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Medical Forum / Diseases and Disorders / Prostate BPH / January 2006

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Problem 1 Year After Laser

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johnny - 28 Jan 2006 20:18 GMT
A little over a year ago, I had a pvp. Until now things were fine.  Now
the flow has decreased to where it was before pvp with dribbles etc.
Strangely enough, bowels seem to cause increased flow.  I made an
appointment with a uro, although he is so busy it will be a couple
weeks.  I would think everything would be healed by now and there
wouldn't be clots but is this really true?  What could cause such a
problem?
Derek F - 28 Jan 2006 21:06 GMT
>A little over a year ago, I had a pvp. Until now things were fine.  Now
> the flow has decreased to where it was before pvp with dribbles etc.
[quoted text clipped - 3 lines]
> wouldn't be clots but is this really true?  What could cause such a
> problem?

Scar tissue? We had a poster some time ago who had scar tissue that blocked
his urethra:-

     Mar 3 2005, 5:30 pm   show options

     Newsgroups: sci.med.prostate.bph
     From: "Frank" <frank_jelli...@yahoo.com> - Find messages by this
author
     Date: 3 Mar 2005 09:30:03 -0800
     Local: Thurs, Mar 3 2005 5:30 pm
     Subject: Questions regard need for second PVP
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One week post PVP and I void like a thirty five year old with minimal
discomfort.

To those who have had more than one PVP

1) How long before the second had to be performed?

2) Was the first one successful at first or were there complications?

  2. Maurice Batey
          Mar 3 2005, 9:52 pm   show options

           Newsgroups: sci.med.prostate.bph
           From: Maurice Batey <maur...@eurobell.antispam.co.uk> - Find
messages by this author
           Date: Thu, 03 Mar 2005 21:52:44 GMT
           Local: Thurs, Mar 3 2005 9:52 pm
           Subject: Re: Questions regard need for second PVP
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     On Thu, 03 Mar 2005 09:30:03 -0800, Frank wrote:
     > To those who have had more than one PVP

     >  1) How long before the second had to be performed?

                  6 months

     >  2) Was the first one successful at first or were there
complications?

          Apparently very successful; swift recovery (was on train home 24
          hours after the op).
               However, after 4-5 months the flow rate had diminished. In
the
          2nd PVP he took more away around the bladder neck, and removed
some
          scar tissue. All is fine now.

     There are two possible reasons why the 1st PVP did not remove enough:
       (1) I had asked him to try to avoid retro ejaculation.
       (2) He found 2 mini-tumours in the bladder and removed them, thus
           perhaps reducing the time available.

     --
     Maurice Batey
             (Retired in Hampshire, UK)
             www.maurice.eurobell.co.uk
     (Remove 'antispam.' to reply by email)
Nelson - 29 Jan 2006 18:07 GMT
> A little over a year ago, I had a pvp. Until now things were fine.  Now
> the flow has decreased to where it was before pvp with dribbles etc.
[quoted text clipped - 3 lines]
> wouldn't be clots but is this really true?  What could cause such a
> problem?

Just a guess, but PVP (or TURP for that matter) doesn't prevent the
prostate from continuing to grow which is what caused the problem in
the first place.

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Nelson

Rich256 - 31 Jan 2006 23:06 GMT
> A little over a year ago, I had a pvp. Until now things were fine.  Now
> the flow has decreased to where it was before pvp with dribbles etc.
[quoted text clipped - 3 lines]
> wouldn't be clots but is this really true?  What could cause such a
> problem?

Do you know the approximate size of your prostate?   I am thinking that
if it is large you may need a second PVP.

 During a discussion a couple months ago Dr. Sancha stated that for
very large prostates the operation can take up to three hours and use
three or four expensive fibers.  My immediate thought was that in the
U.S. where the insurance often pays a flat fee the doctor would probably
perform a "standard procedure" which might be one hour and one fiber.
Then if that is not "good enough" he would do another and perhaps even a
third one, as each of those additional procedures would again be paid
for by insurance.

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