions about: Advanced or Metastatic Prostate Cancer, Biopsy, Bone Scan, Blood in Urine or Semen, Benign Prostatic Hyperplasia (BPH), CT Scan, Cystoscopy, Erectile Dysfunction, Hormone Therapy, Incontinence, Pain (abdomen, low back or hip), PSA Test, Prostatitis, Radiation Therapy, Rectal Exam, Recurrent Cancer, Risk Factors, Screening, Staging (Tumor size; Metastasis), Surgery, Transrectal Ultrasound, Urinary Difficulty or Burning, Urinary Urgency (Leaking), Watchful Waiting.
I have BPH. Whitch surgery should I make
by walter00, Jul 24, 2007 12:00AM
I am 68 years old. I was told that I had Bph 3 years ago which
caused a big stone in my bladder. I removed that one.Now the stones has come back. I was told that BPH case is causing the stones, so I should remove the prostate.
Some doctors recommended to have two separate operations:
First to remove the stones using urethroscope.
Then to do TURP surgery.
Other doctors recommended to have one surgery to remove the stones and the prostate at once.
Which one is better for me?
Any complications after any one of the surgery procedures?
caused a big stone in my bladder. I removed that one.Now the stones has come back. I was told that BPH case is causing the stones, so I should remove the prostate.
Some doctors recommended to have two separate operations:
First to remove the stones using urethroscope.
Then to do TURP surgery.
Other doctors recommended to have one surgery to remove the stones and the prostate at once.
Which one is better for me?
Any complications after any one of the surgery procedures?
Doctor's Answer
by Ash Tewari, MD, M.Ch., Jul 26, 2007 12:00AM
, Jul 26, 2007 12:00AM
The type of surgery in this condition depend upon the size of stone and the configuration of prostate. By configuration of prostate I mean the presence of median lobe and size of lateral lobes. Although, both the removal of stone and TURP can be done simulatneously,it may be technically difficult. In addition, due to prolonged surgery & manipulation of the urethra involving stone removal and TURP, there may be greater chance of stricture formation.
Reference
1) J Endourol. 2001 Oct;15(8):851-3. Combination of ballistic lithotripsy and transurethral prostatectomy in bladder stones with benign prostatic hyperplasia: report of 120 cases.Chtourou M, Ben Younes A, Binous MY, Attyaoui F, Horchani A.
AT
Reference
1) J Endourol. 2001 Oct;15(8):851-3. Combination of ballistic lithotripsy and transurethral prostatectomy in bladder stones with benign prostatic hyperplasia: report of 120 cases.Chtourou M, Ben Younes A, Binous MY, Attyaoui F, Horchani A.
AT
