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?