Sorry to be a bother but I have just spent one hour editing the message. When I went to save it it said: Access denied. And showed a plumbing page! I am so upset by this! Where did all my work go? It seems that now have I have to start all over again. It's not your fault but I am the one who has to tolerate and suffer this stupid action . All I did was edit it and attempt to save what I edited. Why did it deny access instead of saving and allowing me to forward the completed question to you? Please forward this to the web master and I will start again in an hour or so?
My urology condition is complex because it has three elements associated with it. The first is stenosis of the bladder (a high necked bladder that has narrowed) and appears to be the reason for a) the very weak stream that I have been experiencing b) the inability to ‘thread’ the cystoscope )for urodynamics) via the penis without recourse to a general anaesthetic. Secondly I also have BPH (though the prostate gland is not overly large). Thirdly I have also been diagnosed with IC/PBS and now have an SPC insertion as retention occurred after the attempted urodynamics failed.
I am expected to undergo an operation to rectify the stenosis of the bladder that will permit a stronger flow. I accept that this ‘obstruction’ needs to be removed by an incision (or two) to widen the bladder neck. My principle QUESTION is this: It is my understanding that while undergoing the laser technique there will be a simultaneous (and parallel) operation to reduce the prostate gland’s size. Can I request that this not be done?
I also understand that I would experience retrograde ejaculation and I do not want this to happen. Is it mandatory, or unavoidable, when doing a bladder neck incision to ‘interfere’ with the prostate gland?
I do not wish to lose the little bit of libido that still remains and find that once this operation is carried out this may well happen. I also understand that orgasm is still there but it would be a dry one.
This why I have delayed any operation in the urogenital area and why I do not want my prostate gland to be touched; QUESTION is that at all possible or is the laser treatment such that it is inevitable?
The IC/PBS is a separate issue and will require other kinds of intervention. I wish to use alternative/natural dietary methods to try and relieve the awful pain and discomfort associated with this latter condition. I therefore wish to retain the SPC as it affords me the relief I need when voiding via the bladder into the leg bag. According to the consultant I will have to have this SPC removed at some stage as it inhibits treatment of IC. But as already mentioned I much prefer to ‘experiment’ with a dietary regime.
Ideally I really would like to have stem cell treatment which I understand is being carried out in several countries China, Japan, South Korea and in the USA in California. The latter is still too regulated with regards ***** ***** Yet I am keen to avail myself of these newest scientific advances. Can you put me onto the right track Dr Tharun?
Dear Dr Tharun
Thanks for your explanation and sorry to seem obtuse but something you said is confusing me.
I believe there will be two incisions on the bladder itself to create a widening of the bladder; one incision would not suffice. But you are implying that this incision would not “flatten the high necked bladder”. So does it not widen the bladder entrance then? Why else would one do such an operation? Even more confusing is your explanation “the incision has to be on the prostate too for it to be effective”. Is that ablation of the prostate or TURP or something else entirely? It seems from your explanation that I am obliged to have a further incision on the prostate, is that right?