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

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Need PVP info

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Jack Crane - 11 Jul 2003 09:53 GMT
Is the PVP gear made only by Laserscope? If so, the Laserscope site implies
that it will find the nearest docs to you who can do a PVP
(http://www.laserscope.com/surgical/consumers/fad.html). Using it I find
one in the next town from me, and the 10th nearest about 900 miles away.
And searching for a friend in Forest Hills, NY (ZIP 11375), where I would
expect there would be many PVP docs nearby: There is one about 6 miles
away in Manhattan, but the second nearest is 87 miles away in Philly! This
means to me that PVP has yet to catch on. Is this true? And is PVP really
as good as described by Laserscope at
http://www.laserscope.com/surgical/professionals/pvp.html ?

PVP: Photo-Selective Vaporization of the Prostate

Thanks,

Jack Crane
Patrick - 11 Jul 2003 12:23 GMT
Jack,
Yes, Laserscope PVP is as good as it claims.  It was great for me.

You are very fortunate as you are near Cornell Medical Center in NYC.  Dr.
Alexis Te is one of the most experenced docotrs at doing PVP.  He did mine
as well as over a hundred the past 12 months.  Dr. Max Gomez of wnbc
resently did a story on the 5 oclock news about PVP.  Take a look at the
www.wnbc.com website under health.

good luck and best wishes for good health.

Patrick

> Is the PVP gear made only by Laserscope? If so, the Laserscope site implies
> that it will find the nearest docs to you who can do a PVP
[quoted text clipped - 12 lines]
>
> Jack Crane
Jack Crane - 11 Jul 2003 14:32 GMT
Thanks for the tip to the article at
http://www.wnbc.com/drmaxgomez/2297168/detail.html

Do you know where I can find some data on PVP's effectiveness?

Jack

> Jack,
> Yes, Laserscope PVP is as good as it claims.  It was great for me.
[quoted text clipped - 27 lines]
>>
>> Jack Crane
Patrick - 11 Jul 2003 15:04 GMT
Breakthrough treatment for most common ailment in men over 50 is safe and
effective, Weill Cornell study shows

New Laser Procedure Significantly Reduces Symptoms of Enlargement of the
Prostate

New York, NY (May 14, 2003)-- A breakthrough new laser procedure is a safe
and effective treatment for the most common ailment experienced by men over
the age of 50, Benign Prostatic Hyperplasia (BPH) or enlargement of the
prostate. Almost half of all men over 50 experience some symptoms related to
BPH, a condition where the prostate increases in size, gradually pinching
the urethra, leading to a host of uncomfortable and painful symptoms.

As one of six clinical research study sites, and the only site in the New
York City metropolitan area, the Weill Cornell Brady Prostate Center
investigated the new procedure, Photoselective Vaporization of the Prostate
(PVP), finding significant reduction in symptoms (AUA Symptom Score
reduction from 23.9 to 2.6) and prostate volume (55.1g to 30.3g) with all
patients discharged within 23 hours without significant complications. The
study's findings were presented at the recent American Urological
Association meeting in Chicago.

"The first significant advance in the treatment of BPH in fifty years, this
new laser technique greatly decreases the risk of serious complications from
the surgery, and allows patients to be immediately free of symptoms and
quickly return to work," said Dr. Alexis E. Te, the study's lead
investigator. Dr. Te is an Associate Professor of Urology at Weill Cornell
Medical College, and Director of the Brady Prostate Center at Weill Cornell
Medical Center at NewYork-Presbyterian Hospital. "Unlike previous
technological attempts at laser prostate surgery, the new laser procedure
truly removes prostate tissue with little bleeding, resulting in faster
recovery and better early results."

PVP makes use of a high-powered laser to vaporize the prostate tissue,
clearing up any obstruction with minimal blood loss. Depending on the size
of the enlarged prostate gland, the procedure lasts from 20 to 50 minutes,
and can be performed under local anesthetic on an outpatient basis. The
traditional treatment option, transurethral resection of the prostate
(TURP), a more invasive procedure, requires three to five days of
hospitalization and can lead to more serious complications such as bleeding,
urinary incontinence and impotence. More than 40,000 TURPs are performed
each year, and it is the second most common operation performed on American
men over 60.

While the exact cause of BPH is still unknown, it is thought to be a natural
part of the aging process in men, and thus, a very common condition.
According to the American Urological Association, BPH affects more than 50
million men in the United States. Men over 50 have a 50 percent chance of
having BPH, while men over 80 have a 90 percent chance of having the
condition. Current estimates show approximately two million men currently
receive treatment for BPH.

Symptoms of BPH vary from man to man, and worsen over time as the prostate
gland continues to enlarge. As the size of the gland increases, it squeezes
the urethra, causing a multitude of urinary problems, and if left untreated,
can cause bladder infections, bladder stones, and, in rare cases, kidney
damage.

Upon diagnosis of BPH, men typically undergo a period of "watchful waiting,"
as the urologist tracks the increasing size of the prostate, and monitors
the severity of the symptoms. Medications are usually the first line of
proactive treatment, even though they are only successful in 60 percent of
the cases.

"Not all men are candidates for the PVP laser technique as the size and
condition of the prostate as well as severity of disease are key
determinants," says Dr. Te. The study was funded by Laserscope of San Jose,
CA, makers of the GreenLightT Laser System, which is used for PVP.

> Thanks for the tip to the article at
> http://www.wnbc.com/drmaxgomez/2297168/detail.html
[quoted text clipped - 34 lines]
> >>
> >> Jack Crane
Jack Crane - 11 Jul 2003 15:30 GMT
Patrick, this is a bit suspicious, don't you think? Has there been a truly
independent study published in a medical journal?

Jack

"Patrick" <303delaware@comcast.net> wrote in news:a0mdneAMAqZ6XpOiU-
KYgg@comcast.com:

> The study was funded by Laserscope of San Jose,
> CA, makers of the GreenLightT Laser System, which is used for PVP.
XS11E - 11 Jul 2003 15:57 GMT
> Patrick, this is a bit suspicious, don't you think? Has there been
> a truly independent study published in a medical journal?

Not as far as I've seen.  For information on various treatments from
those who've had them you could start by going to Google and reading
the archives of this newsgroup for the past couple of years.  It'll
take some time but it might be worth it to you?
Jack Crane - 11 Jul 2003 16:51 GMT
>> Has there been
>> a truly independent study published in a medical journal?
[quoted text clipped - 3 lines]
> the archives of this newsgroup for the past couple of years.  It'll
> take some time but it might be worth it to you?

Good idea. Thanks. --Dick
Frederic E Henzi - 15 Jul 2003 05:26 GMT
Hi,
For me, PVP was better than hoped for. I had it done by Dr Laub in Santa
Barbara. It was almost covered by Medicare and supplemental insurance. Light
bleeding stopped after 2 1/2 weeks and BPH misery is history now.

Fred Henzi

> Is the PVP gear made only by Laserscope? If so, the Laserscope site implies
> that it will find the nearest docs to you who can do a PVP
[quoted text clipped - 12 lines]
>
> Jack Crane
 
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