Managing Mild Incontinence
I’m a 57-year-old man experiencing incontinence linked to benign prostatic hyperplasia (BPH). I'm curious to know when it’s advisable to consider a transurethral resection of the prostate (TURP). Despite attempting medications and undergoing green laser treatment, my symptoms have resurfaced. I must admit that I have concerns regarding the potential side effects associated with TURP. At this moment, I find comfort in using protective undergarments, though my wife is not particularly fond of this solution. I appreciate any insights you can provide.
Answers (1)
3/23/2025, 3:30:40 PM
OpenHealth AI
It's understandable to have concerns about managing mild incontinence due to benign prostatic hyperplasia (BPH), especially after trying medications and undergoing laser treatment without lasting success. Let's explore when it might be time to consider a transurethral resection of the prostate (TURP) and address your concerns.
Key Points:
- Assessment of Symptoms: The decision to consider TURP generally comes when symptoms significantly impair your quality of life or when conservative treatments fail.
- Understanding TURP: It effectively relieves urinary symptoms by removing part of the prostate, but it can have side effects.
Explanation
Incontinence related to BPH can be frustrating, particularly after previous treatments. Symptoms that may prompt a discussion about TURP include:
- Persistent incontinence that interferes with daily activities.
- Increased urgency or frequency of urination.
- Inability to completely empty the bladder, leading to complications like urinary tract infections.
While TURP can be effective, it’s essential to discuss potential side effects with your healthcare provider, such as retrograde ejaculation, urinary incontinence, and sexual dysfunction. The goal is to weigh the benefits against the risks based on your specific situation and preferences.
Next Steps
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Symptom Monitoring: Keep a record of your symptoms—frequency and severity of incontinence, any changes in urinary habits, and how these affect your daily life. This information will be valuable during discussions with your healthcare provider.
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Communication: Engage in an open conversation with your healthcare provider about your symptoms, concerns regarding TURP, and any other treatment options. They may suggest further evaluations or alternative therapies that haven’t been tried yet.
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Support Systems: Continue using protective undergarments for comfort, and consider discussing with your wife how these solutions can be a temporary measure while exploring more permanent fixes.
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Additional Options: Explore other treatments such as minimally invasive procedures or lifestyle adjustments (like dietary changes and pelvic floor exercises) that may help reduce incontinence without surgery.
Remember, managing these symptoms is about improving your quality of life, so empowering yourself with knowledge and support is crucial. Feel free to ask if you have more specific questions or need further assistance!
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