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

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PVP success!

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Bruce - 13 Jul 2006 00:22 GMT
Hi everyone,

I had my PVP last Thursday, so it's a little over 6 days since the
procedure.  I'm doing incredibly well.  I feel very fortunate to be
representative of PVP at its best, it would seem.

My surgery was at 9:30 in the morning.  I awoke in the recovery room,
feeling some soreness around my bladder.  Not too bad, but not
pleasant.  As I began to feel more comfortable, I gained the courage to
begin drinking fluids in earnest to try to generate that first pee.  I
was dreading it.  I was afraid it would really hurt.

So I took a tablet of pyridium, with the hope it would relieve the
urethral sting I was expecting.  Around 2:00pm I was ready to give it a
try. I pointed myself towards one of those plastic measuring containers
and let 'er rip.  It was incredible.  I have no recollection of EVER
seeing myself gush like that.  A cranberry-colored torrent.  And the
sting was actually quite tolerable.

Shortly thereafter, I walked out of the hospital a very happy man.
Cottage Hospital is directly across the street from Dr. Laub's office
in Santa Barbara (which is right next to the Best Western I stayed at).
I walked right into the doctor's office, shook his hand, and thanked
him profusely.

The evening after the operation, back in my motel room, I began feeling
increasingly uncomfortable.  The main issue was soreness/pain in the
bladder area, which I wasn't expecting.  Not agonizing, but
definitely uncomfortable, and more so because I was worried about it.
I thought about calling Dr. Laub, but decided to hold off.

Fortunately, by the time I went to bed, I was feeling much better.  And
in the morning, the bladder pain was just about gone.

The most difficult part of the whole experience, for me, was the
stinging pain I experienced each time I peed.  It got much worse than
that first pee in the hospital.  Maybe it was because the pyridium was
wearing off.  It was never unbearable, but I was definitely not looking
forward to each pee!

The unrestricted flood that came out of me each time was actually a bit
daunting.  This may seem strange, but after years of trying to coax
every drop out of myself, I found myself thinking,  "Whoa boy!  Ease
off!"  I was startled at the feeling of losing control each time I
let go.  Though I suppose it would have felt better if it didn't
sting so much.

Anyway, the sting has gradually lessened over the past several days.
Today, it's been quite comfortable each time, except for my one
middle-of-the night trip.  Which reminds me-I've been getting up
just once each night.  And during the day, my intervals have averaged
about 4 hours.  Never less than 3 hours, sometimes as long as 6.  Flow
remains constant.

A side note is that I've done the whole thing with almost no drugs.
As you may remember, I was terrified of taking antibiotics, and I hate
taking meds of any kind.  (For the past year, I've been splitting my
Flomax capsules into two separate doses, taking that half dose only
when it seemed absolutely essential.)   Dr. Laub agreed to give me only
one dose of Cipro before the operation, and none afterwards.  I took no
painkillers whatsoever, except for that single Pyridium tablet.  And I
ignored Dr. Laub's advice and stopped taking Flomax immediately after
the procedure.  The last thing I wanted was an even bigger stream!

I can't tell you how happy I am to wake up each morning
medication-free!

I definitely chose the right guy to do this.  In addition to having as
much PVP experience as anyone on the West Coast (I believe), Dr. Laub
is a good person.  He listened to my concerns about antibiotics, and
didn't try to scare me into taking the usual post-op course of drugs.
He's always answered my questions, and he surprised me by calling me
today at home, about a week after the procedure, to see how I'm
doing.

Of course it was all the reports from his satisfied customers on this
newsgroup that made me choose him in the first place.  Thanks you guys!

I also really like his assistant, Sarah Morrison.   I went up to Santa
Barbara (from L.A., a distance of about 90 miles) all by myself, and
she was a welcoming and friendly presence, visiting me in the hospital,
and calling me the next day in my motel room (from her home).  Thanks,
Sarah!

I suppose that the reason my course has run so smoothly is that I have
no other health problems.  And in the last 6 months, I've been taking
even better care of myself, trying to heal my condition through
alternative means.  Which has meant lots of dietary changes, and even
having my silver fillings removed to get rid of the mercury.  The good
news is that those changes seem to be helping, because the PSA reading
taken just BEFORE my PVP was 4.48 (down from 4.99 about 2-and-a-half
months ago).  With my big pre-PVP prostate, that's not too bad.

So there it is.  The one remaining issue for me-a mystery at this
point-is how sex will feel.  Chances are I've got retro because of
my median lobe (I started to write Laub!) involvement.  So I'm a
little fearful about that.  But the reports from you guys has been
generally comforting to me in that regard.  In any case, I feel like
I've made the best decision I could under the circumstances.  I'm
glad to have my life back, and not to be continually distracted by my
bathroom routines, and by having to figure out a solution to this
problem.

And . . . to be off Flomax!  Is it just me, or does it seem like every
other TV commercial these days is for Flomax?!

Bruce
Derek F - 13 Jul 2006 01:18 GMT
Great news Bruce. Just two questions about your gushers, how much liquid are
you drinking and what volume are you passing with this great stream ?
Derek.
> Hi everyone,
>
[quoted text clipped - 103 lines]
>
> Bruce
Bruce - 13 Jul 2006 04:06 GMT
> Great news Bruce. Just two questions about your gushers, how much liquid are
> you drinking and what volume are you passing with this great stream ?
> Derek.

Hi Derek,

Can't help you out there.  I haven't been all that interested in
measuring my output, and I don't know exactly how much I drink during
the course of the day.  I have been trying to drink more than usual,
though.

I can tell you, however, that the volume seems enormous to me compared
to pre-PVP.  And it must be pretty substantial since the interval
between trips to the bathroom is usually 4 hours and more.

Interestingly, my bowel movements are also much more efficient now.
During the bad stretches (as my last Flomax dose was wearing off, in
other words), I used to pee every hour or two, and often, my bladder
contractions would also cause me to have bowel movements--often
ridiculously tiny--each and every time I sat down to pee.

Last few days, I've had one beautiful bowel movement each morning, and
that's it.  Which is what I used to do before BPH began controlling my
life.

Bruce
Derek F - 13 Jul 2006 20:42 GMT
My Uro asked me to keep a record of my input and output for the first few
weeks and again for the week before my three month check up.
Derek.
>> Great news Bruce. Just two questions about your gushers, how much liquid
>> are
[quoted text clipped - 23 lines]
>
> Bruce
g60dph - 13 Jul 2006 22:50 GMT
hello yanky bruce
what a lovely story really sounds like george bush in his high boots chawin
his backy.
anyway hope i can say the same as you ole sport you did not saY URE AGE
LIMEY HUGH
PS YOU ARE VERY BRAVE
but
youll be firin blanks youll see
> Hi everyone,
>
[quoted text clipped - 103 lines]
>
> Bruce
Bruce - 13 Jul 2006 23:53 GMT
> youll be firin blanks youll see

How kind of you to leave such a caring, thoughtful, message.

Bruce
forlorn hope - 14 Jul 2006 12:03 GMT
Hi Bruce
Delighted to hear things are progressing well.  As far as the pain
urinating, I seem to remember it was mainly in the tip of the penis and
diminished rapidly over a few days.  I think we can chalk you up as another
PVP success story, congratulations and all the best for a rapid recovery!
Huw
PS If the previous poster's reference to Limey Hugh was aimed at me, I was
58 when I had my PVP and I'll have the same as you're drinking. Cheers!
g60dph - 14 Jul 2006 15:59 GMT
hello empty bladders
i have been on immipromine,detrusitol,of late flomax capsules then flomaxtra
tablets now this time flomax caps
anyone feel the difference i do between the latter medication
ps i am due to see a consultant at a local clinic aug 1
i started having probs in 1982
ps will i ever piss over a 10 foot wall again?
limey hugh
how old are you yanky bruce?
> Hi Bruce
> Delighted to hear things are progressing well.  As far as the pain
[quoted text clipped - 5 lines]
> PS If the previous poster's reference to Limey Hugh was aimed at me, I was
> 58 when I had my PVP and I'll have the same as you're drinking. Cheers!
Bruce - 14 Jul 2006 17:06 GMT
> how old are you yanky bruce?

I'm 59.

Bruce
forlorn hope - 15 Jul 2006 20:31 GMT
> hello empty bladders
> ps will i ever piss over a 10 foot wall again?
> limey hugh
> how old are you yanky bruce?

I see you are posting from UK so you are unlikely to be offered PVP in the
first instance.  If your uro suggests TURP as a way forward, do a bit of
Google searching for PVP in UK.  If you want the best and are prepared to
pay (about £4000, I raided my pension pot) then Gordon Muir at Kings College
Hospital in London is the man. (http://www.london-urology.co.uk/index.html
is his website and gives good BPH and PVP information.)  Age isn't that
important a factor in PVP.
Good luck
Huw
Bruce - 14 Jul 2006 17:05 GMT
Thanks, Huw!  You know, on a recent day, about 3 or 4 weeks ago, when I
was still troubled mightily about whether or not to proceed with PVP, I
read one of your posts.  Your intelligence and good cheer about your
own experience--including retro--was a real help to me in making the
move.

The pain or sting upon urinating that I was referring to was throughout
the length of the urethra.  It was bad the first few days, better the
next few, and completely gone as of yesterday, a week after the
surgery.

Haven't experimented sexually yet, but as far as peeing, I guess my
results at this point are all one could ask for:  No pain, and
surprisingly, averaging only about 5 trips to the bathroom during a
24-hour period.  That astonishes me.  I was expecting the false urgency
so many guys talks about--which I used to know very well prior to
PVP--but it never happened.

Bruce

PS I saw your "Elephant Man" photo.  And I was really glad that Dr.
Laub agreed to give me only a single dose of Cipro!

> Hi Bruce
> Delighted to hear things are progressing well.  As far as the pain
[quoted text clipped - 4 lines]
> PS If the previous poster's reference to Limey Hugh was aimed at me, I was
> 58 when I had my PVP and I'll have the same as you're drinking. Cheers!
Bruce - 14 Jul 2006 17:27 GMT
> >As far as the pain
> > urinating, I seem to remember it was mainly in the tip of the penis

As I think about it again, Huw, I believe the urethral pain I
experienced WAS focused mostly at the tip, as you describe.  Because
I'm recalling that during the first few days I was wondering if there
were some salve or something I could apply to the tip to numb it and
relieve the sting.

Bruce
forlorn hope - 15 Jul 2006 20:24 GMT
> Thanks, Huw!  You know, on a recent day, about 3 or 4 weeks ago, when I
> was still troubled mightily about whether or not to proceed with PVP, I
> read one of your posts.  Your intelligence and good cheer about your
> own experience--including retro--was a real help to me in making the
> move.

I don't know about the intelligence bit but I'm delighted to have influenced
your decision to go ahead.  I hate the thought of men suffering the
indignities of BPH and the unpleasant side effects of flomax and other
drugs, when PVP offers a solution and the chance to get things back to how
should be.

> PS I saw your "Elephant Man" photo.  And I was really glad that Dr.
> Laub agreed to give me only a single dose of Cipro!

I think that was a combination of cipro, extreme sun and cold wind, together
with altitude and thin air.  I don't think that Cipro given in PVP
circumstances is any cause for concern.  I was given it post surgery and
fortunately neither my head nor anything else swelled up that time!  To be
honest I still carry it when I go to third world countries, it's the best
'all round' antibiotic for the traveller.
Best wishes
Huw
Zork - 16 Jul 2006 01:05 GMT
Don't worry about the retro. Had the PVP,all went fine. Have retro
like for a year now....not a big deal. Not the same as it was
'before', but easy to deal with.  Rest easy.
Zork
-----------------------

>> Thanks, Huw!  You know, on a recent day, about 3 or 4 weeks ago, when I
>> was still troubled mightily about whether or not to proceed with PVP, I
[quoted text clipped - 19 lines]
>Best wishes
>Huw
Bruce - 16 Jul 2006 02:22 GMT
Thanks Zork, I appreciate the support.  But frankly, until I start
having sex again and testing out the equipment for myself, I know I'm
gonna feel a little uneasy about this.

Bruce

> Don't worry about the retro. Had the PVP,all went fine. Have retro
> like for a year now....not a big deal. Not the same as it was
> 'before', but easy to deal with.  Rest easy.
> Zork
g60dph - 16 Jul 2006 04:50 GMT
huw
hampshire clinic
hugh
> Thanks Zork, I appreciate the support.  But frankly, until I start
> having sex again and testing out the equipment for myself, I know I'm
[quoted text clipped - 6 lines]
>> 'before', but easy to deal with.  Rest easy.
>> Zork
forlorn hope - 16 Jul 2006 14:51 GMT
> huw
> hampshire clinic
> hugh

Cryptic Hugh
Now I understand!
Huw
Bill E - 30 Jul 2006 02:00 GMT
Hi Bruce

I had a 150 gm. prostate with a large median lobe pushing into the bladder.
I had a PVP and my gun had bullets in it from the first try.  Hope yours is
the same.

Bill E

> Thanks Zork, I appreciate the support.  But frankly, until I start
> having sex again and testing out the equipment for myself, I know I'm
[quoted text clipped - 6 lines]
>> 'before', but easy to deal with.  Rest easy.
>> Zork
Ed - 30 Jul 2006 07:19 GMT
>Hi Bruce
>
[quoted text clipped - 3 lines]
>
>Bill E

Hi, Bill.

I also have a 150 g prostate, and was told by a uro that it was too
big for PVP. Of course other uros do that size and have published
papers on it, but I guess they are a rare breed. Could you tell me who
your uro was? ... and maybe some more details of your experience.

Ed
Ramon - 29 Jul 2006 05:19 GMT
Bruce, Blue skies, smooth sailing all the way.

Having a caring professional is the exception to the rule now a days, I
feel elated for you.
This uro who discovered the bladder stone and pointed out the enlarged
prostate said I would have retrograde for the rest of my life after the
PVP and be on Proscar as well.
And that a return to a healthy sex life would be 50/50 no guarantees.
I did not like his demeanor.
Best in prostate health
Ramon
                          ***************************************8

> Hi everyone,
>
[quoted text clipped - 103 lines]
>
> Bruce
Elton Fan - 30 Jul 2006 23:17 GMT
> Hi everyone,
>
[quoted text clipped - 102 lines]
>
> Bruce
 
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