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Medical Forum / Diseases and Disorders / Prostate BPH / June 2006Success: Greenlight/PVP vs TURP
I have been under the impression that greenlight/PVP offers same chance of success. If this is wrong, please advise. richreilly at hotmail dot com > I have been under the impression that greenlight/PVP offers same chance > of success. If this is wrong, please advise. > richreilly at hotmail dot com Hey Rich -- May I suggest, if you have not done so, to carefully read all the posts in this group. There are some excellent posts that give details of "how things really work" as compared to the "slick paper" advertising which I feel is a disgrace in that it paints a very rosy picture of the entire process. Check out the various posts on your question -- I don't remember whether they have been placed on a equalized basis of success. Probably pluses and minuses both ways. Good luck on your search -- this is a great site to post questions and share your successes and failures -- we can all grow together. Otis Sounds like sometimes one gets the rosy picture and sometimes one gets up to 12 months recovery or even a redo. I guess my main question is whether the potential problems of PVP a Right now..my Dad has been on a catheter for 1.5 yrs but has bladder function. He is weak from recurring bouts and hospital stays regarding uriniary tract infection and complications that ensue. Infection from this arrangement is his biggest threat right now. The nursing home is talking "hospice". His normal uro suggests TURP over microwave. He does not do PVP or microwave..just TURP. But it seems like PVP has the best chance of getting him off the catheter quickly and more safely. We have an appointment/consult scheduled with another Uro who has done around 150 PVPs in the last 2-3 years. I would hope he would have some sense as to how things go. No pun intended. Insights..keep 'em coming. My UK uro told me that they did a PVP on a man in poor health who was in his 90's with a 100 gr+ prostate. He said that PVP is such a "gentle procedure" that it was quite suitable for him when he would not have been able endure a TURP procedure. Derek. > Sounds like sometimes one gets the rosy picture and sometimes one gets > up to 12 months recovery or even a redo. I guess my main question is [quoted text clipped - 11 lines] > sense as to how things go. No pun intended. > Insights..keep 'em coming. Be aware that contrary to what you sometimes hear that TURP and Greenlight/PVP are essentially the same operation with a different tool. The TURP cuts with a hot wire which does not coagulate as well as the laser used in the PVP. The TURP recovery is longer and more bloody than the PVP. I don't think that it makes any difference if the tissue is vaporized or cut away. These are just the properties of the tool that is used. I do not totally believe the story of the 90 year old since anesthesia is probably more dangerous than either surgery. I may be a little biased. I had holmium laser surgery about 5 years ago with a remarkably uneventful recovery. A uro one told me that you should pick the surgeon rather than the tool. I think that laser surgery is easier and I picked the tool rather than the surgeon. Fred > Sounds like sometimes one gets the rosy picture and sometimes one gets > up to 12 months recovery or even a redo. I guess my main question is [quoted text clipped - 11 lines] > sense as to how things go. No pun intended. > Insights..keep 'em coming. Keep us informed of the results!! > Sounds like sometimes one gets the rosy picture and sometimes one gets > up to 12 months recovery or even a redo. I guess my main question is [quoted text clipped - 11 lines] > sense as to how things go. No pun intended. > Insights..keep 'em coming. Dad's kid...I have not had PVP, but have TUIP and TURP. I would definitely vote PVP if I were to have another procedure, but the problem is they don't do it where I live, and traveling is a problem (getting someone to take me, etc). If you like the new uro that has done a 150 PVP's (which is a plus), I would go for it. Good luck and best wishes and keep us informed if you can :-) ...Pete If your Dad's regular uro does TURP but doesn't do PVP, then of course he is going to recommend the procedure that he does. I wouldn't trust his word on this without a second opinion. The guy who has done lots of PVPs probably also does TURP and is more likely to give an unbiased opinion. Scan some old posts on this group, and you won't find much good to say about the "gold standard" TURP. It may be effective but it's yesterday's technique. |
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