Many people are concerned that a biopsy might spread cancer cells but your Uro does a TURP. When I was having my PVP one of the other patients had earlier in the week had a cystoscopy. He said that size of his prostate was so large that they had to slice a piece off in order to get the camera in. He had been kept in hospital due to excessive bleeding and was due to come back for a full body scan. It would seem that urologists have no fears about releasing rogue cells into the body.
Derek.
 Tom

 My experience with TURP.

 I have BPH and Cancer.
 Biopsy 4/15/05

 T1c Gleason 6, 3+3,
 1/12 positive, localized,
 Age 79, Good health,
 Taking Proscar.
 TURP on 6/20/05

 My Urologists says it is better for me to have a TURP before having EBRT. Which is not yet scheduled.

 TURP performed on:
 June 20, 2005 Admitted to CMH (Community Memorial Hospital) 7:45 am. Surgery was scheduled for 9:45 am.

 My Doctor and Anesthesiologist insisted that a local (spinal anesthesia) was the only way to go. Just prior to the spinal I was given a shot they described will make me drowsy. I was wheeled into the operating room and given the given spinal. The last thing I remember is seeing  my doctor positioning himself to start the surgery. When I woke up the doctor was gone and other personnel were undoing the set up and getting me ready to move to the recovery room. In effect this was just like a general anesthesia without the possible complications of a general.

 

 Recovery room. A catheter had been inserted, I don't remember this. It has a two way channel. This was used to flush out the bladder. Clear fluid in, waste and blood out. This set-up remained until the following morning.

 

 June 21, 2005, TURP + 1 day

  My doctor visited, about 8:00 am. He said everything went as it should and was satisfied with the surgery. After some discussion and questions I had, he announced that I will be going home as soon as a urine evacuation test was performed. It was OK and we rolled up the tent and went home. With the catheter out I was now on my own. Urinating consisted of passing some blood followed by urine. Some burning and pain, On a scale of 1 to 10, (3)?

 

 June 22, 2005, TURP + 2 days

 More of the same, with less pain and burning. All my literature on this states it will be many weeks before this will almost totally subside. I am told to restrict myself to the house for two weeks, because there may be incontinence or urgency problems. I have no continence problem at this point and I don't anticipate any.

 

 June 30, 2005, TURP + 10 days

  Progressing as expected. No flow improvement, bleeding is diminishing.

 July 11, 2005, TURP + 3 weeks

 Progressing as expected. No flow improvement, bleeding is diminishing.

 Urgency is much improved. Retention, showing improvement, longer time periods between trips.

 I am not yet experiencing any of the benefits of TURP. I am told that it's normal for only 3 weeks out.
 Ben T

 "Tom Harms" <tomharms@cox.net> wrote in message news:UdbBe.55812$iU.44062@lakeread05...
 > My urologist will talk to me next week about doing CISC 4 times a day to
 > give my bladder a chance to normalize.  The bladder has probably never been
 > entirely empty for over ten years.  He said it would also be necessary in
 > preparation for a TURP or PVP.  I just can not visualize myself doing this 4
 > times a day.  I had a cystoscopy 7 years ago and still remember the
 > sensation of the tube advancing to my bladder.  I'm wondering how necessary
 > this is at this stage and also whether an indwelling catheter would be a
 > better solution.  Any thoughts?  Thanks, Tom
 >
 > P.S. I'm about 62 in good health and have been putting off a TURP for years
 > waiting for a better solution.  Looks like I've run out of time for
 > corrective action.  Ultrasound of bladder today was normal, except a big
 > prostate that seriously prevented emptying the bladder.  Even after voiding,
 > the bladder appeared to be nearly full.
 >
 >

I am now about 3 1/2 months post PVP, and it amazes me the extent to which
the bladder does adjust.  Immediately after my PVP my urine stream was so
strong that it was difficult to control.  I understand from previous posts
on this board that this was because the bladder had been (prior to PVP)
accomodating so as to push the urine through the restricted urethral
channel.  So, following the PVP this exaggerated pushing through a no longer
restricted channel caused the overly strong stream.  My bladder has now
adjusted and my stream is normal (about how it was when I was a teenager).

Mr. B

Thanks for the info, especially on the disposable catheters.  Even if I buy
them myself, they are only about $1 each.  I think HCPCS Code A4351 is the
12Fr disposable made by Coloplast called SureCath/Conveen Intermittent
Catheter, by Rusch called FloCath, by Rochester Medical called Personal
Catheter, or by Hollister called Incare Intermittent Catheteer.  This is
starting to sound more doable.  :-)