My TUMT was performed in the URO's office 7/2/04.  But when it came to
the PVP 2/23/05, the URO  told me that he needed to do the PVP in the
hospital because of the anesthesia (both the anesthesiologist, the
support equipment, and the recovery area).  I also had a septoplasty of
the nose done 7/23/04 in an ambulatory  surgical center.  In that case,
the center was set up to include the anesthesiologist and the support
equipment to do the anesthesia and the recovery from the anesthesia.  I
would think that any physician who sets up his office to include the
services of the anesthesiologist, the support equipment for
anesthesiology, and the recovery, could do it in his office in the same
way as it is done in an ambulatory surgical center, but it may be more
efficient and cost effective to use anesthesiology abd recovery services
already set up in an hospital or ambulatory surgical center.  At this
point, few URO's seem to be doing PVP's with local anesthesia.  Should
more UROs in the future do the procedure with local, likely the
procedure will be more available in doctor's offices.  I would wonder if
many URO's accustomed to doing TURPs in hospitals find it difficult to
change the way they do things when they first start doing PVPs; the PVP
is like a TURP and TURPS ARE DONE IN HOSPITALS.

The doctor that performed my PVP back in February now does PVP in his
office.
He says that patients find the office environment much more relaxing than
the hospital or clinic.

Art