Question: Hello, 9 years ago at age 45 I had a TUIP procedure (not Green light) because of a narrow passage of my
Urethra thru the
prostate. The symptoms were identical to
BPH, though my prostate was not enlarged. After the procedure everything has been perfectly fine. No more urge, frequency or straining, my flow was very strong. Within the last year, some of the BPH symptoms (lower flor and not fully emptying) have returned, only they are very mild. However, I am now experiencing
retrograde ejaculation. My original physician thought that it was odd that I didn't have retrograde right after the initial surgery. I explained that I had no retrograde until now.
He has performed thousands of "Green-light" procedures since my surgery. I was looking for another opinion so I had another Uro scope me. He noticed narrowing again at the bladder neck and a "flap" of tissue near the bladder and part of my prostate seems to be pushing into the bladder making a ridge in the bladder. He stated that I could decide on surgery when I felt that the BPH symptoms were a problem. He does not use the Green light, but rather the button because of more control and less scarring. He said that the retrograde could remain. I am familiar with the various
laser surgeries, I was a Uro health medical sales rep. He doesn't care about the retrograde, but I do. I am also familiar with the Evolve (Bioletic) laser. Similar to the Button, but seems to be more precise and less bleeds. Should I search for a Uro with "better technique", that could maybe use the most appropriate procedure to reduce the bladder neck damage and possibly reduce the retrograde? Is there info on this?? Your help is appreciated.