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Medical Forum / Diseases and Disorders / Prostate BPH / February 2006Dilatation instead of pvp?
There has been discussion here about dilatation (not "dilation"), but no suggestion that this might be tried for bph as a step short of surgery. I understand that dilatation may have to be repeated. Is dilatation, balloon or otherwise, worth trying before moving to pvp? What do people think? Has anybody had any experience with this? Jesse On 2/20/06 7:36 AM, in article 1140449815.117879.263690@z14g2000cwz.googlegroups.com, "Jesse" <utopia1@attglobal.net> wrote: > There has been discussion here about dilatation (not "dilation"), but > no suggestion that this might be tried for bph as a step short of [quoted text clipped - 3 lines] > > Jesse If you like being tortured. Bill -- Ferme le Bush Balloon dilatation was tried as a treatment for BPH, but it failed. It has been abandoned. It can be used for certain urethral strictures, or in ureteric strictures, with a high failure rate. Fernando Gómez Sancha http://drgomezsancha2.blogspot.com I don't mean to beat a dead horse -- and dilatation might well be a dead horse -- but these comments leave some room for further inquiry. Dr. Sancha counts out balloon dilatation. But this is only one method of dilatation. What of others? The other posting indicates that dilatation might be painful, but then anesthesia comes into play. My questions are influenced by discussion on the prostate cancer list, where dilatation is discussed as a useful procedure that must be repeated from time to time. An overall evaluation of dilatation vs PVP would involve assessing this need for repetition with the former against the possible damage done by any kind of surgery. Jesse I cannot answer your question but all I can tell you is if you do this procedure to make sure you are sedated. I know some people handle pain better than others but for me, it was one of the most painful things I have ever had and if I were to have it again, I would either be sedated or I would not have it. That simple. I had to sit down in the doctor's lobby for about 30 minutes after the procedure before I could even walk to my car. My wife had to drive me home. I just felt like I was on fire. Fortunately, it only lasted a few hours for those few hours were miserable. Buford R >I don't mean to beat a dead horse -- and dilatation might well be a >dead horse -- but these comments leave some room for further inquiry. [quoted text clipped - 11 lines] > >Jesse From: utopia1@attglobal.net (Jesse) There has been discussion here about dilatation (not "dilation"), but no suggestion that this might be tried for bph as a step short of surgery. I understand that dilatation may have to be repeated. Is dilatation, balloon or otherwise, worth trying before moving to pvp? What do people think? Has anybody had any experience with this? Jesse ======= hi jesse - been there - done that..... but i might be able to explain why it usually will not work on men with prostates. picture in your mind, a ball (prostate) and it being held in place by rubber bands (muscle groups) the ball has a opening all the way through it and due to age, the ball is getting more dense in the middle and closing off the passageway. so, they stick a balloon in it to open it up. while the balloon is in there, it goes back to its original size, but as soon as the balloon is removed, the pressure of the muscle groups keeps applying pressure on the ball and closes down the passageway again. if you can relax the muscle groups, then you can get relief, hence, all the difference meds for that. in my case, it was different. i had the prostate removed. i scarred up from the surgery and had a restriction at the bladder neck and had to hop upon the table again for the dilatation procedure. before i went into the OR, they had me hooked up to an IV and said if it got too bad, he would knock me out so i wouldn't be in pain. i thanked him for being considerate. when i went into the OR, got on the table and the next thing i remember was them wiping me down and cleaning me up. i already had the catheter inside and was ready to go to the recovery room. and yes, the pain from this procedure afterwards was worse than the entire removal of the prostate. hope this information helps.... ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc Buford, thanks for the response. My sympathies for the pain you experienced with dilatation. So, clearly, one would have to seek sedation or some kind of anesthesia. But the question that remains is this: what was the result of dilatation? Did it improve flow? Did it have to be done again? If you could do it painlessly, would you recomend it as a temporary substitute for surgery? Jesse I don't think from what I have read that I would recommend dilatation as a temporary substitute for the surgery. The PVP is a fairly simple procedure although as others have said it is not a walk in the park. Unfortunately, so far I am one of the 10% that PVP's have not helped but there are 90% out there that have had remarkable results. From what I read on the dilatation, it seems to onlyh be a temporary fix and can actually create other false channels. Go to www.laserurology.com. Dr. Lin has a set of questions and answers on the PVP. If I can help any further, let me know. Buford >Buford, thanks for the response. My sympathies for the pain you >experienced with dilatation. So, clearly, one would have to seek [quoted text clipped - 4 lines] > >Jesse |
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