A personal story about men's health, talking openly, and why we need to get checked.
The prostate. Even the word carries a tone of doom and gloom. But it's something most of us men will deal with eventually — and I want to share my experience, in case it helps even one person start a conversation, ask a question, or get checked.
It started innocently enough…
I noticed I was peeing more often — a bit annoying, but nothing dramatic. I laughed it off with mates in the pub. I'd had a slightly enlarged prostate for years, but regular PSA checks were always good.
Then one day, after a long walk, I met a friend for a pint of Guinness — and saw thick blood in my pee. I stayed calm, went back and finished my pint, but couldn't stop thinking: Was that really blood? Or just beetroot? Classic denial.
I spoke to my sister. She said just four words: "Go to the doctor."
So I did. Blood confirmed. CT scan ordered. Urgent referral to a urologist. It was a worrying wait — because the word cancer naturally floats into your mind.
The diagnosis
When the results came back, I met with Consultant Urologist Mr Ruairidh Crawford, who calmly explained everything:
- ✅ No cancer (what a relief — a wave washed over me)
- ❗ An enlarged prostate
- ❗ A bladder stone
Apparently, because the prostate had been restricting my urine flow for years, sediment had built up in my bladder — eventually forming into a stone. I'd heard of kidney stones, but bladder stones? Totally new to me.
The plan
Mr Crawford explained I would need surgery: a cystolitholapaxy to crush and remove the stone, and a TURP operation on the prostate to improve urine flow. A 45-minute operation, both issues sorted in one go.
The NHS wait time was around a year, so I researched further and found Mr Crawford also worked privately through the Nuffield. Same calm presence. Same professionalism. He walked me through all options:
- Laser TURP
- UroLift
- Rezūm (water vapour therapy)
- PAE (Prostate Arterial Embolisation)
For my case, TURP was the clear choice. The Nuffield could fit me in within a few weeks. I also signed up to KENZAI — an online nutrition programme — to prepare for the operation and support my recovery.
Operation day
I went in under general anaesthetic. The bladder stone was crushed (harder than expected), and the prostate was trimmed down. I woke up a bit groggy, but with real relief: it was done. The nurses looked after me brilliantly, and I was home the next day to recover.
Looking back…
I now realise how much the enlarged prostate had been affecting me — constant tiredness, waking at night, sudden urges, low flow, avoiding beer, worrying about meetings, IBS symptoms, and even issues around sex. All things I had normalised without realising.
Final thoughts
Most men will deal with an enlarged prostate at some point. It's natural. We can't avoid it. But we can talk about it. And we should.
Women often speak more openly about their health. We men tend to bottle things up, ignore symptoms, or make jokes instead of taking action.
So if something's been nagging at you — go and get it checked. It's nothing to be afraid of.
If sharing this helps just one guy start a conversation, book an appointment, or feel a bit less alone… I'll be glad I spoke up.
Thank you to my Guru — Mr Ruairidh Crawford BSc FRCS (Urol)