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Medical Forum / Diseases and Disorders / Prostate BPH / February 2007Time off: TURP vs. PVP
I have an appointment with my urologist on Wednesday when I expect him to try to talk me into having a TURP. I had a PVP three years ago and I need another. As a bachelor farmer, time laid up after the operation is critical. After a PVP on a Thursday I was back on light manual work (feeding livestock,etc) by the following Saturday (two days off work) and felt almost 100%. My uro is trying to tell me I won't be much worse off after a TURP and I know this is BS! Proving it is another matter. Can someone give me some personal experiences? Obviously, I will be doing my own research but it always helps to have first hand information. The reason he wants me to have a TURP, which would be done in-house, is because it will cost the hospital less than sending me away for a PVP. Thanks. Derry My uro is trying to tell me I won't be much worse off > after a TURP and I know this is BS! Proving it is another matter. He is right in the short term, but you probably will be better off in the long term > My uro is trying to tell me I won't be much worse off >> after a TURP and I know this is BS! Proving it is another matter. > >He is right in the short term, but you probably will be better off in the >long term I had a meeting with the local (TURP) surgeon on Wednesday and we have reached an understanding! It is a scary experience finding you have virtually no flow with a heap of work to do involving livestock and no help. I have now engaged a helper and the local surgeon is writing to the London (PVP) surgeon, so things are happening. When under threat, the natural instinct is to defend oneself. I am now back on Flomax full time and feel a lot happier. Derry Derry, You have very good reason to be concerned. TURP is a life threatening procedure. These data have been repeatedly published by U.S. government agencies and in my view are unassailable. The likelihood of permanent impotence following TURP is 20 percent. The probability of permanent incontinence is 5 percent. The likelhood of death is one patient in every 250 who undergoes the procedure. The likelihood of any of these occuring as a result of PVP is zero. You be the judge. Best, Rob >Derry, > [quoted text clipped - 14 lines] > >Rob That is pretty much as I thought. I think everyone, from the doctor to the surgeon, now knows my feelings on the matter and I no longer hear inisistence that I should have a TURP! I have firmly but politely expressed the view that I believe the intention was (but no longer!<g>) to wait until my case was urgent and then insist that I have a TURP as "it is an emergecy and no other procedure is available"! Thanks for confirming the situation. Derry >>Derry, >> [quoted text clipped - 26 lines] > > Derry They recommend TURP because that's what they do. I didn't think the likelyhood of death was anything like one in 250 but I do know a couple guys who had a lot of trouble with TURP. My first URO didn't do PVP so I went looking for another. A bit easier to find another doctor in the U.S. as all I had to do was look on the laserscope site. Only question then was how much experience he had. Someone here once commented he would rather have a TURP from an experienced doctor than PVP from and inexperienced one. My URO had done only about 50 when I first went to him. I let him try TUMT first. No help but by the time I was ready for PVP he had done about 200. >>>Derry, >>> [quoted text clipped - 37 lines] >My URO had done only about 50 when I first went to him. I let him try TUMT >first. No help but by the time I was ready for PVP he had done about 200. That is without doubt a factor in my case. I just got a comment from someone who would know that the surgeon probably applied "a light touch" in my case as I was amongst the first in the UK to have PVP. Doesn't look as if I will get any discounts because of that though. :( Still, better a light touch than one too heavy!<g> Derry > Derry, > > You have very good reason to be concerned. TURP is a life threatening > procedure. Bullshit > These data have been repeatedly published by U.S. government agencies > and in my view are unassailable. Quote the data. > The likelihood of permanent impotence following TURP is 20 percent. > The probability of permanent incontinence is 5 percent. The likelhood > of death is one patient in every 250 who undergoes the procedure. What are you drinking? > The likelihood of any of these occuring as a result of PVP is zero. Amazing the first surgical procedure with absolutely no risk All surgery has some risk |
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