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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
UPDATE HIGH PSA
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<blockquote data-quote="Blackhawk" data-source="post: 188173" data-attributes="member: 16042"><p>[USER=71]@Orrin Israel[/USER] , I saw Dr Karamanian in Houston last year for MRI and in bore MRI guided biopsy. He is a FLA specialist (And a real gem of a Dr). He said due to the size of my prostate that FLA would not be a good choice (One of the reasons I trust him... He is not trying to sell what he does when it is not a good choice). Your prostate volume is more than double mine.</p><p></p><p>I researched the options in depth last year and HOLEP or TULSA Pro seemed the best options, most reliable success rates and appropriate for large prostate. There is a specialist at U of Indiana who is THE guy for HOLEP. Also potentially up and coming, <span style="font-size: 15px">ES‑ThuLEP. </span>Madman posted some info: <a href="https://www.excelmale.com/forum/threads/ejaculation%E2%80%91sparing-thulium-laser-enucleation-of-the-prostate-es%E2%80%91thulep.21791/" target="_blank">Ejaculation‑sparing thulium laser enucleation of the prostate (ES‑ThuLEP)</a></p><p></p><p>I know your approach tends to be towards least invasive options and respect that, but your prostate is a whopper, and from my research, these other options look to have more durable success rates. Maybe with PAE initially, if needed, could you follow up with Laser enucleation or TULSA at a later date? I don't remember which treatments preclude having which others if the first fails, but having some treatments first rules out certain other treatments for the future.</p></blockquote><p></p>
[QUOTE="Blackhawk, post: 188173, member: 16042"] [USER=71]@Orrin Israel[/USER] , I saw Dr Karamanian in Houston last year for MRI and in bore MRI guided biopsy. He is a FLA specialist (And a real gem of a Dr). He said due to the size of my prostate that FLA would not be a good choice (One of the reasons I trust him... He is not trying to sell what he does when it is not a good choice). Your prostate volume is more than double mine. I researched the options in depth last year and HOLEP or TULSA Pro seemed the best options, most reliable success rates and appropriate for large prostate. There is a specialist at U of Indiana who is THE guy for HOLEP. Also potentially up and coming, [SIZE=15px]ES‑ThuLEP. [/SIZE]Madman posted some info: [URL='https://www.excelmale.com/forum/threads/ejaculation%E2%80%91sparing-thulium-laser-enucleation-of-the-prostate-es%E2%80%91thulep.21791/']Ejaculation‑sparing thulium laser enucleation of the prostate (ES‑ThuLEP)[/URL] I know your approach tends to be towards least invasive options and respect that, but your prostate is a whopper, and from my research, these other options look to have more durable success rates. Maybe with PAE initially, if needed, could you follow up with Laser enucleation or TULSA at a later date? I don't remember which treatments preclude having which others if the first fails, but having some treatments first rules out certain other treatments for the future. [/QUOTE]
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Testosterone Replacement, Low T, HCG, & Beyond
Prostate Related Issues
UPDATE HIGH PSA
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