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I waited for 10 months and I wish I had waited longer. In fairness to the uro who did the TURP and who found the cancer, he also was of the opinion that I could wait (active surveillance - 3 monthly PSA, annual biopsy and MRI plus ultra sound scan), but I went to see a Da Vinci expert and took his advice and had the op.
Side effects from my TURP had been minimal. Urine flow was brilliant - I could have peed over a gate for Britain in the Olympics. The surgeon also preserved my ejaculation so, along with the absence of inflammation, everything worked better for me after the TURP.
After the prostatectomy, the usual side effects happened. Incontinence lasted four months but then cleared up completely. ED though is a different story. I get what uros like to call "tumescence", but none of the drugs make much difference, except for the headache, 18 months after the op.
Remember, even after my op I still have 6 grams of prostate which I have to actively watch, just like I had to watch the 60 grams before the op! So if Q of L is a major consideration for you, please do not rush, and take lots of opinions.
As well as regular PSA's, you can have sophisticated scans and further biopsies.
The decisions are not easy and whatever you do, there is no quick fix. My main concern with guys like yourself is that whatever advice you take about which way to go, if it involves intervention, make sure you and the doctors are confident that your previous TURP will not foul things up.(Please remember, like all of us here, I am not a doctor and can only give you my opinion based on what happened to me).
