urolift 4 years ago, stones returned

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Four years ago I was found to have bladder stones, which were lasered in the hospital, and a urolift device inserted. I was fine for the next 3 years or so, but peeing started to get more problematic, and more stones were recently discovered by CT scan.

My Dr wants to perform a TURP, which he says would be the best option to more fully drain the bladder, and keep the stones from forming again. I am 74 years old, with excellent sexual function, which I obviously hope continues. I reached some level of acceptance that with a TURP retrograde ejaculations were likely, percentagewise, and impotence is a 1 in 20 chance.

I started wondering about incontinence as another side effect, and a random Googling led me here, where I have read many horror stories, mostly related to prostate removal.

Seeking people's help with evaluating: A> a TURP with apparently more effectiveness at draining the bladder and retarding stone development, but with greater risks of incontinence and impaired sexual function, or B> reinstall the Urolift (which the Dr. says he would do) which seems to have already failed once, but seems to have less chance of the side effects, at the cost of not working as well to solve the daily problems if the stones come back again. please correct any errors in my analysis.

I have surgery scheduled for march 29th, so need to have a decision soon... any advice or suggestions much appreciated!
 
If a female, but given that stones can kill you, I’d get the TURP. Bladder and kidney infections become far more serious the older you get. They can make you delusional and hallucinate to such an extent that you don’t even realize you’re sick. I think the risks are well worth it.

“Can stones ever be fatal?

They can. If you have a stone passing down and there’s an infection behind it, and the urine can’t get out, so the infection sits there, it festers and can be like an abscess and it can actually be fatal if you don’t get treated.”

 
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