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Medical Forum / Diseases and Disorders / Prostate BPH / July 2005Median lobe and PVP surgery
I would appreciate hearing from anyone who had a median lobe protruding into the bladder or bladder neck and has undergone PVP surgery. I am not blocked, but because my enlarged median lobe pushes into the bladder, my uro tells me that is the cause of my frequency (due to reduced bladder capacity). My frequency need is at minimum a nuisance, bordering on a minor handicap. I'd like to do something other than taking Proscar, which has arrested the enlargement but not reversed or shrunk it. I'm 69 years old and feel I'm on a tether due to the frequency. I'm mistrusting of any professional who has an economic stake in my decision. Same applies to those promoting the procedure. That's why I'd welcome first hand accounts. I feel they're more honest. In replying, could you advise how the surgery has affected your frequency and whether the surgeon worked ONLY on the median lobe or sought to vaporize most of the enlarged tissue throughout the prostate. Thanks, Rob Hi Rob, I had a median lobe that was into my bladder. It caused a slow rate, 3.5 mL/sec average, and a large retention, up to 40%. I had a PVP just over 2 years ago now. I was warned that I had a 50% chance or better of having retro, which I have. However, my flow rate in now better than 10 ml/sec on average with less than 10% retention.. I no longer have to worry about where the next bath room is going to be, or the rest area on the highway. I was 73 when the PVP was done, and was in very good health. I have noticed that I am now getting up once during the night, 3 months ago it was once every two or three days at night. All in all I am a happy camper regarding having the PVP done. Jack >I would appreciate hearing from anyone who had a median lobe protruding > into the bladder or bladder neck and has undergone PVP surgery. [quoted text clipped - 17 lines] > > Rob > I would appreciate hearing from anyone who had a median lobe protruding > into the bladder or bladder neck and has undergone PVP surgery. [quoted text clipped - 17 lines] > > Rob Rob: I had PVP surgery for BPH completed on 7 June 2005. I am extremely pleased with the results. Surgeon: Dr David Laub, M.D. of Santa Barbara , CA (805 569-2462 --he has done well over 200 PVP operations). I am grateful to this site for (1)alerting me to the PVP procedure, and (2)for pointing me toward Dr Laub. I only had to travel from San Diego to Santa Barbara, but knowing what I know now, I would cross the continent in the blink of an eye for this particular doctor's services! My history: Age 73/prostate size approx. 60 cc./ intermittent weak flow with the usual night time retention/ 3X up on a good night & 5 to 6 X on a bad night/ on low dosage coumadin as result of mitral valve repair 7 years ago/ fairly large medain lobe protruding into bladder/ AUA score around 24 plus/ no cancer involvement/ diagnosed via cystoscopy as TURP candidate! PVP surgery was with a general anesthetic/ exactly one hour duration/ KTP laser vaporization of the prostate as well as the median lobe protruding into the bladder, using 249,000 joules. Catheter was removed about 2 hours after surgery, and approx. four hours after surgery I walked out of the hospital with no catheter and returned to my motel! I returned to San Diego the next day. I went off of coumadin one week before surgery, and resumed coumadin one week after surgery. If I lived in snow country, I could now write my name in the snow! I have had no problem whatsoever, other than missing my daily swim for the first two weeks per Dr Laub's recommendation. For the first week, I had pink-tinged urine. After that, normal urine. I get up 2 times per night now, but mostly out of a long term habit which I am certain I can easily break. I anticipate that soon I will be making one trip each night. No more starting and stopping! My return appointment with Dr. Laub is at the three month point. Rob--I hope this has answered some of your questions. It goes without saying that I recommend Dr. Laub without reservation. > I would appreciate hearing from anyone who had a median lobe protruding > into the bladder or bladder neck and has undergone PVP surgery. [quoted text clipped - 17 lines] > > Rob Thanks, Jack and Doug, for your detaled information. This is very helpful. Doug, did you have a daytime frequency problem prior to your PVP? And has it been remedied? And for both of you, was there any discussion about working ONLY on the median lobe or is it standard practice to do the entire prostate? Thanks again, Rob Hi Rob, Since my prostate was enlarged, not only with the median lobe up in the bladder, they had to widen the urethra through the entire prostate. Jack > Thanks, Jack and Doug, for your detaled information. This is very > helpful. [quoted text clipped - 8 lines] > > Rob Rob--my frequency problem was mainly at night. Daytime was fairly frequent, but not a problem. Now daytime is definitely no problem, and nights are rapidly improving. Surgery on ONLY the median lobe was never even discussed. It was always understood that the median lobe and the urethra were both going under the laser. Doug > Thanks, Jack and Doug, for your detaled information. This is very > helpful. [quoted text clipped - 8 lines] > > Rob Had PVP about a year ago for median lobe protrusion. Frequency has been cut roughly in half in line with doubling of capacity. I no longer define myself as a person needing to pee frequently. Jim W. >I would appreciate hearing from anyone who had a median lobe protruding > into the bladder or bladder neck and has undergone PVP surgery. [quoted text clipped - 17 lines] > > Rob Jim, Your situation sounds very similar to mine. Would it be possible to ask you for more details? Please e-mail me at: rob1552@hotmail.com Thanks very much, Rob |
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