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Medical Forum / Diseases and Disorders / Prostate BPH / September 2003

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urologist spin

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Michael Balarama - 09 Sep 2003 19:27 GMT
Saw my urologist today-yearly checkup-
He said:
My prostate was large but healthy(no cancer)
He said he saw PVP but did not like it much-
He said-after you have it-you have no ejaculation
He said it would be tough to do it in an office as an out patient
he said the put a little scope up the penis and do the laser from that
scope-
And recommended turp or microwave.
Any comments :
Thanks
Michael
Nicksm20j - 09 Sep 2003 19:48 GMT
Find another uro.

Nick
David DeBar - 09 Sep 2003 20:47 GMT
Does he offer a money back guarantee that you have ejaculation after a Turp
or Tuna?  I'll bet not!  The odds of having normal retro are better with a
PVP and it's not the end of the world if you do get retro.  Life, sex and
love go on.
Find a uro who has done many PVP procedures.  Travel to his location and
have it done.  Most urologists will give you the same advice as yours just
did.  It is a quick and easy way for them to make money.  Why should they
change the way they have been doing it for years, just because it's better
for you?!?!?  I'm not being cynical.  That is just the way it is.  Dave
> Saw my urologist today-yearly checkup-
> He said:
[quoted text clipped - 8 lines]
> Thanks
> Michael
Barry - 10 Sep 2003 03:16 GMT
Doctors tend to avoid new procedures when they have no experience or expertise.
It boggles my mind how resistant most of them are to change.
Derry Argue - 10 Sep 2003 08:11 GMT
> Doctors tend to avoid new procedures when they have no experience or
> expertise. It boggles my mind how resistant most of them are to
> change.

Queen Victoria had problems not only from doctors but also the church, etc.
when she proposed trying anaesthesia during childbirth. Some seemed to
think it was immoral to give birth without pain! Luddites are nothing new.

But I still think we could apply a lot of pressure by naming reluctant
medics on this group. It might at least cause some to stop and think -- and
hopefully research. Why should they be entitled to anonimity?

Derry
bnd777 - 10 Sep 2003 20:45 GMT
> Saw my urologist today-yearly checkup-
> He said:
[quoted text clipped - 10 lines]
>
> NO WAY Turp or microwave ..........your URO is simply not prepared to keep
up with the times and refuses to update his skills
TURP is destructive and has loads of side effects as does microwave which
has a poor response record

Go with PVP you wont regret it
Jack - 10 Sep 2003 21:54 GMT
> Saw my urologist today-yearly checkup-
> He said:
> My prostate was large but healthy(no cancer)
> He said he saw PVP but did not like it much-
> He said-after you have it-you have no ejaculation

No way, he may have said you will have retro ejaculation.  If so that
may only be temporary, 3 or 4 months.
> He said it would be tough to do it in an office as an out patient

For any of these procedures you had better have an anesthetist
present.  However many folks have had a PVP in an ambulatory surgical
center and went home without a catheter!  Try that with a TURP or a
microwave, TUMT and you will have blood all over the place.

> he said the put a little scope up the penis and do the laser from that
> scope-

He's right on that score, but a TURP or a TUMT is done the same way
except they don't use a laser.
> And recommended turp or microwave.
> Any comments :

If you are considering one of these procedures look into a PVP
starting at www.laserscope.com
and save yourself a lot of grief.

Jack
Mike - 10 Sep 2003 22:18 GMT
>Saw my urologist today-yearly checkup-
>He said:
[quoted text clipped - 8 lines]
>Thanks
>Michael

Hmmm,  sounds like a Uro over the age of 40,
still talking to the, "gold standard for bph
treatment."  However, these guys have become
less vocal over the last year as favorable reports
following good PVP have rolled in.

We're dealing with a great technology that
hasn't fully rolled out yet.  Perhaps your
Uro doesn't yet have access to an outpatient
facility or hospital with the equipment (but
is privately considering gaining that access.)

Reasons for talking down PVP are numerous
and most have nothing to do with effectiveness
of the procedure.  The capital investment or
lease payments are significant and per-unit
costs for disposables are higher with PVP than
with older therapys.  Many HMOs reimburse only
TURP, TUMT or TUNA.  Oh yes, there's that little
matter about having to go to school--and start
out with zero treatments under your belt !
 
Regards, "Mike"
-- mikeellison3xxxatzzzyahoo.com --
 
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