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Medical Forum / Diseases and Disorders / Prostate BPH / May 20063 months after TURP... vs. before
I have followed this NG for 5 years... practically since I started to have symptoms of BPH. After having read a lot of posts, that have helped me a lot, I think I must counterchange by narrating my experience. In these years (2001-2006) the symptons have worsened more and more; the weeks before TURP (in february this year) during night I had to go to bathroom 3-4 times, during day every hour or so. My PSA went from 0.4 in 2000 to 16 before TURP. I have had biopsy two times: the first in 2003 (8 shots, all negative) and the second in january this year. The second biopsy was made in local anesthesy after an NMR of prostate in order to address the 18 shots of the biopsy towards selected regions of prostate. Also these shots were all negative, so my two urologists (one having only TURP available, the other having both TURP and PVP available) decided that I should undergo operation, and both suggested TURP for the following reasons; 1) PVP is guaranteed for 5 years while TURP at least for 10, so for relatively joung people like me (I am 59) TURP is adviced; 2) TURP allows to examine for cancer all pieces of prostate that are cut, while PVP does not provide tissue pieces. I went to hospital at 11 am on a friday, at 2pm I was anesthetized, I 5pm I woke up. Doctors said that TURP had been succesfully made. I was having a cathether, some pink liquid (urine + blood) was slowly flowing in it. No pain in any part, no pain from cathether. I was taken away the catheter next monday morning (the color of urine was no more pink but normal) and went home by walking (I live near the hospital). The following days I realized how fool I have been not to have had TURP before. No more runs to the bathroom during night and day; it's me not my bladder who decides when to go to bathroom! Now, after 3 months I am happy, as follow up I have checked flow rate, urine retention, and PSA: all have become those of a 20 year old man, PSA is now 0.2. What about all collateral effects? As to incontinency, none. As to erectile function and orgasm, these are the same as before. As to retro, well I have retro, my urologists said that I would have it either because of TURP or PVP. But for me retro is not a problem, the sperm volume had already decreased. I hope I haven't bother you Bye PS. I am italian and all this I have done in Italy. See in-line comment. > I have followed this NG for 5 years... practically since I started to > have symptoms of BPH. [quoted text clipped - 15 lines] > 1) PVP is guaranteed for 5 years while TURP at least for 10, so for > relatively joung people like me (I am 59) TURP is adviced; Hello "sm"...Thanks for your input. Just had to tell you there are no guarantees in medicine, especially for surgeries :-). BTW, I used to read one of your Italian urologist's web pages back in 1997 (while studying prostatitis). His name was "Ivo Tarfusser". Do you know of him, and does he still practice...Pete > 2) TURP allows to examine for cancer all pieces of prostate that are > cut, while PVP does not provide tissue pieces. [quoted text clipped - 21 lines] > Bye > PS. I am italian and all this I have done in Italy. > See in-line comment. > [quoted text clipped - 20 lines] > Hello "sm"...Thanks for your input. Just had to tell you there are no > guarantees in medicine, especially for surgeries :-). Yes, I agree that there are no guarantees, but the urologosts said that according to their experience, the patients who underwent TURP expect to get BPH again much later than those who underwent PVP. BTW, I used to read > one of your Italian urologist's web pages back in 1997 (while studying > prostatitis). His name was "Ivo Tarfusser". Do you know of him, and does > he still practice...Pete No, I am sorry, I have no news of him. Bye SM >> 2) TURP allows to examine for cancer all pieces of prostate that are >> cut, while PVP does not provide tissue pieces. [quoted text clipped - 21 lines] >> Bye >> PS. I am italian and all this I have done in Italy. >> See in-line comment. >> [quoted text clipped - 24 lines] > according to their experience, the patients who underwent TURP expect to > get BPH again much later than those who underwent PVP. My attitude right now is that I will go for another PVP before I would try TURP. PVP really was not much more than an inconvenience of having to go without breakfast!! ciao (Spent a couple years in Eritrea eons ago). >>> See in-line comment. >>> [quoted text clipped - 30 lines] > > ciao (Spent a couple years in Eritrea eons ago). Yes, with TURP one has to stay with catheter one or two days more that with PVP, and has some bleeding for two or three days ; I preferred to tolerate these slight disadvantages but have the opportunity of a longer duration of the benefits of the operation and also of having response on presence of cancer from the analysis of the pieces of tissues cut from prostate. Ciao SM >>>> See in-line comment. >>>> [quoted text clipped - 41 lines] > Ciao > SM Has duration of the treatment really been established? I didn’t think PVP has been around long enough to establish a valid baseline. More important is the method of the surgeon. Some doctors apparently take out less tissue in hopes of avoiding retro. The other item of course is that PVP requires more expensive equipment and apparently requires more time. I recently read where a PVP laser fiber costs $1000 each. Dr. Sancha said that 3 or 4 may be required for operation on a 150 mg prostate. However if your concern is cancer that is a different subject. Since there is no history of prostate cancer in my family and my PSA has always been rather low, more important to me was PVP’s history of less problems with bleeding and faster recovery time. >>>>> See in-line comment. >>>>> [quoted text clipped - 50 lines] > time. I recently read where a PVP laser fiber costs $1000 each. Dr. > Sancha said that 3 or 4 may be required for operation on a 150 mg prostate. My urologist who has PVP said that 5 years duration of the PVP benefits is practically established and that it is recognized also by the PVP factory. > However if your concern is cancer that is a different subject. Since > there is no history of prostate cancer in my family and my PSA has > always been rather low, more important to me was PVP’s history of less > problems with bleeding and faster recovery time. Yes, as I said in my first post, before TURP I had very high PSA values, so urologists wanted to make all the possible (two biopsies, a NMR of prostate and pieces to analyse) to ascertain cancer presence. In any case, I would like to point out that with my initial post I only wanted to narrate my case, giving for granted that every case is different from the other, without any intention to say that TURP is better than PVP or viceversa. Regards SM  SignatureX-No-Archive: yes >I have followed this NG for 5 years... practically since I started to have > symptoms of BPH. [quoted text clipped - 9 lines] > Bye > PS. I am italian and all this I have done in Italy. Thank you SM for sharing. I have a question if you would be so kind to answer. How many times do you have to urinate during the night after having the TURP? > Thank you SM for sharing. I have a question if you would be so kind to > answer. How many times do you have to urinate during the night after > having the TURP? I'm not SM but I had a TURP in 1998. I almost never get up to urinate during the night. Don in Tracy, Calif. >Thank you SM for sharing. I have a question if you would be so kind to >answer. How many times do you have to urinate during the night after having >the TURP? After having had TURP, I can go from midnight to 8am without urinating, whereas before TURP I had to rush to bathroom 4-5 times in these hours. To be precise, If I sleep well, I do no urinate till morning when I wake up; if I do not sleep well for some reason, then I go to urinate once in night. Bye SM >> I have followed this NG for 5 years... practically since I started >> to have symptoms of BPH. [quoted text clipped - 13 lines] > to answer. How many times do you have to urinate during the night > after having the TURP? I don't know if you all follow any of my posts, but for what it's worth I am up all night long (every hour - urge, but really no urine in my bladder, and just dribble), and I just had a TURP last year (4/05). I don't think the surgeon took enough of the median lobe out, as I recently reported in my "Pete's Cystoscopy" post. However, I believe my problems go beyond simple PVP, and uro's can't help me. Overall, I was not happy with my TURP and it exacerbated my prostatitis and it took several months to get back to where I was before [I am never normal and am not a happy camper - no wise a.s snickers on that please, I meant normal pertaining to urology :-)]. They don't do PVP where I live, but if they did, I would definitely go the PVP route in lieu of another TURP...Pete Tony wrote: >> I have followed this NG for 5 years... practically since I started >> to have symptoms of BPH. [quoted text clipped - 13 lines] > to answer. How many times do you have to urinate during the night > after having the TURP? I don't know if you all follow any of my posts, but for what it's worth I am up all night long (every hour - urge, but really no urine in my bladder, and just dribble), and I just had a TURP last year (4/05). I don't think the surgeon took enough of the median lobe out, as I recently reported in my "Pete's Cystoscopy" post. However, I believe my problems go beyond simple PVP, and uro's can't help me. Overall, I was not happy with my TURP and it exacerbated my prostatitis and it took several months to get back to where I was before [I am never normal and am not a happy camper - no wise a.s snickers on that please, I meant normal pertaining to urology :-)]. They don't do PVP where I live, but if they did, I would definitely go the PVP route in lieu of another TURP...Pete You should consider asking your doctor to refer you to a uro in your state that does do PVPs. You may have to spend a couple of nights in a motel near the hospital but it could mean that (after the PVP) you would no longer be up all night. Jason > Tony wrote: >>> I have followed this NG for 5 years... practically since I started [quoted text clipped - 38 lines] > longer be up all night. > Jason Too difficult Jason...don't have family to help me like you all do. I have reported this stuff in the past. Jason Johnson wrote: > In article <126c7o91i563vd8@corp.supernews.com>, "Pete" > <pete@nospam.net> wrote: [quoted text clipped - 41 lines] > longer be up all night. > Jason Too difficult Jason...don't have family to help me like you all do. I have reported this stuff in the past. I do not either. I would have to use my Mastercard to pay the motel bills. > Jason Johnson wrote: >> In article <126c7o91i563vd8@corp.supernews.com>, "Pete" [quoted text clipped - 48 lines] > I do not either. I would have to use my Mastercard to pay the motel > bills. But you still need someone to drive you to the motel after the surgery :-) . I have one person that takes me for my procedures now (locally), and it is difficult at best. BTW, I have said in here before that I have been to the so called tertiary care centers in Baltimore three times in my live for other problems (John Hopkins, Univ of Maryland) and have absolutely nothing to show for it. Docs are basically the same all over, you are just a chart to them. Later...Pete |
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