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anyone had prostate surgery? how did it go?


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Posted
19 hours ago, schnytzal said:

first quuestion a taxi driver will have... "which Siriraj?"

 

there are a LOT of buildings.

I never had a problem, used taxi a few times especially from Don Mueang.  Each time I asked for Siriraj Hospital emergency department and never a problem.  If driver did not speak enough English I used to show then appointment papers.

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Posted
19 hours ago, schnytzal said:

WOW.

cancer-free now?

can you um... still get a stiffy? don't think you can 'make stuff' with no prostate...

Yes and no!   Not as good as before but OK.  No prostate means no stuff - all the tubes are cut and the prostate does make most of the stuff, so no prostate no stuff but feels the same.

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Posted
1 hour ago, udontony said:

never had a problem

it's easy if you know what building you're going to. if not, not. i just showed 'em on Google Maps. since i'm required to have 4 employees (work permit, 4 employees to do the work of 2 lol, i think they're pretty happy with their deal) i had the one who handles papers sort out the appointment.

my impression of the doc (probably same guy you had, young-ish, the main prostate cancer/HoLEP guy) was VERY favorable. problem is, they've no relationship with Pacific Cross so i'd be out of pocket and waiting for PC's glacial reimbursement... and those 4 employees might be less than thrilled if salaries are delayed. the guy at Bumrungrad is very much on the same page and also impressed me favorably and Bumrungrad have a relationship with PC so i can get preapproved. so i'll go with Bumrungrad. if i rated the Siriraj guy significantly better i'd go with him but i rate them about the same.

note that when choosing a urologist i only booked doctors who do HoLEP, i could widen the search now i've decided to try rezum before i give up on making stuff.

next step though is MRI. if suspicious lesions are found, then biopsy. if not, then i have to wait til this wave of work projects are wrapped to have the surgery (i'm told it'll take a month to recover, especially considering my prostate is on the large side).

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Posted
1 hour ago, udontony said:

Yes and no!   Not as good as before but OK.  No prostate means no stuff - all the tubes are cut and the prostate does make most of the stuff, so no prostate no stuff but feels the same.

that's encouraging. glad to hear that fun is not off the table. the fun aspect is why i posted here rather than a more staid expat forum.... the nature of this forum is it attracts the kind of guy who is VERY interested in having his cock work lol

i am going with rezum to get a few more years of making stuff... if it doesn't do the job after 2 rounds then HoLEP, which almost guarantees retrograde ejaculation (no stuff). that's assuming no cancer, of course. which i won't know til the MRI.

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Posted

PS my ex girflriend, rather good looking (former model), went with me to first appointments with the Doctors. i suggest bringing a hot woman friend if you want to emphasize the importance of maintaining cock function when framing the conversation LOL

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Posted

UPDATE: after a far-too-lengthy investigation into my medical history, Pacific Cross insurance approved treatment. HOWEVER, they decided Bumrungrad's price for an MRI is too high, and are negotiating with them. oddly, the price of Rezum is within their standard pricing, it's just the MRI.  they have a point, it's 3x the price of a prostate MRI at Siriraj.

Pacific Cross will try to negotiate direct payment to Siriraj, so that's good news. the doctor impressed me favorably. only problem with Siriraj is one has to wait, but this has dragged on long enough where i have about a month of work projects to complete before i can get treatment anyway.

since i'm not doing HoLEP, at least not soon, other hospitals are in play (Vejthani and Bangkok hospital, depending on MRI price and how it goes when i meet the doctors).

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Posted

UPDATE: Bumrungrad won't budge on the MRI price. they have a radiologist who specializes in prostate and do a rather more elaborate scan than the usual MRI + contrast. Pacific Cross also won't budge.

However, Pacific Cross negotiated with Siriraj and PC can pay directly to Siriraj without me being out of pocket, and they are less expensive than most so PC are happy. I rate bothe doctors (the guy at Bumrungrad and the guy at Siriraj pretty much equally so i'm good to go with Siriraj. downside of Siriraj, it will mean waiting as it takes time  for appointment slots to open up. for me personally that's OK, as i have to wait to do the Rezum because i need to work, and one isn't supposed to lift 40kg while recovering anway.

i doubt anything exciting will happen til the MRI, which has yet to be (re)scheduled. (i had an MRI scheduled there for 2 September but cancelled because i'd have been out of pocket and had to get reimbursed, which doesn't mesh well with paying staff during a particularly slow time.

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Posted
On 31/08/2024 at 12:00, schnytzal said:

that's encouraging. glad to hear that fun is not off the table. the fun aspect is why i posted here rather than a more staid expat forum.... the nature of this forum is it attracts the kind of guy who is VERY interested in having his cock work lol

i am going with rezum to get a few more years of making stuff... if it doesn't do the job after 2 rounds then HoLEP, which almost guarantees retrograde ejaculation (no stuff). that's assuming no cancer, of course. which i won't know til the MRI.

If anything shows up on the MRI they will still not know if it is cancerous, it will take a biopsy to find out for sure.  But at least if a biopsy is needed, they will know exactly where to aim the needle.

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Posted
1 hour ago, udontony said:

If anything shows up on the MRI they will still not know if it is cancerous, it will take a biopsy to find out for sure.  But at least if a biopsy is needed, they will know exactly where to aim the needle.

Absolutely, both times I had the biopsy in the USA, there were 12 cores taken. Our shit insurance won't pay for the MRI first, the 12 sample biopsy is cheaper.

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Posted
2 hours ago, Phoenix Dave said:

Absolutely, both times I had the biopsy in the USA, there were 12 cores taken. Our shit insurance won't pay for the MRI first, the 12 sample biopsy is cheaper.

I had the same, multiple attempts on three separate occasions in Sakon Nakhon.  They managed to miss the tumour each time but I was referred to Siriraj in Bangkok where they did get a result, they operated eight days later.  Costs in Sakon Nakhon was just less than 4,000 baht each time.  Siriraj was 51,000 baht, done under control of MRI and needle in through stomach which meant I had to stay one night in there.

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Posted
4 hours ago, udontony said:

If anything shows up on the MRI they will still not know if it is cancerous, it will take a biopsy to find out for sure.  But at least if a biopsy is needed, they will know exactly where to aim the needle.

yeah that's the idea with the MRI. in theory a more detailed MRI with a more specialized radiologist would yield more detailed information and may help avoid a biopsy. In practice, i don't want to pay an extra THB 32,000 over and above my deductible LOL.

MRI scheduled for 22nd. consult with doc about MRI on 23rd.

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Posted
4 hours ago, udontony said:

I had the same, multiple attempts on three separate occasions in Sakon Nakhon.  They managed to miss the tumour each time but I was referred to Siriraj in Bangkok where they did get a result, they operated eight days later.  Costs in Sakon Nakhon was just less than 4,000 baht each time.  Siriraj was 51,000 baht, done under control of MRI and needle in through stomach which meant I had to stay one night in there.

Forgot to mention that I have a pacemaker and even the basic MRI needed a specialist pacemaker guy to turn the device off and a cardiologist present to help if anything went wrong.  Fortunately I have a pacemaker that can be used with MRI as long as it is done properly.  That was part of the reason it was so expensive.

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Posted

Beautifully written 

I have a friend about to go thru the same treatment,facing the same fears

 

Good luck and good health to you 

Posted

My treatment was very different, whole prostate taken away, but the feelings after I was told the operation was a success was just the same as yours.   Four years on and I still take nothing for granted and try to enjoy life to the full.

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  • 2 weeks later...
Posted

I just got the news this week my Psa jumped from 8 to 10.5 and I got diagnosed positive 6 years ago for Prostate cancer but it was low grade and has remained pretty dormant to maybe now ? I have to go in for a Biopsy soon to have the cells checked I'm not looking forward to it the last Biopsy put me out of action for sex for over 1 month or more .

My penis didn't like it at all !  It reduced in size for like 2 months then finally came back .

I asked if I could just have another scan but they said no as it won't determine how aggressive the cells are .

How much longer will I have  a sex life for ? 😞

Posted

so, MRI happened. outcome was... worse than hoped. for one thing, prostate is 90 grams not 85 (ultrasound said 85 but doc thinks that the difference is due to imprecision of ultrasound not rapid growth). easy to see from the MRI why all the bladder discomfort, prostate has barged into bladder space big time.

the least optimal thing on the MRI was the little black spot. this spot will need to be biopsied. that will happen 7 October. 60 percent chance it's cancer.

assuming it's cancer, if the Gleason score is high-ish, most likely prognosis is radical prostatectomy. i have the lucky kind of bad luck in that the black spot is lower-central location, well away from any useful tissue (the stiffy nerves are most likely safe). also it's a little round spot and the doc says defintely early.

given that the first serious symptoms--not being able to piss at all--were triggered by alcohol, that's the end of alcohol until at a minimum post-biopsy. if cancer, probably forever.

MRI was at Siriraj, the doc is very current on cancer treatment. treatment at Bumrungrad is also within what Pacific Cross is willing to pay, but I will probably continue with Siriraj. choose the doctor, not the hospital (both are good though).

paying with foreign insurance is possible IF your insurance makes special arrangements. of course, if you make a special arrangement cashiers and 99 percent of accounting staff are utterly clueless regarding this arrangement.  going to the cashier desk will be a time consuming hassle every time.

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Posted

if you have high total PSA, push for an MRI with contrast even if your insurance company is hesitant. once they did their bullshit 'investigation' Pacific Cross was fully on board, i had a total PSA of over 10.

contrast is a bit annoying, you may feel nauseous and dizzy, and have a wicked headache (dull ache, like a sinus headache but something they gave me actually cleared my sinuses LOL). it lasts about a day. when facing off against the emperor of all maladies a little dose of radiation is the least of one's worries.

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Posted

a question for the guys who've survived cancer: was the treatment radical prostatectomy only, or did you get radiation afterward? if radiation, how long did treatment drag on?

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Posted
On 08/09/2024 at 07:28, kingofsurf said:

 

 

 

>Another source of comfort was the friendly and cheerful attitude of the nurses attending to me, some of them attractive and young.

It made a difference. 

It was also embarrassing as hell. 


You see, having cancer prostate treatment is very uncomfortable, what with enemas required before each radiation session, as well as having my naked groin area and penis exposed while the nurses prepped me, with the doctor shoving a rectal plug up my colon prior to the radiation.

It seemed the nurses, who at one session were laughing and joking among themselves, were really enjoying what they were doing, with the focus being on me.

I could have been imagining it, but it seemed the nurses would rest their arms or hands deliberately on my body while idly chatting between themselves.

I could sense their genuine caring and emotional support. 

Yes it did make a difference for me. And I told my nurses that, while gratefully thanking them after my last radiation session.<

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Thank you for writing this up so detailed it mirrored my own experience five weeks earlier.

I went the same way, Shield and markers inserted in BPH, then five radiation sessions in BKK hospital BKK. The attitude of the nurses at the radiation session was 
fantastic, the gentle touching definitely deliberate to provide reassurance and support . Only one of the insertions of the probe was painful, and that was the one done by Dr C.  The others was done by one of the female nurses , and I didn't feel a thing. But otherwise Dr C. was excellent and a very pleasant man.
I am six years older then you, and like you, I realised the issue of survival far out weighed the outcome of potential impotence.

I  did a test run about two weeks after my last treatment by visiting one of my favourite service providers at la Poste and was surprised I still made it to the end with great fun.  But I did notice that after my hormone injection my libido has plummeted and I may not repeat that performance again. I still manage to come (by myself) but without any ejaculate. But funny enough, Due to low testosterone my libido is zero, and it doesn't worry me at all. 
I have had great run over the past 20+ years, my memories will always be with me.

I may go back to that last lady occasionally, simply because I enjoy giving her my bugle and seeing/feeling her explode an squirt, she's fun. But probably not very often. 
I have my long standing thread in the picture section on this board as lovely memories....

  • Like 4
Posted
22 hours ago, schnytzal said:

a question for the guys who've survived cancer: was the treatment radical prostatectomy only, or did you get radiation afterward? if radiation, how long did treatment drag on?

Four years ago I had the radical prostatectomy in Siriraj hospital Bangkok.  I asked the doctor about radiation and or chemotherapy.  His answer was, where can we direct the radiation when there is nothing there!  As for the chemo, he said he was fairly sure the whole of the tumour was taken away and again fairly sure there was no spread after he examined the removed prostate.  All he wanted to do was to monitor the PSA at regular intervals, he said this would be enough and any further problems could be caught early if any appeared.

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Posted (edited)
5 hours ago, Encora said:

(kingofsurf said):

"Another source of comfort was the friendly and cheerful attitude of the nurses attending to me, some of them attractive and young.   It made a difference. "
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 . . . I am six years older then you, and like you, I realised the issue of survival far out weighed the outcome of potential impotence . .  

They say the sexiest organ in the body is the brain.

I been fucking like a tiger the last several months. Not sure why I still can.

I guess my attitude is that each fuck could be my last time ever.

And yet, just several hours ago I had a most-vigorous ST with this big busty TF freelancer:

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She was quick to leave the ST hotel room right after I paid her.

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The room felt suddenly lonely and empty after she left.

I was struck how meaningless these P4P encounters are when lacking any connection whatsoever with another living being -- despite having engaged in the most intimate physical act with you can do with another.

Is life worth living when the fucking ends?

The $64 million dollar question, especially for PA grandpas! 🤣

Edited by kingofsurf
Posted

More feedback for kingofsurf:

Since I am about five weeks ahead of you in terms of timing, I'll update you on my experience:

First few weeks things stilll functioned and I did some wild things. But shortly after the first injection of hormone, my drive for sex started to tail off. Six month ago, I'd go and fuck somewhere about twice a week and maybe once a week a HJ at an MP, then the days I didn't have sex with someone I'd have a wank to help me relax before sleep.
But now I don't feel any inclination to go and find someone to do it with, and maybe help myself just once or twice a week. My last massage about ten days ago, didn't get hard and didn't come, although she worked hard at it. So since then I choose a woman who does a great massage but doesn't offer extras. 
I used to think I'd feel awful about not getting sex, but I simply don't mind, dont miss it.

But I have been extremely tired since my hormone shot. naps at least twice a day. My doc says that is a normal side effect, will get less with time.
Also having symptoms similar to having a U.T.I, ike frequent urge to piss, which produces only little liquid, sometimes little leakage and while pissing a burning feeling, unpleasant but not really bad, just a nuisance. That too my doc says is normal side effect, will get less over time. I certainly hope so.
And more frequent urge to fart and shit, maybe to do with the shield, which will start to dissolve over the next month or so.
Altogether, not pleasant, but not as terrible as I anticipated .

I'll see whether the desire to have sex comes back a bit, as my doc said it may, maybe I'll have a kamagra and go to see Miao in a week or so, if there is anything there, she'll make it happen...

  • Like 2
Posted
6 hours ago, udontony said:

Four years ago I had the radical prostatectomy in Siriraj hospital Bangkok.  I asked the doctor about radiation and or chemotherapy.  His answer was, where can we direct the radiation when there is nothing there!  As for the chemo, he said he was fairly sure the whole of the tumour was taken away and again fairly sure there was no spread after he examined the removed prostate.  All he wanted to do was to monitor the PSA at regular intervals, he said this would be enough and any further problems could be caught early if any appeared.

given that it's early, this is probably my most likely prognosis if it turns out to be cancer. what was your Gleason score?

also, same question for everyone who survived cancer: what was your Gleason score? and did you have radical prostatectomy, and/or radiation, and/or chemo?

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