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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006Poor Results from PVP Laser Procedure
I believe this is a great site for men to share the pain and agony of dealing with enlarged prostates, etc. I actually found this after my procedure on May 16, 2006. Tomorrow is 4 weeks post-op and I am not a happy camper. The procedure has immobilized me (minimal physical activity) as I have not been able to stop the bleeding from the surgery. It started to improve and then I had a huge bout with a gastro-intestinal flu bug with vomiting, diarrhea, etc. My U thinks that set me back as the blood flow has increased -- mainly during the first part of when I urinate. I have flooded by body with water and it helps clear it up but I believe that is only a dilution factor. My last follow up was on June 5 and my U said to "take it easy for another 2 weeks". He recognized the blood in the urine sample and did not have much to offer on when it might stop or ???. I have read on some posts that bleeding continues much longer than what I am experiencing and, I'm sure, many cases clear up much sooner. The "slick paper" publications make the recovery thing appear to be a breeze. What a disservice!! Bottom line: does anyone have any advice on this bleeding issue that may work to my advantage? I am a 68 yr. old engineer and I want to look inside to see how good of job the U did on me as I have some suspicions. Just wanted to lay my situation out on the site and see what comments it draws. Thanks in advance for anything directed to this issue. It is greatly appreciated. P.S. I forgot to mention that the frequency, urgency , etc has not improved at all since the PVP procedure. I am still holding out hope but time will tell. Anyone ever go through the PVP procedure more than one time?? > P.S. I forgot to mention that the frequency, urgency , etc has not > improved at all since the PVP procedure. I am still holding out hope > but time will tell. Anyone ever go through the PVP procedure more > than one time?? Otis...sorry to hear you are having such a bad time. I have not had PVP but have had TUIP and TURP. There is at least one person in here who has had back to back PVP's by different uro's and neither seemed to help him, but he has other issues (such as diabetes IIRC). Keep at your uro is all I can say for now. Maybe some of the others will reassure you, since it does often take time to recover, and not all people have the same recovery result, which can be dependent on many things (eg your body, the surgeons skills, etc). BTW, what did you mean when you said (in your post above this) "I want to look inside to see how good of job the U did on me as I have some suspicions". I don't know how you will do that without another cysto, and looking at the monitor while the uro did it. Maybe I am misunderstanding what you meant. Take care, and best wishes, and keep us informed please :-) ...Pete Otis, sorry to hear about your problems. I think some others on the ng have seen improvement after a period of time longer than one month. I unfortunately did not, but didn't have the troubles you have had. I too am interested in hearing from all who have had a second PVP. Good luck and best wishes for a belated but satisfactory recovery. > P.S. I forgot to mention that the frequency, urgency , etc has not > improved at all since the PVP procedure. I am still holding out hope > but time will tell. Anyone ever go through the PVP procedure more than > one time?? Let me start out by asking if you are on any anti Anticoagulant medications like warfarin (Coumadin). If you are that is probably the cause of your bleeding and not being able to clot. If you are not on this type of medication has your Uro ordered a prothrombin time (pro time or P.T.) for you? This will tell him how well you will clot to stop the bleeding. I was passing clots and bleeding and actually blocking up from the clots where I could not go and the first thing the ER did was to do a Pro Time on me. Then they put a catheter in me for a couple of days so I could go!! I had a PVP in Jan. 2005. Vitamin K improves the clotting of blood. There are foods you can eat that are high in Vit. K. If you search Yahoo for "foods high in Vitamin K" you will find lots of information about this. One site that has a list of foods high in K is: http://www.waltonfeed.com/self/health/vit-min/k.html There are also other sites that show some different foods. I found that I had to supplement with a little Vit. K to get my problem corrected. One other thing: do not lift anything until this has been resolve for a while. Take it easy! I am not a doctor so check all this out with yours. Good luck to you. I am a 73 year old Engineer. Bill E >I believe this is a great site for men to share the pain and agony of > dealing with enlarged prostates, etc. I actually found this after my [quoted text clipped - 21 lines] > Thanks in advance for anything directed to this issue. It is greatly > appreciated. Can someone tell me with PVP is? Is this Indigo or Green Light or something else? >Let me start out by asking if you are on any anti Anticoagulant medications >like warfarin (Coumadin). If you are that is probably the cause of your [quoted text clipped - 34 lines] >> Thanks in advance for anything directed to this issue. It is greatly >> appreciated. > Can someone tell me with PVP is? Is this Indigo or Green Light or something > else? PVP is greenlight. The laser made by laserscope: http://www.lasescope.com http://www.mayoclinic.com/health/enlarged-prostate-bph/BP99999/PAGE=BP00020 Holmium http://www.medcompare.com/spotlight.asp?spotlightid=178 Indigo http://www.enlargedprostateinfo.com/epi/htdocs/home.jsp You can find a lot of information for each of them by searching the web. Thanks. I had found some information on Green Light, but these links are very helpful. >> Can someone tell me with PVP is? Is this Indigo or Green Light or something >> else? [quoted text clipped - 12 lines] > >You can find a lot of information for each of them by searching the web. Hi Bill -- I called my U and he told me the results of my PT and INR tests. The PT was 10.4 with an acceptable range of 8.6 to 12.0: the INR was 1.0 with an acceptable range of 0.9 to 1.2. I am not taking any type of blood thinner. I could not find out much on Google about these figures but assume they were okay. Catch you later -- Otis > Let me start out by asking if you are on any anti Anticoagulant medications > like warfarin (Coumadin). If you are that is probably the cause of your [quoted text clipped - 33 lines] > > Thanks in advance for anything directed to this issue. It is greatly > > appreciated. Otis, I had pvp in April 2005. At that time my impression was that I would be fully recovered within days. This newsgroup and the Laserscope site contributed to this impression. The reality was that it took 12 weeks or so to get over the procedure and see the full improvement. During that time I had bleeding, urgency, discomfort etc. In fact, after the pvp my uro wanted me to keep the catheter in for a week because of the amount of bleeding. He said it would reduce the formation of scar tissue. To my uro's credit he warned me that 2-3 months recovery was typical in his experience. He pointed out that it took time to heal from the laser radiation, like getting a severe sunburn he said. I know others have reported feeling fine the next day after the op but I find it hard to believe. My flow slowly improved over 12 weeks and has remained good. In retrospect I am very pleased with the outcome but I have to disagree with those that claim this is a minor procedure with fast recovery. By the way I am also an engineer so I can understand your desire to do a quality control check! I guess you could buy a cystoscope and take a look. I have to admit it has crossed my mind a couple of times! All the best, Dave >I believe this is a great site for men to share the pain and agony of >dealing with enlarged prostates, etc. I actually found this after my [quoted text clipped - 21 lines] >Thanks in advance for anything directed to this issue. It is greatly >appreciated. It appears we have a lot of engineers here. Perhaps has something to do with the age group adapting to computers and the net. Its come a long way since to get on line I had to call a university number to log on with my 2400 baud modem (1200?). > Otis, > [quoted text clipped - 47 lines] >> Thanks in advance for anything directed to this issue. It is greatly >> appreciated. > Otis, >> I know others have reported feeling fine the next day after the op but I find > it hard to believe. My flow slowly improved over 12 weeks and has remained > good. In retrospect I am very pleased with the outcome but I have to disagree > with those that claim this is a minor procedure with fast recovery. Hi Dave In my case it really was true. I never had any sensation of having undergone an operation, no pain or even discomfort and had to constantly remind myself to follow advice not to lift etc. I had no bleeding other than a dribble at start of urination for the first few days and I have never (to my knowledge) passed a blood clot. When I read 'problem' posts I find them hard to believe, I think they can't have had the same procedure as me, they must have associated ill health conditions etc etc. In my case perhaps some of it was down to having such an experienced uro, when Mr Muir did my PVP he already had over 400 under his belt, including 100 median lobe PVPs similar to mine. I guess those of us who are on the other side of BHP should end our posts with YMMV! Best wishes Huw Obviously that should be BPH - I should check my posts BEFORE sending....! Huw >> Otis, >>> I know others have reported feeling fine the next day after the op but I [quoted text clipped - 20 lines] > Best wishes > Huw My experience following the operation was almost the same except I had a catheter the first night and was had restricted flow for a few hours that night. Physically I felt great and had to remind myself that I had just came from an operation. I get to wondering if some of the problems are the fault of the surgeon. I can imagine a surgeon getting in a hurry and putting too much power in the wrong location destroying tissue that he should not have. My surgeon had performed well over 100. And, I have heard of bad results with TURP. Perhaps more of them because they have been around for a long time. However with the bleeding I would expect more anyway. > In my case perhaps >some of it was down to having such an experienced uro, when Mr Muir did my >PVP he already had over 400 under his belt, including 100 median lobe PVPs >similar to mine. Muir -- is he in London? Ed > Muir -- is he in London? Yes, he's consultant uro to Kings College Hospital, London. He has a good website if you want further information, click on http://www.london-urology.co.uk/ Regards Huw |
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