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Medical Forum / Diseases and Disorders / Prostate BPH / May 2005PVP Info
I thought the link to the following article might help some folks with their decisions as to treatment: The April 2005 issue of Urology Times reported study results from Robert E. Reiter, M.D., Professor of Urology at UCLA, demonstrating the benefits of photoselective vaporization of the prostate (the PVP procedure) using Laserscope's GreenLightT laser system for treating men with BPH, an enlargement of the prostate. The article quotes Dr. Reiter stating, "I'm sending almost all patients home (the same day of the procedure) and most go home without a catheter." Patients treated with the GreenLight laser system experienced shorter hospital stays than TURP patients. To read the full article, visit http://www.laserscope.com/surgical/professionals/urologytimes2005.pdf To find the nearest Urologist offering the PVP procedure, visit http://www.laserscope.com/surgical/consumers/fad.html 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 Not only did I leave the hospital without a catheter, I actually woke up from the anaesthesia without one after Dr. Reiter performed my PVP. !! Truly remarkable technology in the hands of an obviously top-rate surgeon. Mr. B >I thought the link to the following article might help some folks with >their decisions as to treatment: [quoted text clipped - 18 lines] > > Vince Just for balance, I need to mention 5 days of catheter wearing after my first PVP. Ron > From: "Mr. B." <trader.boys@gte.net> > Reply-To: "Mr. B." <trader.boynospam@verizon.net> [quoted text clipped - 29 lines] >> >> Vince Correction: I looked at a previous note: I wore the catheter 6 days. Ron > From: Ron <ron1@rcn.com> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 38 lines] >>> >>> Vince I would think that a post surgery catheter is the norm, so I consider myself most fortunate that I avoided it! Mr. B > Just for balance, I need to mention 5 days of catheter wearing after my > first PVP. [quoted text clipped - 36 lines] >>> >>> Vince You will notice that Dr. Reiter is very selective in choosing patients: “My advice is to avoid lasing anything within the bladder or bladder mucosa. It can lead to dysuria. That was a problem with the early lasers,” Dr. Reiter said. “We looked at that pretty carefully. Only one patient in our series had dysuria, and I think it can be avoided by staying out of the bladder.” If I read this correctly, it means he will not do median lobe protrusion into the bladder, i.e., the so-called ball-valve problem. This, of course, would be a real problem and would leave only holmium laser and TURP as the only options for this condition. Other skilled uros do median lobe protrusion with PVP. >I thought the link to the following article might help some folks with >their decisions as to treatment: [quoted text clipped - 18 lines] > > Vince Interesting. I don't know whether my problem involved median lobe protrusion, but I do know that Dr. Reiter did extensive work at my bladder neck (which he described as very narrow). Although my prostate was 'only' about 40 grms, my stream prior to surgery was very poor - which suggests to me that I may very well have had median lobe problems. I'll quiz him on that at my next appointment. Mr. B > You will notice that Dr. Reiter is very selective in choosing patients: > [quoted text clipped - 35 lines] >> >> Vince |
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