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

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Oversized prostate

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cam - 14 Jun 2006 21:45 GMT
I tried to be accepted for a PVP. My URO measured my prostate and said
it was too big(127 gms). He wants me to go on avodart for 4 mos to try
to shrink it to 100 gms or less so he can do the procedure. Ive been on
avodart for over a month and I dont feel any improvement. Has anyone
out there had the same experience . Does avodart eventually shrink the
prostate? Can the prostate be too big to do a PVP? Thanks Cameron
Bill E - 15 Jun 2006 15:18 GMT
Dr Lin, in St Augustine, FL., did my prostate and it was 150 grams.  He said
the big ones just take longer.  Mine took 2 hours whereas a small one takes
an hour or less.

In case you would wonder--I have had no retro.

Bill
>I tried to be accepted for a PVP. My URO measured my prostate and said
> it was too big(127 gms). He wants me to go on avodart for 4 mos to try
> to shrink it to 100 gms or less so he can do the procedure. Ive been on
> avodart for over a month and I dont feel any improvement. Has anyone
> out there had the same experience . Does avodart eventually shrink the
> prostate? Can the prostate be too big to do a PVP? Thanks Cameron
Ed Friedman - 16 Jun 2006 23:49 GMT
> I tried to be accepted for a PVP. My URO measured my prostate and said
> it was too big(127 gms). He wants me to go on avodart for 4 mos to try
> to shrink it to 100 gms or less so he can do the procedure. Ive been on
> avodart for over a month and I dont feel any improvement. Has anyone
> out there had the same experience . Does avodart eventually shrink the
> prostate? Can the prostate be too big to do a PVP? Thanks Cameron

Cam,

In theory, the effectiveness of Avodart depends on your level of
bioavailable testosterone (T).  The higher your T level, the more
effective the Avodart will be.

Ed Friedman
Jack - 21 Jun 2006 01:37 GMT
While many doctors will limit the size of the prostate that they will use
the PVP procedure for, two doctors that I know of have performed the PVP
procedure on prostates larger than 185 gms.  Dr Lin at Flager Hospital in
St. Augustine Florida and Dr Te, at New York-Presbyterian Hospital and the
Weill Cornell Medical Center in New York City.  They are located around East
66 to 68 St. in the city

Jack
>I tried to be accepted for a PVP. My URO measured my prostate and said
> it was too big(127 gms). He wants me to go on avodart for 4 mos to try
> to shrink it to 100 gms or less so he can do the procedure. Ive been on
> avodart for over a month and I dont feel any improvement. Has anyone
> out there had the same experience . Does avodart eventually shrink the
> prostate? Can the prostate be too big to do a PVP? Thanks Cameron
Lawrence Bookbinder - 21 Jun 2006 19:23 GMT
My prostate shrunk from 110 to 85 cc (cc approximately equal to gm) in
about 6 mos.  It does not work for all men. Sometimes it takes up to a
year, one eminent urologist wrote.
Another issue: my medical oncologist (who specializes in prostate
cancer) had me increase my dose from 0.5 to 1.0 mg because the Avodart
did not sufficiently lower my dihydrotestosterone (measured by a blood
test). My urologist prescribes 0.4 mg Flomax for me; recently he told
me to double my dose.
Lawrence J. Bookbinder (have PCa & BPH)
http://www.ljblgb.com  (my BPH story)
----------------------
> I tried to be accepted for a PVP. My URO measured my prostate and said
> it was too big(127 gms). He wants me to go on avodart for 4 mos to try
> to shrink it to 100 gms or less so he can do the procedure. Ive been on
> avodart for over a month and I dont feel any improvement. Has anyone
> out there had the same experience . Does avodart eventually shrink the
> prostate? Can the prostate be too big to do a PVP? Thanks Cameron
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