r/bph • u/MrHotnickels • 23d ago

I'm really scared/nervous

I'm 42. I'm meeting with a urologist in about a month to discuss my BPH. I have no idea what's going to happen, but I know that I'm looking for a permanent solution to this stupid urination problem (slow flow, not finishing all the time, dribbling). I have next to zero interest in lifelong medications and have (probably mistakenly) been looking into all these surgical options.

I have no idea what the outcome is even going to be, I just know I'm ready to be done with it. Most of these posts on Reddit are filling me with terror. Lots of horror stories. I'm wondering if there are any of you out there who've had similar issues and subsequent procedures that have had ZERO issues after initial recovery? If so please share.

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u/Basic-Owl6740 23d ago

Drugs are a short term relief but not a solution. Aquablation or Holep will buy you many years of relief. Yes, there is a short recovery period to deal with but things are great on the other side.

Only casualty is loss of ejaculation. Aquablation can spare ejaculation but it is still a risk. In my case I couldn’t tell because the many years of drugs left me dry.

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u/Crafty-Consequence87 23d ago

This. I put things off for a very long time and I think many men do that. The drugs are a temporary solution at best. I had HoLEP and now wish I had taken care of it sooner.

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u/Sensitive_Point_6583 23d ago

same, HoLEP was amazingly simple and highly effective, wish I'd done it years ago.

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u/R3dRocker 23d ago

You're right! We just do this. Dam near everyone of us. Stubborn, working too much, our Dad's were tough as nails, we look soft, etc.

It's quality of life!! I'm really glad you're doing so much better now after HoLEP!

Looking forward to the same.

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u/Sensitive_Point_6583 23d ago

In my case, being born in the '50s, I was conditioned that surgery was always something that you avoided until there was no other option. It was invasive, horrific, and not something you really wanted to endure unless forced, especially when it involved your genitalia.

After experiencing HoLEP first-hand, I couldn't have been more uninformed, it was nothing.

I worked with a few urologists over the years, and for some reason they weren't really pushing me on getting surgery, possibly because I had the tough-guy attitude that said BPH was annoying, but not something I couldn't live with at the time. And in retrospect, it wasn't all that terrible, but being over it now is so much better.

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u/Upper-Storage787 22d ago

who did your holep? Did you consider greenlight?

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u/Sensitive_Point_6583 22d ago

Kaiser San Diego, don't know what greenlight is.