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Medical Forum / Diseases and Disorders / Prostate BPH / September 2006TUMT
Can anyone point me to any websites that detail success rates, complications, comparisons to TURP and TU laser success rates? Larry > Can anyone point me to any websites that detail success rates, > complications, comparisons to TURP and TU laser success rates? > > Larry What is TU Laser? Holmium Laser? Around here PVP (KTP Laser) is the most popular. I have not seen much on the web about the success rate. Doctors told me everything from 50% to 80%. I tried TUMT with no success. That Dr. said 80%. A year later I went for PVP with great results. I suppose PVP and TURP are 99% or more but of course have the side effect of retro. Take a look at http://www.auanet.org/timssnet/products/guidelines/patient_guides/bph_guide_2003.pdf > Can anyone point me to any websites that detail success rates, > complications, comparisons to TURP and TU laser success rates? > > Larry Another resources... http://www.auanet.org/guidelines/bph.cfm > Can anyone point me to any websites that detail success rates, > complications, comparisons to TURP and TU laser success rates? > > Larry Many thanks to all of your for your help! Larry > Another resources... > [quoted text clipped - 4 lines] >> >> Larry >Can anyone point me to any websites that detail success rates, >complications, comparisons to TURP and TU laser success rates? > >Larry I had great results from a TUIP. No hospital stay and good flow 2 years later. Not what you asked for but there are few people posting about this and TURP. Are you considering letting a uro perform one of these? Mike It's actually for my Dad who is 84 so his options are limited. Trying to avoid general anesthesia and anything that would present a higher risk for complications. For some reason, his uro offered him either a TURP or a microwave procedure. And yes, the uro would perform it. Comments? Larry >>Can anyone point me to any websites that detail success rates, >>complications, comparisons to TURP and TU laser success rates? [quoted text clipped - 7 lines] > > Mike > It's actually for my Dad who is 84 so his options are limited. Trying to > avoid general anesthesia and anything that would present a higher risk > for complications. For some reason, his uro offered him either a TURP or > a microwave procedure. And yes, the uro would perform it. Comments? > > Larry A TURP requires general anesthesia and will be done in a hospital. The TUMT is done in the doctors office. Another reason he may want to try it first is that there is obviously more profit for him. It is less invasive and using just local (very little I can say) anesthesia. It might be worth a try but plan on a follow up more invasive. Most here will tell you to TURP if possible. PVP is taking over. Look for a URO that does PVP. You can search for them on the Laserscope site: http://www.laserscope.com And try to find one that has done at least 100. My first URO offered the Microwave and possible TURP. I went to a different URO that does PVP. He recommended trying TUMT first. An additional problem with it is that you have to wait 3 months to see if it has any effect. Mine didn't but it did give my doctor time to gain more experience with PVP. How bad is his problem? Retaining much? Trouble getting started and slow flow? If it is quite urgent I would go for the PVP immediately. Hi Rich, I'm not sure that we as his family want to put him through the experience (and the risk) of a TURP. He has had 2 heart attacks, a bypass when he almost died, and 3 angioplasties. He's well enough to be on the treadmill 3 times per week at 3mph, but still ... he hasn't been under a general since his bypass and he's also on Coumadin. The PVP might be a possibility if someone can convince me that there's less risk of complications than the TURP. He gets up 3 times per night and has trouble with his flow. I don't know whether he retains or not ... but I think most people with BPH do to some degree (I'm already having the problem to some degree at 49 ... I must have his genes :-)). Larry >> It's actually for my Dad who is 84 so his options are limited. Trying >> to avoid general anesthesia and anything that would present a higher [quoted text clipped - 28 lines] > How bad is his problem? Retaining much? Trouble getting started and > slow flow? If it is quite urgent I would go for the PVP immediately. > Hi Rich, > [quoted text clipped - 12 lines] > > Larry Yeah, that anesthesia can be a big risk. I just had the PVP but I am a healthy 76 years. In any case I will still suggest you find a URO that does PVP. I think that means he is at least more up to date than one who still talks about TURP. If you looked over what PVP is you see that it uses a green light frequency laser to vaporize the tissue instead of cutting. It pretty much eliminates bleeding. I would not recommend TURP at any time unless I could not get a doctor who has experience with PVP. My opinion might be for your father to go ahead and try the microwave. My URO said they have 80% success. I now think that he means 80% have at least a detectable improvement. I might have detected some but not much. The woman who actually performed most of the procedure said she had done 500 and only 2 said they would never do it again. My 98 year old father in law needs something. Although he is a healthy 98 none of the UROs want to do PVP because of the anesthesia. However, they are willing to do TUMT. But he backed out from that one too. Instead he now wears diapers when he might not be close to a bathroom. He is one of those who brags how he never does anything until he has to. Now he has to and it's too late. Having had a TUMT, it was done with only Ativan for anxiety and Vicodin for pain. The 30 minute procedure was uncomfortable with a feeling of needing to urinate most of the time, some pressure and some heat, but not unbearably so. It takes 3 months to really get the full benefit of the TUMT. The problem that I had with the TUMT is that it did not fully clear the urethra and I ended up have the PVP to clean the anterior half of the urethra with the PVP. I had the general anesthetic. There have been reports on this site of individuals who have undergone the PVP with epidural and at least one who had local anesthetic. > It's actually for my Dad who is 84 so his options are limited. Trying to > avoid general anesthesia and anything that would present a higher risk [quoted text clipped - 14 lines] >> >> Mike hi larry i am 75 and tweeks ago i had green light with local anesthetic it twas ok fell off my motor bike two days ago lotta mussel pain# oh yes the passing of water it is better than before although 230cc seems to be stabilizing takes 2 goes to emtee bladder ok what i cannot smell can i Hughie ps you can see i am making light of pain but i know it will get better what? what really pisses me off is Southampton loosing 2--1 at Ipswich ha ha and pompey are top of premier wonder if arry will have green light or purmp > It's actually for my Dad who is 84 so his options are limited. Trying to > avoid general anesthesia and anything that would present a higher risk for [quoted text clipped - 14 lines] >> >> Mike >It's actually for my Dad who is 84 so his options are limited. Trying to >avoid general anesthesia and anything that would present a higher risk [quoted text clipped - 14 lines] >> >> Mike Larry, My TUIP was performed under general anesthesia. The procedure took 20 minutes. No hospital stay. I left with a catheter but it came out the next day. A TURP includes more than just cuts in the bladder neck. I do not know if an epidural could be used. Modern anesthetics are safer and less stressful. Please talk with his urologist about options. If necessary see another urologist for a second opinion. I did and I am glad for that. My TUIP was 100% successful with just little bleeding. Mike Thanks, Mike. It's really his cardiologist that would have to make the call on a general. To be honest, I am not sure that even if he oked it, I would feel comfortable with it as a family member. Risk of a general on an elderly person is more to begin with. To a person with a heart problem, it is even moreso. I think it would be better for him to suffer with BPH symptoms or to experiment with TUMT than to lose him. I'm sure you would agree. Larry >>It's actually for my Dad who is 84 so his options are limited. Trying to >>avoid general anesthesia and anything that would present a higher risk [quoted text clipped - 26 lines] > > Mike >Thanks, Mike. It's really his cardiologist that would have to make the >call on a general. To be honest, I am not sure that even if he oked it, [quoted text clipped - 5 lines] > >Larry Absolutely. BPH can be more than a comfort issue. Make sure he is not retaining urine. It is not good for the kidneys to have back pressure. Also ask the Uro. if the TUMT precludes trying other procedures if it does not work. I am not a doctor. All I can do is tell you about my experiences. Follow the advice of his doctors. Take care of your Dad; he's the only one wou've got. I lost my dad to PCA in 1994 and I still miss him. Mike One thing to consider with the URO is whether your father would be a candidate for an epidural rather than a general anesthetic. Some UROs do PVPs with epidurals quite successfully. > Can anyone point me to any websites that detail success rates, > complications, comparisons to TURP and TU laser success rates? > > Larry I've already suggested that to my folks. For some reason, the uro didn't mention that as an option. Larry > One thing to consider with the URO is whether your father would be a > candidate for an epidural rather than a general anesthetic. Some UROs [quoted text clipped - 4 lines] >> >> Larry |
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