BPH / TURP - How Big Is Big?

Hi All, I've been experiencing incontinence problems for a while and decided to bring it up with my physician. That was kinda embarrassing. Anyways after some blood and urine tests he said it was time for the DRE. I dropped my pants and in he went. He did a really thorough exam. UGH. When he finished he told me my prostate was pretty big. I asked how big it was and he said "the size of a baseball" My response was GOD I thought it was supposed to be walnut sized. He agreed and said he's seen one bigger, the size of a softball.

I have since been examined by the nurse practitioner. She was pretty amazed at the size saying the biggest she seen was golf ball size. After discussions with both of them they were really vague as to how big a prostate gets before they get concerned. I left scratching my head wondering what his all means (other than the pee problems). Anybody out there with BPH have any prostate size comparisons?

Normal prostate size is between 15 and 30 cc. (.9-1.8 ounces). Not all that big. Over 30 cc would be considered enlarged. It doesn't necessarily take that much enlargement to cause urinary problems. Prostate issues are commonly assessed with a standard questionnaire about urination frequency and things like that.

Hello to all males who have had TURP procedures and to all medical professionals. My urologist has been concerned with my inability to empty my bladder completely. He has scheduled a urodynamic exam in 3 weeks and has said that a TURP is probably needed.

My EX wife was an RN in the 60's and told me horror stories about men with TURP's post-op; bleeding, large blood clots, pain and long-term catheter dependence. I am hoping that today's surgical techniques are more advanced and that I won't have a whole lot of post-op problems. Can anyone shed any light on this for me?

Thanks,

jimmy t

Mine's already golf ball sized, and I hopefully have plenty of time left so it probably will get bigger. There's limited correlation between outside size and amount of squeeze on your prostatic urethra, so that doesn't mean too much, although a larger prostate is more likely to grow larger than a smaller one.

I once saw a statistical chart that indicated several risk factors vs prostate size. The only one I can definitely remember is a doubling of the risk of urinary retention at 41cc. I remember that because I'm uncomfortably close to that number right now.

One of my grandfathers had TURP in the early 2000s and didn't mention any horror stories. The other one had cancer and a prostectamy in the early '80s. I figure that means I'm probably screwed.

It's mostly pee problems, though there are also correlations with sexual issues and increased UTIs.

Thanks, moliere. I talked with an internist friend of mine last night and she assured me that with today's laser scalpels and even robotic surgery, that this has become a MUCH easier procedure. The laser cauterizes as it cuts, so the old problems of major blood clots, are infrequent.

I will post again, after I have the urodynamic studies done.

So my urologist has told me that I need the TURP procedure, and I am not happy about that. He told me that in my case my prostate has grown too large for any of the less invasive procedures, but I will be looking for a second opinion anyway. I have been on Flomax and Avodart for about 3 months and now have retrograde (dry) ejaculations. For me, it's not the same. While my orgasm is still pleasurable, it is much quicker and the feeling of the ejaculate being pumped and flowing out of me is of course gone. It has the feeling of one small "squirt", and then gone. I really miss my old orgasms, and Diana misses the feeling of my warm cum flowing into her.

Now, when I undergo TURP, the retrograde ejaculations will be permanent as the ejaculatory ducts are destroyed when the tissue around the urethal opening in the prostate are cut away.

So, my question is directed to men who have had TURP. I can still experience a nice orgasm when Diana penetrates my anus and massages my prostate, and the pressure on the prostate when she gives me an enema and during release is very pleasurable and can be orgasmic. With my prostate being cut up, will anal pleasure and prostate orgasms be diminished or go away too?

I had a TURP done over tens ago. I have not had any problems with retrograde (dry) ejaculations. Everything flows the right way when I ejaculate.

I was recommend to have a green laser TURP procedure. I was informed my prostate size is 45-50grams, I am on

Flomax which helps greatly. The side effects of the Flomax I experience are weak/ no ejaculation. I am not interested in having the TURP done at this time. My urologist is okay with that, as long as i don't start retaining urine, I go every 6 months for a flow test.

Minimally invasive TURP :

In spite of relatively young age, I have been suffering from mild/moderate prostate related problems which followed an inflammation of my prostate (prostatitis). Since few years incidental hemospermia (red blood cells in semen) was present in my ejaculations. There were no symptoms like perineal pain and fever but sometimes I have had nocturia and urgency. I was referred by urologist, genital examination was normal. Semen analysis showed normal sperm count, however, red blood cells were observed. Ultrasonography (TRUS) revealed the presence of a cystic lesion adjoining the prostate gland, next to the bladder neck and also BPH (benign prostate enlargement - 35 ml in volume). I was advised to be submitted to minimally invasive TURP with unroofing of the cyst and partial removal of prostate. Can you advice me about this procedure and potential complications?

So how did it go?

I had a transurethral incision of the bladder neck for the purpose of being able to empty my bladder. The urologist told me I would have retrograde ejaculation. That was true but only for about 6 months. I can, however, empty my bladder just fine over 15 years later.

I ended up with a foley for a week. I guess there was some post operative swelling that kept me from peeing. Not much pain to speak of. I suspect you had some though.

So how did it go?

I had a transurethral incision of the bladder neck for the purpose of being able to empty my bladder. The urologist told me I would have retrograde ejaculation. That was true but only for about 6 months. I can, however, empty my bladder just fine over 15 years later.

I ended up with a foley for a week. I guess there was some post operative swelling that kept me from peeing. Not much pain to speak of. I suspect you had some though.

I had received two fleet enemas and was given high compression socks before the surgery. The procedure was done under epidural anesthesia and lasted less than 90 minutes. I ended up with Foley for 3 days: first it was used to flush the bladder and removed after 36 hours. However I was unable to urinate due to swelling and had to be recatherized for additional 2 days. Considering recovery: I had some blood in urine for several days and dysuria as well. I restarted sexual activity after 7-8 weeks. Erection is normal but I need longer stimulation. Now five months after the surgery all seems to alright. No problems with peeing, also I have ejaculations (not dry orgasm) and my semen laboratory evaluation is still within normal limits.

@lemon17 glad it worked out for you. Thanks for the update.