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Medical Forum / Diseases and Disorders / Prostate BPH / October 2003Should i say "Welmmoe to the club?"
Unfortunately, urination has held too high a place in my life. I can't I've been on flovax the last yeas, then they added Advert this year, the new urologist is that my urethra is being strangulated by my urethra. Previously I was just told I had a tight urethra. Now another doctor changes the diagnoses slightly. In any case, I retain a a lot of urine in my bladder. I can't sit through a movies or do many normal activities. However, I'm wondering about this new treatment This looks like the solution! http://www.allaboutbph.com/treatment/tr_minimally.htm Indigo Laser Treatment seems to end all problems. Any thoughts? Forget Indigo. It is old technology. Check out PVP. It has 5 years of clinical data and over 11,000 successful procedures in 2003. Do a search on this newsgroup. There is an enormous amount of useful information going back nearly two years. Patrick > Unfortunately, urination has held too high a place in my life. I > can't [quoted text clipped - 16 lines] > > Any thoughts? > Forget Indigo. It is old technology. Check out PVP. It has 5 years of > clinical data and over 11,000 successful procedures in 2003. Do a search on > this newsgroup. There is an enormous amount of useful information going > back nearly two years. > > Patrick What makes this procedure better? Bob > > Unfortunately, urination has held too high a place in my life. I > > can't [quoted text clipped - 16 lines] > > > > Any thoughts? Bob, It is the wavelength of the light from the laser. For PVP it is at the optimum wavelength (532 nm) to vaporize glandular prostate tissue. The Indigo is at a longer wavelength that results in heating and burning of the prostate tissue. Thus more bleeding, more swelling and longer recouperation time than PVP. Patrick > > Forget Indigo. It is old technology. Check out PVP. It has 5 years of > > clinical data and over 11,000 successful procedures in 2003. Do a search on [quoted text clipped - 27 lines] > > > > > > Any thoughts? That is very interesting and valuable information. It looks superior. Here's a question maybe some other's have answered. For years I have had a tight urethra. That was what my original urologist said. The second opinion, which was 2 years later, said my urethra was being strangulated by my prostrate. Also, I retain a lot of urine in my bladder. I'm sick of it! Would this PVP be able to also address a tight urethra? Bob > Bob, > It is the wavelength of the light from the laser. [quoted text clipped - 41 lines] > > > > > > > > Any thoughts? hi bob - in simple terms, what the uro said is that you have BPH and the the enlarged prostate is causing a restriction point in the urethra. look at it like this - a doughnut. doughnut swells up - center of doughnut gets smaller - center is the point where your urethra passed through. on your urine retention - have them do an ultra-sound to see how much you are leaving behind in the bladder. this can set you up later in life for a bladder infection or UTI, or the very least help cause more prostate stones. the PVP should relieve the flow problem but won't do anything on the retention situation. they can also give you an idea of how big your prostate is - in general terms. hope this helps ~ curtis knowledge is power - growing old is mandatory - growing wise is optional > hi bob - in simple terms, what the uro said is that you have BPH and the > the enlarged prostate is causing a restriction point in the urethra. [quoted text clipped - 6 lines] > life for a bladder infection or UTI, or the very least help cause more > prostate stones. They did that and found I retain a lot of urine. Of course, it makes no sense to me, since I've had the same type of problems my entire adult life. The first urologist said my urethra was just too tight. A second opinion was strangulation. This was two years later. The Indigo Laser site says that it solves retention problems. That's why I wondered about that. > the PVP should relieve the flow problem but won't do anything on the > retention situation. [quoted text clipped - 7 lines] > > knowledge is power - growing old is mandatory - growing wise is optional Yes, if the tight urethra you refer to is the prostatic urethra, i.e. the part of the urethra that passes through the prostate, then PVP will vaporize a new larger channel through the urethra. > That is very interesting and valuable information. It looks superior. > [quoted text clipped - 55 lines] > > > > > > > > > > Any thoughts? Bob, Did the original Uro suggest where the tight urethra was located or did he imply that the whole urethra was "tight". I am suprised that he didn't offer to expand it over time with sounds. Assuming that the tight urethra is not limited to the prostate area, you now seem to have a second condition complicating your situation. In addition to the tight urethra you now have an enlarged prostate which is further restricting flow from the bladder. Yes a PVP procedure will open up the channel in the prostate area but it will not deal with the remaining urethral channel. While these are only my opinions, I have learned that you have to figure out the various diagnoses for yourself. In my case my Uro #1 said I had prostatitis even though we both viewed the urethral blockage when he did a cystoscope. We wanted to keep treating the prostatitis with drugs but I decided he was full of it and found a Uro #2 that understood my condition. Good luck with resolving your difficulties. Lewis. > Here's a question maybe some other's have answered. For years I have had a > tight [quoted text clipped - 7 lines] > > Bob > Bob, > > Did the original Uro suggest where the tight urethra was located or > did he imply that the whole urethra was "tight". that seems to have been his implication. He said he stretched it out, but it's been worse since he did is cystocopy 2 years ago. He used a stiff one. The more recent one had a different diagnoses. You seem to indicate that the urethra itself can be opened with sound? I've spent my whole life having a hard time and it's embarrassing as hell. Bob > I am suprised that > he didn't offer to expand it over time with sounds. Assuming that [quoted text clipped - 30 lines] > > > > Bob Bob, Urethral Sounds are graduated rods that are inserted over time to stretch the urethral passageway. The urethra will return to its original size if not kept open through a regular schedule. One cystoscope exam would not have a lasting effect. Lewis. > You seem to indicate that the urethra itself can be opened with sound? > > I've spent my whole life having a hard time and it's embarrassing as hell. > > Bob > Bob, > [quoted text clipped - 10 lines] > > > > Bob Ouch! Does it sound like there is anything on the horizon. None of these laser surgeries can fix that? Bob Bob, In my various web sessions to learn about my own problems I remember reading about a test which injects contrast into the urethra so that they can get better pictures of it. I don't remember what its called but you could search for things like urethral xray, urethral pictures, urethral contrast, urethral dye, etc. Assuming you want to get definitive answers, I would find a Urologist that would take your case seriously and try to correctly identify where your "tightness" really is. Lewis. > Ouch! Does it sound like there is anything on the horizon. None of these laser > surgeries > can fix that? > > Bob |
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