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Medical Forum / Diseases and Disorders / Prostate BPH / January 2006Post PVP Procedure
When my prostate reached 37cc. and I could not live with BPH symptoms any longer, I discussed it with my urologist and decided to go with the PVP procedure. On 1/12/2006, I had an outpatient PVP (Green Light) procedure. They had to put a catheter on me before sending me home. The doctor took the catheter out next day (1/13/06) and gave me a portable catheter that I can insert myself and point it directly to the comode just in case. Since then, although I have not used the catheter, I'm having hard time peeing. It takes anywhere between a one to two minutes for me to start. Once started, it goes on and off with very weak stream and it gets worst during the night.. In addition, I have the urgency to go to the rest room almost every one to one and half hours day or night. Which is worst than my condition before the procedure. I do drink almost one gallon of water every day as recommended. Can someone tell me if this is normal. If yes, how long will it take for these symptoms to disappear? If no, what are the recommended followups to correct the problem? I have an appointment with my urologist on 1/20/06, any suggestion what should I will be discussing with him as a resolution? Would appreciate any feed back. Sounds like you are still swollen from the surgery. If you take Flomax, I would take some of those for about a week and then try without it. At least that is what my URO tells me to do. Everyone seems to have excellent results from the PVP procedure but I am not a very good one to give you advice because I have had two PVP's in the last 10 mos and I am still having the problem you describe without taking the Flomax. Anyway, if your flow gets totally blocked head to the ER because that is dangerous. Keep us posted. From the experience I have read from others and their remarkable results, I pray your situation is only temporary. Buford R >When my prostate reached 37cc. and I could not live with BPH symptoms any >longer, I discussed it with my urologist and decided to go with the PVP [quoted text clipped - 13 lines] >suggestion what should I will be discussing with him as a resolution? >Would appreciate any feed back. Thank you so much for your reply Buford. I'm already taking one Flomax tablet per day as recommended by my urologist until he sees me this coming Friday (1/20/06). I can tell you that the burning sensation that accompanies the urination started to twindle down a little. Will definitely keep you updated and sincerely hope and pray that your condition will improve soon. Would appreciate keeping me updated also. Best regards. >Sounds like you are still swollen from the surgery. If you take Flomax, I >would take some of those for about a week and then try without it. At least [quoted text clipped - 13 lines] >>suggestion what should I will be discussing with him as a resolution? >>Would appreciate any feed back. After my PVP 2/23/05, the URO did not put in a cath. However, they had to cath me before releasing me from the hospital. They gave me supplies to self cath and I had to use them x2 during that first 12 hrs. After that I could go on my own. The flow was not great at first. Urgency and frequency lasted about a week. And there was burning, rawness and discomfort similar to the way one feels after a cysto that lasted about a week. I hope your URO has you on Pyridium for the discomfort. My URO's explanation was that the procedure left the prostate swollen and it takes a few days for the swelling to go down. My biggest problem after the procedure was getting the GI system back on line. I had severe low belly pains for 3-4 days after the procedure. I took Colace and MOM and finally things returned to normal. I asked my Internist for some Ativan to sleep during those first weeks. The Ativan helped me put it to sleep at night. > When my prostate reached 37cc. and I could not live with BPH symptoms any > longer, I discussed it with my urologist and decided to go with the PVP [quoted text clipped - 13 lines] > suggestion what should I will be discussing with him as a resolution? > Would appreciate any feed back. Thanks for the information. It sure is comforting. I'm taking Colace and have no problem in that department. My urologist gave me Phenazopyridine for the burning sesation and Hydrocodone for the pain and to knock me out. Both are working but with great limitation. I'm so glad that you're back to normal. My prayers with you to continue this way. >After my PVP 2/23/05, the URO did not put in a cath. However, they had >to cath me before releasing me from the hospital. They gave me [quoted text clipped - 16 lines] >> suggestion what should I will be discussing with him as a resolution? >> Would appreciate any feed back. SHH, I guess you have to wait and see what happens. Edema is sometimes a problem and it can cause obstruction that can take some days to dissapear. I always do an ultrasound with residual urine estimation a few days after PVP to check that voiding and emptying is efficient. It usually is. Antiinflamatory drugs and flomax could help. Your doctor was there at the operating theatre and he will probably reassure you that everything is going to be fine. If you do not improve after one month I would recommend a Flexible cystoscopy to check if everything is OK inside. So it is probably just edema (inflamation) and it will go away. Keep us posted. Fernando Gómez Sancha http://drgomezsancha2.blogspot.com Dr Fernando, Thank you kindly for your response. As of this morning, my burning sensation is almost gone; I'm able to start urinating within 5 to 10 seconds (down from 1 to 1.5 minutes). However, I still get up 6 to 8 time during the night and still have a weak stream. I did see my urologist this morning, Yes, you were absolutely right, the first thing he did was an ultrasound to check if there was any retention in the baldder. Thank God there was none. Then he told me that the symptoms I'm curently experiencing is from inflamation that will go away within the next 2 to 4 weeks. He also recommended that I take the Flomax for the time being until my next visit. He did not see it necessary for me to take any anti-inflamatory medicine. Will definitely keep you updated. >SHH, > [quoted text clipped - 14 lines] >Fernando Gómez Sancha >http://drgomezsancha2.blogspot.com |
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