At appointment on 15 Sep, I was initially asked to give a urine
specimen, which I barely filled. The first thing the technician did was
check how much urine was in my bladder, which indicated over 900cc's. The
Doctor ordered a catherization to empty my bladder. To my amazement, the
technician filled a bottle of 1000 cc's or one liter. I'm 62, 5'10", & 170
LBs. I'm now currently scheduled for a PVP on 12 Oct, but will have a
Urodynamic evaluation on Monday, 19 Sep. The National Naval
Medical Center in Bethesda does a lot of PVPs ~ they also do TUNAs & TURPs.
I think PVP is the procedure of choice if the patient qualifies. The
Urodynamic was explained to me ~ it sounds very complex. I'll do some
research on it. Tom
Michael Balarama - 18 Sep 2005 02:11 GMT
> At appointment on 15 Sep, I was initially asked to give a urine
> specimen, which I barely filled. The first thing the technician did was
[quoted text clipped - 7 lines]
> Urodynamic was explained to me ~ it sounds very complex. I'll do some
> research on it. Tom
good luck-sounds like the right way to go PVP--my wife was born at that
hospital-her father was a navy officer..got them to pay for it..congrats
Michael
Tom Harms - 19 Sep 2005 20:19 GMT
I had Urodynamics this morning. They normally plan about two
hours, but it took three hours for me due to the large normal residual
amount (1,000 ccs) in my bladder. Initially, the technician inserted a 7 FR
(dual tube) catheter into my bladder and started to empty my bladder with a
syringe ~ pulling the urine out. Since the outgoing tube was no bigger than
3½ FR, it took about a half hour to empty my bladder. The technician
removed 950 cc from my bladder. Her normal procedure is to re-introduce
about 400 cc of fluid with dye to take photos during various stages of
bladder refillment. I convinced her that 400 cc of fluid in my bladder
would not get a response, so she got the doctor's instructions to
re-introduce as much dye-fluid as it took to get a response (sense or
urgency to pee). Also sensor was also inserted into my anus to measure
abdominal pressure. She took photos at various stages of re-filling my
bladder and the computer measured corresponding pressure from the bladder
and abdomen. The doctor has not called me yet with her evaluation of the
results yet, but from my standpoint there were no surprises. My prostate
has restricted flow from my bladder for many years. My bladder has
*adjusted* by gradually increasing the amount of urine it would tolerate
before it demanded that I void. It has reached the point now that my
bladder allows me a fill up to a liter (1,000 ccs) before I'm alerted to
void. Clearly this is not acceptable for a 62 year old man. The
restriction caused by the prostate has to be relieved. My previous Renal
Ultrasound indicates that both kidneys are normal, big bladder, & 61.6 cc
prostate volume. I trust the doctors will proceed with the PVP, because
there are no viable alternatives.
> At appointment on 15 Sep, I was initially asked to give a urine
> specimen, which I barely filled. The first thing the technician did was
[quoted text clipped - 9 lines]
> Urodynamic was explained to me ~ it sounds very complex. I'll do some
> research on it. Tom
Tom Harms - 20 Sep 2005 22:04 GMT
Just advised by Doctor that all is set for the 12 Oct PVP. :-)
>I had Urodynamics this morning. They normally plan about two
> hours, but it took three hours for me due to the large normal residual
[quoted text clipped - 39 lines]
>> Urodynamic was explained to me ~ it sounds very complex. I'll do some
>> research on it. Tom
Pat C - 30 Sep 2005 17:34 GMT
Go for it. I had pvp on 8/17 under general anesthesia. There was no pain at
all. My prostate was 100 g with median lobe. So the surgery took 3-4 hours
and one night stay in the hospital. The catheter was removed next day 6:30
am and after I peed twice like a race horse by myself I walked out the
hospital by noon. The blood urnie diminished in 4 days, then after 2 days
there was blood ruine again but only lasted around three days. After that
everything is getting beter and better. Please dring a lot of water in first
two weeks. My peak flow was 35 ml/s when I did the follow up visit to my uro
vs. <<5 ml/s prior to PVP. Best luck to you.
Tom Harms - 30 Sep 2005 18:07 GMT
Thanks for the info. Did you feel like you could drive home the next day
and/or did the hospital require an escort take you home? Will they totally
empty my bladder before the PVP procedure, since my Post Void Residual is
nearly one liter? How long did it take to train the bladder to stop
retaining so much liquid? Thanks, Tom
> Go for it. I had pvp on 8/17 under general anesthesia. There was no pain
> at
[quoted text clipped - 10 lines]
> uro
> vs. <<5 ml/s prior to PVP. Best luck to you.
Rich256 - 30 Sep 2005 18:36 GMT
You might want to take a look back at "preparing home for post-pvp"
recently on this group.
If it is not on your computer now go to google and search for it under
"groups". As I remember the first suggestion was to bring along a supply of
adult size diapers.
> Thanks for the info. Did you feel like you could drive home the next day
> and/or did the hospital require an escort take you home? Will they totally
[quoted text clipped - 16 lines]
> > uro
> > vs. <<5 ml/s prior to PVP. Best luck to you.
Tom Harms - 30 Sep 2005 19:56 GMT
I'm keeping close track of that tread, it did not address my guest. Thanks,
Tom
> You might want to take a look back at "preparing home for post-pvp"
> recently on this group.
[quoted text clipped - 31 lines]
>> > uro
>> > vs. <<5 ml/s prior to PVP. Best luck to you.
Larry - 06 Oct 2005 20:51 GMT
I had my pvp on June 2,2005. Things have settled down to normal after about
3 months and am doing well. I was in total retention with a catheter for 3
months prior to pvp.
Very little to no blood and have started running again...now up to 2 1/2
miles....no need for any medication at all...not even aspirin for pain after
the pvp.
Best of luck.....just be patient.
>I'm keeping close track of that tread, it did not address my guest. Thanks,
>Tom
[quoted text clipped - 4 lines]
>>> > uro
>>> > vs. <<5 ml/s prior to PVP. Best luck to you.
Tom Harms - 06 Oct 2005 21:28 GMT
Thanks, I'll update my status after the PVP ~ :-)
>I had my pvp on June 2,2005. Things have settled down to normal after
>about
[quoted text clipped - 17 lines]
>>>> > uro
>>>> > vs. <<5 ml/s prior to PVP. Best luck to you.
Derek F - 01 Oct 2005 00:26 GMT
> Go for it. I had pvp on 8/17 under general anesthesia. There was no pain
> at
[quoted text clipped - 10 lines]
> uro
> vs. <<5 ml/s prior to PVP. Best luck to you.
I had a 75g prostate with two lateral lobes that caused my problems, the Uro
said that the lasing time had been 57 minutes. I don't think that the laser
fibre would stand up to 3 hours use. I was put under at 1.30 and the next
thing that I remember is coming round in the recovery room at 4.05 but the
Uro said that I had been awake and speaking in the operating theatre before
3.00
Derek.
Pat C - 02 Oct 2005 18:46 GMT
Tom, I think people can drive home by themselves if it's not too far but I
prefer someone come to pick you up. When I was released by the hospital, I
asked them give me several adult diapers and one urinal. I used diaper for
many days and used urinal to measure my urine and observe it if there was
clot, then recored those data on paper. My appointment was 7:30 am. I was
asked to be the hospital at 6 am. I was sent to the op room 7:50 and the
next thing I remembered was around 1 pm in the recover room. My wife said I
was out the op room around 12:30 pm but I had no idea of that. My prostate
size was 100g and one median lobe. Every thing will be fine.