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Medical Forum / Diseases and Disorders / Prostate BPH / March 2005

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PVP--2 months

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Vince Puma - 03 Mar 2005 20:33 GMT
About two weeks ago, my urinary stream slowed to about 10ml/sec, urgency
increased although frequency did not.  Called Dr. Lin, who was in Taiwan
with his ill father, was told it was probably some scar tissue, made an appt
for today.  Just returned, and yes it was indeed scar tissue, so after
dilation and cutting in the office (probably as close as I'll ever get to a
D&C), I could, if the environmental conditions were right, once again write
my name in the snow!  All's well again.  Nothing but the highest regard and
respect for Dr. Lin.  (BTW, no retro either.)

Vince

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"Some men see things as they are and say 'Why?'
I dream of things that never were and say 'Why not?'"
--George Bernard Shaw

Chockman - 04 Mar 2005 05:24 GMT
Vince:

Read with interest your office visit to Dr Lin.  Would you be free to
share more detail of what went into the process of "dilation and
cutting"?  Was this a flexible cystoscopy with local or more invasive
with rigid cystoscope with anesthesia of some kind?  Any further
information you could provide would be most helpful to those of us out
here who might sometime have to face similar procedures.  Thanks in advance.

> About two weeks ago, my urinary stream slowed to about 10ml/sec, urgency
> increased although frequency did not.  Called Dr. Lin, who was in Taiwan
[quoted text clipped - 6 lines]
>
> Vince
Vince Puma - 04 Mar 2005 20:44 GMT
Sure, Chockman.  Dr. Lin first used a flat-end 'hypodermic needle' inserted
into the penis to see if he could force liquid into the bladder from the
penile opening, and when he met resistance, he knew that there was something
in the way.  He then used the same instrument to administer a topical
anesthetic.  After a couple of minutes, he tried a simple dilation to see if
he could locate the problem without a scope, and he was able to feel the
scar tissue (as was I) partially blocking the urethral neck, so no scope was
necessary--did it all by 'feel, both his and mine.  Inserting a
double-bladed cutting instrument into the hollow dilation tube, he cut the
scar tissue away gradually, as he inserted larger and larger tubes.  It was
mildly uncomfortable but not painful.  The whole procedure took about 5
minutes.  He did say that I'd experience some minor bleeding (which I did,
but done by this morning), that it might take a few days for the flow to
return due to minor swelling or irritation of the area, and that it might
take another dilation to complete the job if there were any further
problems, so I'm scheduled for a follow-up on Apr 5.  But so far, so good.
Hope that helps.

Vince
Signature

"Some men see things as they are and say 'Why?'
I dream of things that never were and say 'Why not?'"
--George Bernard Shaw

> Vince:
>
[quoted text clipped - 15 lines]
>>
>> Vince
Chockman - 04 Mar 2005 20:55 GMT
Thanks for the information...that is very helpful...it takes the mystery
and anxiety out of some of these procedures.  chockman@canby.com

ince Puma wrote:
> Sure, Chockman.  Dr. Lin first used a flat-end 'hypodermic needle' inserted
> into the penis to see if he could force liquid into the bladder from the
[quoted text clipped - 15 lines]
>
> Vince
 
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