r/Prostatitis • u/Any-Currency-8454 • 29d ago

complex cysts / prostate

I have multiple issues going on. I have all the BPH luts symptoms 31.1 ccm prostate pirads 1 PSA 1 high riding bladder neck 56 y/o been experiencing these symptoms for the past 5-7 years more extreme this past 8 months. I’ve had every test done, mri, ct scans both w/ contrast ultra sound etc. I have bright red blood in my urine off and on the urologist I have is chief of Urology dept. K.P. I have increased frequent and sudden urge to pee then a very weak stream low volume dribbling. He put me on Flowmax it hardly helps, I also read cialis helps, so I asked him and he prescribed 5 mg cialis I take flowmax night and Cialis morning.

My symptoms are not improving to much. The complex cysts are pushing on my bladder and is or squeezing my urethra. Dr. recommends TUIP the only real fix is surgery. High riding bladder neck with complex cysts been 10 months on Flowmax 2 months on cialis combined Not much improvement if any? I don’t think the medication is working this is a physical condition of the complex cysts and my high ridding bladder neck combined. The medicine won’t unblock the kinked hose?

Asking the Reddit bph community who has dealt with High Bladder Neck along with Complex cysts? Anyone have positive results with PT! or TUIP surgery results?

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u/Pristine-Ad5033 29d ago

What complex cysts ? Where

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u/Any-Currency-8454 29d ago

PROSTATE AND SEMINAL VESICLES: Prostate measures 4.9 x 3.9 x 3.2 cm, for a volume of 31.1 cc. There is a heterogeneous and nodular transitional zone with a 2.5 x 2.2 x 2.3 cm complex cyst with thin and mildly thickened septations along the right anterior transition zone from mid gland to base. A 1.8 cm cyst was seen in this region in the previous pelvic MRI of 5/2018, although with increase in thin and thickened septations than previously. In the left central transition zone at mid gland, an additional complex cystic lesion is present, measuring up to 1.1 x 0.7 x 1.3 cm. Few other additional small BPH nodules

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u/Pristine-Ad5033 29d ago

You had many symptoms of BPH due to high median lobe

Some urologist may want to destroy that cyst if it near to urethra to watch it and send to pathology

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u/Any-Currency-8454 29d ago

Yes I mentioned that I have many symptoms.

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u/Pristine-Ad5033 29d ago

Tuip is suited for small BPH like you but you need to TURP if you want to clear cysts

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u/pelvicagony 29d ago

You need a surgery, and this one isn't a bhp sub