On Jan 1 I wrote in this newsgroup...

"62 yr old who had TUMT 7/2/04 followed by PVP 2/23/05.  Intent was to
do bladder neck sparing PVP which was done with the chance of only 20%
retrograde ejac.  At 44 weeks after PVP, still have retro.  And in the
last few weeks have had  a return of symptoms at night...difficulty
starting flow with a partially filled bladder and some feeling of not
emptying.  Night visits had been down to an average of 2 per night, and
then around Christmas, the night visits started to increase to every 1.5
hrs. Restarted Uroxatral 12/28.  Will have a PSA 1/3. Prior PSAs  have
been in the range 1.1 - 1.7 Appt with the URO 1/9 for reassessment.
Interesting that by the third dose of Uroxatral, started to have lower
back pain again. Haven't had that since the PVP was done and Uroxatral
discontinued.  In the surgery report, the URO made "a single incision in
the bladder neck at the 5 oclock position which opened it up nicely."
(Thus the retro).  "It is entirely possible that he will need additional
therapy, including total ablation of the bladder neck..."  I suspect I
may be headed for additional surgery.  I would be interested in hearing
from any who have had "total ablation of the bladder neck" and what
their outcomes were. "

I had an appt with the URO on Jan 9.  The PSA test result was 1.4. And
the max flow rate was 14.5 ml/sec on 590 ml output compared to 11.2 max
output on 313 ml Oct 05.  Zero retention after either flow test.  URO
says that he wants further info about the condition of my bladder.  So
the outcome of this office visit was to switch to Flomax for one week,
add Detral LA for another 3 weeks and then see where we are by Feb 8.
Have had 4 doses of Flomax.  So far, see little change.

One lesson I learned...although the flow test instructions say to drink
1 qt of water, one pint is sufficient for me to have an adequate flow
test.  When I got to the office, there was a traffic jam at the window
with so many patients arriving all at once.  I had to wait an additional
20 minutes before doing the flow test.  Although uncomfortable, I was
able to manage without having the acute pain that I had on the prior
flow test in Oct when I had drunk a full quart. I found it was useful
to do a home flow test several days before the office one.  I drank a
pint of water, waited one hour to start the measurements and timing.  I
kept a record of each urination for the rest of the day.  That
information was very useful to the URO and to me in having a successful
test on Oct 9.