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

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Bobcat - 01 Jun 2006 20:22 GMT
I am glad that I found this group today.  Just got back from my Urologist.
I am 54 yo and have had BPH for about 6 years now.  I have tried Saw
Palmetto then Flomax with no success.  I have been on Flomax and Proscar for
about 3 months with no noticeable improvement.  Up at least twice at night
and usually more.  Go quite often during the day.  My option now seems to be
surgery.  Will have time to think about it as the waiting list is 6-9
months.  I am seriously considering this option as I am getting fed up with
the problem.  My PSA has always been normal.

It seems that the surgery of choice here (Saskatoon, Canada) is TURP.  I am
probably going to call him back and get it booked, not looking forward to
that.

If you have any suggestions or thought please let me know.

Thanks to all the members here.
NickySantoro - 01 Jun 2006 22:06 GMT
>I am glad that I found this group today.  Just got back from my Urologist.
>I am 54 yo and have had BPH for about 6 years now.  I have tried Saw
[quoted text clipped - 12 lines]
>
>Thanks to all the members here.

I don't normally post here but your post caught my attention. Before
I'd let someone carve on my plumbing, I'd try some other things first.
Lay off coffee and regular tea. Drink green tea. Watch the spicy
foods. Lay off the alcohol.  Watch the fluid intake in the evening.
Watch your salt intake at dinner. I'm 59, have had the same symptoms
for years, and these things are as they are. I've taught myself to get
up, go pee, then go back to bed and fall back to sleep immediately
without really waking up. Maybe you're just getting so pissed off at
waking up that you keep yourself from going back to sleep.
FWIW
YMMV
Bobcat - 01 Jun 2006 22:38 GMT
Thank you for your response.  I have tried all of your suggestions and
nothing seems to work.  I also do not want surgery, but if something else
will work I would try it.  Not just at night but it also acts up during the
day.  Quite often have to go urgently and then have to go a few minutes
later.  Sometimes even have trouble getting started.
Pete - 01 Jun 2006 23:01 GMT
> I am glad that I found this group today.  Just got back from my
> Urologist. I am 54 yo and have had BPH for about 6 years now.  I have
[quoted text clipped - 13 lines]
>
> Thanks to all the members here.

Welcome to the group Bobcat.  We can always use some new blood.  Anyway,
there is lots of info in here on PVP's versus TURP's, and we have an awesome
doctor in the group (search his messages - "fgomsan").  Just browse around.
I see you have the standard social medicine waiting list in Canada :-) .
There are several people in here from Canada, and I can't recall the status
on PVP's in Canada these days (perhaps they can join in).  I live in the
U.S.

I have had both TUIP and TURP, and would much prefer the PVP (recognizing I
am basing that on research only), but they don't do them where I live.  If
you are suffering, I would agree with others in here that have stated "screw
the pills and go for the surgical fix".  This is not to say I am an advocate
of surgery for anything.  Surgery should always be a last resort type of
thing, but in the case of BPH, it may be worth it especially since you said
the Flomax and Proscar weren't helping.  It may be too early for the Proscar
to take effect, but the Flomax should have helped immediately if it was
going to help.

Take care...Pete
Rich256 - 02 Jun 2006 00:21 GMT
> I am glad that I found this group today.  Just got back from my Urologist.
> I am 54 yo and have had BPH for about 6 years now.  I have tried Saw
[quoted text clipped - 12 lines]
>
> Thanks to all the members here.

I think there are some machines in Canada.  Their use may not be covered
by the National Insurance.  Four weeks post PVP and I have only praise
for the procedure.  Only a little problem the very first day.  Steady
improvement ever since.

http://www.nationalsurgery.com/FCSC/procedures-greenlightpvp.php

I was just looking around and saw a link on the Laserscope site to a May
10, 2005 Canada Free Press:

http://www.laserscope.com/surgical/professionals/press.html#

In it was this note:

<quote>
Dr. Edward Woods, a Toronto urologist at Scarborough General Hospital,
is also enthusiastic about PVP. He states he has been able to perform
PVP on patients who would otherwise not be suitable for any of the
current procedures due to the size and fragility of the prostate gland
<quote>

Another link also references Scarborough Hospital.

http://www.laser-medical-systems.ch/webtexte/zitate_urologie_urologen.html
Ed - 02 Jun 2006 17:43 GMT
>> I am glad that I found this group today.  Just got back from my Urologist.
>> I am 54 yo and have had BPH for about 6 years now.  I have tried Saw
[quoted text clipped - 37 lines]
>
>http://www.laser-medical-systems.ch/webtexte/zitate_urologie_urologen.html

Yes, the Scarborough Hospital is a hot spot for PVP in Canada. I
visited with Dr. Baldwin there a year or two ago. (He told me my
prostate was too big for PVP.) So that might be an option for you if
you don't mind traveling to Toronto and if your prostate is not too
big.

They told me that PVP is covered because it is just a TURP, with a
laser doing the cutting instead of a knife. They use the same code for
the procedure... so your provincial health insurance won't even know
whether it was a TURP or PVP.

There have been a lot of very positive reports about PVP in this NG
and on the Web. I'm sure some of it is right, but it's possible some
of it is hype. Both procedures remove prostate tissue. The differences
are in the details. Both procedures can be ineffective or worse.
Consider carefully before you jump.

Ed
 
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