Aquablation vs. TURP: BPH Treatment for Preserving Sexual Function?

madman

Super Moderator
46:00 - Preserving Ejaculation: Why Aquablation beats TURP.
21:15 - BPH Medications Explained: Alpha-blockers vs. 5-ARIs.
26:40 - The benefits of Cialis (Tadalafil) for BPH and heart health.






If you are confused by the alphabet soup of prostate procedures—TURP, Rezum, UroLift, Green Light—this episode is your ultimate guide. We dive deep into why younger men are now developing enlarged prostates, how to distinguish between bladder issues and prostate blockage, and why Aquablation is becoming the gold standard for men who want to fix their urinary flow without sacrificing their sexual function.




In this episode, you will learn:


* Why men in their 40s are increasingly being diagnosed with BPH.

* The pros and cons of common BPH medications (Flomax, Finasteride, Cialis).

* Robotic Simple Prostatectomy: Why it’s different from cancer surgery.

* Aquablation Therapy: How high-pressure water and AI are used to "power wash" the prostate with minimal side effects.

* How to choose a procedure that preserves erections and ejaculation.



Whether you are looking for natural prevention or weighing surgical options, this conversation bridges the gap between holistic health and cutting-edge medical science. Join Dr. Geo and Dr. Munver on this conversation.




CHAPTERS


00:00 - Aquablation vs. TURP
04:55 - Why are younger men (30s & 40s) getting BPH?
08:15 - Prostate vs. Bladder: How to tell where your symptoms are coming from.
11:50 - When should you see a doctor? (Nocturia & Quality of Life).
14:45 - The danger of a "floppy bladder" and ignoring symptoms.
16:00 - The importance of PVR (Post Void Residual) testing.
21:15 - BPH Medications Explained: Alpha-blockers vs. 5-ARIs.
26:40 - The benefits of Cialis (Tadalafil) for BPH and heart health.

31:30 - Surgical Options: TURP, Green Light, & Lasers.
38:40 - Robotic Simple Prostatectomy: What is it?
43:20 - What is Aquablation? (The Water Jet Procedure).
46:00 - Preserving Ejaculation: Why Aquablation beats TURP.
50:50 - Best options if you don’t have access to Aquablation.
57:40 - The future of AI in Urology.
 
 

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Understanding Your Hormones

Estradiol (E2)

A form of estrogen produced from testosterone. Important for bone health, mood, and libido. Too high can cause side effects; too low can affect well-being.

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Dihydrotestosterone is a potent androgen derived from testosterone. Affects hair growth, prostate health, and masculinization effects.

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The biologically active form of testosterone not bound to proteins. Directly available for cellular uptake and biological effects.

Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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