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Medical Forum / Diseases and Disorders / Prostate BPH / March 2007TURP - Is it recommended?
Hi -My dad has benign prostate enlargement around 50cc and it is pressing against his bladder causing frequent urination (4 times or more per night). He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side effects are minimal. Just wondering if I can get some feedback for him please Thanks >Hi -My dad has benign prostate enlargement around 50cc and it is pressing >against his bladder causing frequent urination (4 times or more per night). >He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side >effects are minimal. Just wondering if I can get some feedback for him >please Investigate the PVP procedure before deciding. Search this newsgroup or check this link. http://tinyurl.com/363jre Many say PVP is better than TURP (less bleeding, faster recovery). But some have not had success with PVP and there is less experience with PVP (it is a newer procedure), so read and inform yourself so you can make an intelligent decision. Also don't overlook drugs. My urologist says to try meds first, and do surgery if the meds are not satisfactory. Possibilities for meds include Flomax. Ed >>Hi -My dad has benign prostate enlargement around 50cc and it is pressing >>against his bladder causing frequent urination (4 times or more per [quoted text clipped - 4 lines] > > Investigate the PVP procedure before deciding. > Search this newsgroup or check this link. > http://tinyurl.com/363jre [quoted text clipped - 7 lines] > surgery if the meds are not satisfactory. Possibilities for meds > include Flomax. OK, thanks Ed He is scared of the catheter - said he would rather die!! He had a bad experience with having a catheter after removal of a kidney stone (uretheroscopy) He tried Flomax - didn't seem to alleviate the symptoms - I guess there are only so many options and then he has to face surgery > Ed He is scared of the catheter - said he would rather die!! He had a bad experience with having a catheter after removal of a kidney stone (uretheroscopy) ==> hi john - wearing a catheter isn't that bad. you have to get use to it, but there are two basic models. one is made of latex and one is made of silicon. i developed prostate cancer and had surgery to remove the prostate. i had to wear the catheter for 22 days. i had a bad experience with it when they tried to remove it. that was when i found out the difference between the two models. i had to have two more surgeries because of complications from the RP that required me to wear a catheter for a week after the surgery. those were the silicon models. i removed them at home and it was an easy procedure. just cut the fill bulb and let the saline solution run out. the first one slide out easy, but i was really amazed by the second time i had to wear it. i cut the bulb and was waiting for it to drain completely, and the catheter started to slide out on it's own. there is no pain at all with them coming out either. hope this information helps. ~ curtis knowledge is power - growing old is mandatory - growing wise is optional "Many more men die with prostate cancer than of it. Growing old is invariably fatal. Prostate cancer is only sometimes so." http://community.webtv.net/PALMER_ENT/doc > He is scared of the catheter - said he would rather die!! He had a bad > experience with having a catheter after removal of a kidney stone [quoted text clipped - 23 lines] > > hope this information helps. Yes thanks very much Curtis - I went through it with him and he will discuss that with the surgeon if he goes ahead with it - I guess you would have to get used to it. Maybe they could give a local anaesthetic if they are not sure of your reaction when they try to remove it? > ~ curtis > > knowledge is power - growing old is mandatory - growing wise is optional > "Many more men die with prostate cancer than of it. Growing old is > invariably fatal. Prostate cancer is only sometimes so." > http://community.webtv.net/PALMER_ENT/doc On Feb 28, 10:25 pm, E...@ed.ed wrote: > >Hi -My dad has benign prostate enlargement around 50cc and it is pressing > >against his bladder causing frequent urination (4 times or more per night). [quoted text clipped - 16 lines] > > Ed The Green Light IS better than TURP. Had it done a year and a half ago. In one afternoon. Home the next morning. No after effects. No bleeding. No erection problems. No more getting up at night or searching for rest rooms throughout the day. Unless there are unusual circumstances requiring more conventional procedure, I would run from any physician pushing TURP. They make more money on TURP. Hospital makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing. Prolongs problem at $2 per pill for life. > On Feb 28, 10:25 pm, E...@ed.ed wrote: >> [quoted text clipped - 29 lines] > makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing. > Prolongs problem at $2 per pill for life. Sounds so encouraging - he was dreading the TURP and one reason was the need for a catheter - on the internet says that most patients would need a catheter - did you have one? Also since his prostate is pressing against his bladder that might be a problem to have a PVP - he will get a urologist to advise as so far he is going by the family doctor's opinion. Thanks very much >On Feb 28, 10:25 pm, E...@ed.ed wrote: >> [quoted text clipped - 27 lines] >makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing. >Prolongs problem at $2 per pill for life. Yes, you have a point, but remember that surgery (TURP and PVP) are permanent and can't be undone. Surgery carries much more risk than meds. Sometimes they go wrong and leave big quality of life issues for the patient. Meds can be undone just by stopping them. By taking meds, you put off surgery to a day when procedures may have improved. Ed > Hi -My dad has benign prostate enlargement around 50cc and it is pressing > against his bladder causing frequent urination (4 times or more per night). [quoted text clipped - 3 lines] > > Thanks For those who recommend the Greenlight PVP laser, some urologists, who do both the PVP and TURP, would not perform the PVP when the prostate is against the bladder or in the bladder itself. If the prostate was compressing the urethra below the bladder, then the PVP would be a good choice. In your case, I can understand the MD recommending a TURP although it has more potential side effects than the PVP. I would recommend getting a second opinion from a urologist who has performed many TURPS recently and at least 100 Greenlight PVP's , and assess the advantages & disadvantages of each procedure. If you don't have urine retention, or kidney stones, or other problems, besides getting up 4 times a night, some people would rather put up with the bothersome getting up than undergo surgery. I wouldn't hestitate to get a 3rd opinion from a urologist if necesssary. >> Hi -My dad has benign prostate enlargement around 50cc and it is pressing >> against his bladder causing frequent urination (4 times or more per [quoted text clipped - 18 lines] > bothersome getting up than undergo surgery. I wouldn't hestitate to > get a 3rd opinion from a urologist if necesssary. Thanks very much - that is good info - I will go over it with my dad - he has had a kidney stone recently removed with a ureteroscopy and unfortunately has some urine retention as well which shows up in ultrasound. He is deathly scared of catheters as had a bad experience when he had the ureteroscopy. I guess it looks like a TURP is inevitable but will get more opinions from urologists. He certainly would put up with frequent urination but as you say he may have other complications by not undergoing surgery Thanks again Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would STRONGLY recommend that you thoroughly research this before undertaking a TURP. I awoke following the procedure without any catheter. My recovery was painless and the relief from my symptoms immediate. While I can't guarantee that your father will enjoy my success, PVP in the hands of an experienced physician is nothing short of remarkable. Mr. B > Hi -My dad has benign prostate enlargement around 50cc and it is pressing > against his bladder causing frequent urination (4 times or more per [quoted text clipped - 3 lines] > > Thanks Wow! That is very encouraging thanks. Could you tell me please did you have a similar situation i.e. was your prostate pressing against your bladder? As I understand that might be a reason that he would need a TURP as opposed to a PVP? Thanks > Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would STRONGLY > recommend that you thoroughly research this before undertaking a TURP. I [quoted text clipped - 11 lines] >> >> Thanks Yes it was, along with constricting the urethra. Mr. B > Wow! That is very encouraging thanks. Could you tell me please did you > have a similar situation i.e. was your prostate pressing against your [quoted text clipped - 19 lines] >>> >>> Thanks Thanks Mr B - we're better informed - appreciate that > Yes it was, along with constricting the urethra. > [quoted text clipped - 22 lines] >>>> >>>> Thanks Ed is right. Trying meds first is preferable to jumping into surgery. There are lots around and perhaps one might help your father. I've suffered from BPH for almost 30 years. I've been taking Proscar for 12 years. It has arrested further enlargement, but didn't or couldn't take me back to where I was when I was 30 years old. Neither will any surgery. I experience frequent urination and can't go to the theater or opera. But, I can go to movies or ball games, etc. Knowing what I know now, I would not consider any surgery unless I were blocked. And from what I've gleaned from the hundreds who have reported their PVP experiences on this site, the PVP procedure will clear a blocked urethra every time. By contrast, the risks of TURP are unacceptable considering the availability of the newer PVP procedure. Twenty years ago, before PVP, a neighbor, otherwise a healthy man, underwent a TURP procedure at an HMO. He came home and died two days later of what was termed heart failure. That's when I searched and discovered that TURP carries a risk of death of one in 250 procedures. Another friend has been incontinent for 20 years after undergoing TURP. He wears a diaper 24/7. > Ed is right. Trying meds first is preferable to jumping into > surgery. There are lots around and perhaps one might help your [quoted text clipped - 23 lines] > procedures. Another friend has been incontinent for 20 years after > undergoing TURP. He wears a diaper 24/7. Thanks Rob This is very sobering and scary I will not let him have a TURP under any circumnstances and as you say meds will have to be the first option - his doctor told him that he is not advised to have the situation indefinitely where his enlarged prostate is pressing against his bladder as this will probably cause changes in the bladder chemistry i.e. might lead to cancer is my understanding I guess there are no happy endings! Thanks again for your experience and insight >Ed is right. Trying meds first is preferable to jumping into >surgery. There are lots around and perhaps one might help your [quoted text clipped - 23 lines] >procedures. Another friend has been incontinent for 20 years after >undergoing TURP. He wears a diaper 24/7. Apparently it is well known that TURP stresses the heart and can lead to heart problems. See http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1476133 (lots more too if you look). Ed >>Ed is right. Trying meds first is preferable to jumping into >>surgery. There are lots around and perhaps one might help your [quoted text clipped - 30 lines] > > Ed Very sobering article - have printed it to show his doctor - they just carry on about the TURP as if it was a picnic and tell you nothing about the seriousness - I guess it is 'buyer beware' - thanks Ed >>>Ed is right. Trying meds first is preferable to jumping into >>>surgery. There are lots around and perhaps one might help your [quoted text clipped - 34 lines] >on about the TURP as if it was a picnic and tell you nothing about the >seriousness - I guess it is 'buyer beware' - thanks Ed It would be useful if you would report back what the uro's response was. There might be good info for us. I'm pretty sure the TURP is major surgery and carries significant risks... on the other hand, a lot of old guys get this operation and some might be frail. So an interpretation of that statistic would be helpful. Ed >>>>Ed is right. Trying meds first is preferable to jumping into >>>>surgery. There are lots around and perhaps one might help your [quoted text clipped - 43 lines] > > Ed Good point Ed I will mention that and report back I think he has the appointment week after next I still have two concerns. (1) It appears your dad has urologist who is recommending a surgery that carries a subsrtantial risk. If possible, could you ask him if he also does PVP. If the answer is no, it tells us that for certain reasons he hasn't taken the time and steps to adapt to the PVP learning curve. You are most likely to find this among uros who are nearing retirement and find it isn't worth the time and investment to develop their skills in this newest treatment modality. Sometimes, it also requires a substantial financial investment to acquire the equipment, though many uros use a hospital's equipment, although that cuts down on their profit margin. (2) The suggestion that there exists a connection between BPH and prostate cancer surprises me. If you were to check any health care or wellness website, and there are literally hundreds on the web, and enter BPH for an explanation or definition, you'll find on almost every one a paragraph that emphasizes there is no connection between the two. I would ask where you can find more information about such a connection,,should the claim be made again. Unless your father is currently blocked or in great pain, I would encourage you to get several more opinions, not only from urologists but also from some general practice physicians who have no economic stake in the outcome of your decision. >I still have two concerns. > [quoted text clipped - 21 lines] > but also from some general practice physicians who have no economic > stake in the outcome of your decision. Very kind for your comments Rob. We were not aware of PVP when the doctor mentioned TURP but he was the GP (we call them "general practioners" i.e. family doctor and they refer on to the specialist or urologist in this case - so he has an appointment with a urologist week after next and certainly will ask about PVP. Our medical equipment seems to be on a par with western countries but nothing would surprise me - i.e. as you say they may be happy to stay with equipment where the capital expense is already amortized! If he as to do the operation we would spare no expense and have it done in the USA or Canada. The GP didn't quite say there was a connection between BPH and cancer but he did say to expect changes in the cellular structure of the bladder (I think that is how he put it) if there is a continuous pressure over a long period of time. He suggested 'time was not on his side' and he shouldn't leave it go for too long even if he was happy to suffer the inconvenience of frequent uriunation. (that is his only real symptom - no blockage or pain) There is naturopathic treatment I was interested in from Larry Clapp - the following article makes mention of him and he advocates detoxification and other non surgical remedies including prostate massage - (I wonder about the effectiveness of this) http://www.findarticles.com/p/articles/mi_m0FKA/is_3_63/ai_78476648 Thanks for the advice about getting advice from doctors with no vested interest - that is very good advice. Will post here soon as have info Thank you Rob Yes, after many years of prostate enlargement and pressure on the bladder, the bladder walls thicken and become muscular. Some called it a remodeling of the bladder. It happened to me before the FDA approved Proscar and I began taking it 12 years ago. Since then, further enlargement has been prevented by taking the medication from which I have had no apparent side effects. Prostate massage has been known to be helpful in cases of chronic prostatitis. However, I've never read of it being used to aid those suffering from BPH. Again, I agree with Ed that unless your father is suffering badly or is blocked, etc., there conservative and prudent measure to take is to start with medication. Only recently, Merck's patent expired on Proscar and the FDA approved generic manufacture of the drug at subtstantially lower cost. The generic name is finasteride. If the doctor recommends Hytrin, Cardura or Flomax, be cautioned that these drugs (1) do not halt prostate enlargement, and (2) they result in a lowering of blood pressure. I fainted the first time I tried one of these and promptly discontinued. > Yes, after many years of prostate enlargement and pressure on the > bladder, the bladder walls thicken and become muscular. Some called [quoted text clipped - 19 lines] > in a lowering of blood pressure. I fainted the first time I tried one > of these and promptly discontinued. Rob can you tell me the effects when the bladder walls thicken? His prostate seems to be growing around 5cc annually as it was 35cc 3 years ago and now 50. I will ask the doctor about giving him finasteride - thanks for the info on that. He has already tried Flomax and it did not seem to work for him. So I guess now he has to be concerned with preventing his prostate from further growth. I've taken all the notes from this thread and will go over it with the uro when I take my dad next week thanks again When the bladder walls thicken and become more muscular, the commonly known symptoms occur. These include more frequent urination, sometimes a feeling of urgency, a weaker stream. At its worst, we see case of blockage, i.e. inability to pass urine. At the present time only finasteride and a newer product whose name partially eludes me at the moment (something like arrowdart?) are the only drugs that inhibit prostate enlargement. All the others, including Flomax, are intended to relax the bladder and bladder neck and facilitate urination. My own standard is that so long as I can urinate under my own power and am not blocked, I'll stick with the finasteride until something better comes along, preferably a treatment that is non-surgical. I'm 70 years old and am not kidding myself that there exists a drug or a surgery that will enable me to roll back the clock to when I was 30 years old and could go for five or six hours without needing to urinate. Anyone who believes that's possible also believes in the tooth fairy. > When the bladder walls thicken and become more muscular, the commonly > known symptoms occur. These include more frequent urination, [quoted text clipped - 16 lines] > urinate. Anyone who believes that's possible also believes in the > tooth fairy. Thanks Rob My dad says he will ask for finasteride as we think he has to try to control further growth - read about this drug seems quite effective - only thing bothers me is that in clinical studies although there was less cancer (25% less) of those taking finasteride against a placebo it seems that those that did get cancer it was more likely to grow and spread. I suppose there are risks with every drug and the benefits have to be weighed up against the risks. Do you know how large your prostate is now? Right. I'm familiar with the study you cite. It was undertaken because finasteride always lowers PSA. So, the experts thought that if it has that effect, perhaps it might also lower prostate cancer risk. Unfortunately, the results didn't support the hypothesis. It appears to me that the results of the study are generally speaking inconclusive and the data tell us very little. I agree, however, that there's always a risk. The size of my prostate has never been measured, so I can't tell you the size or weight. However, anecdotally speaking, I can tell you that appx. 20 years ago, I would wake up at night and urgently need to urinate. Often, despite the urgency, I couldn't relieve myself and I would lie on the floor in pain. After 20 or 30 minutes, my bladder would relax to the point where there was some flow. At the time, the only treatment available was TURP. However, I had read that Merck was developing Proscar (finasteride) and was seeking FDA approval. I sweated it out until Proscar came on the market. Within six weeks of taking Proscar, I stopped having the experiences noted above. And since then, I have not awakened to find that I couldn't pass urine. Here's another tip, should you father decide to take finasteride. The instructions advise taking the pill once a day and they don't tell you when (at what time) to take it. It took me several years to discover on my own that I received more benefit from Proscar when taking it on an empty stomach. In other words when it wasn't competing with other foods or with fiber or grapefruit or some product that would dimiinish its effectiveness. So now, I have the pill on my nightstand along with a glass of water. When I awaken to go to the bathroom during the night, I take my Proscar, usually around 4 a.m. And I find that I'm getting better results from the medication. Hope this helps. >Here's another tip, should you father decide to take finasteride. The >instructions advise taking the pill once a day and they don't tell you [quoted text clipped - 7 lines] >Proscar, usually around 4 a.m. And I find that I'm getting better >results from the medication. Thanks for sharing that tidbit. Have you ever read anything on this phenomenon or had it confirmed by a uro or pharmacist? I'm wondering if it is something that is generally valid and could help others or whether it is special for you. I'm not sure I would take it in the night, though, because that would increase urine production then and lead to more trips. And anyway, sometimes I sleep through.. although at other times I am up 3-4 times. Re Flomax, I have found that it is way more effective for me when taken after supper rather than after breakfast. Taking it after supper probably increases the serum concentration of the drug at night, but it is more than that. It also seems to make me pee a bit more during the day and less at night. Makes no sense but that's what I have observed. Ed > Right. I'm familiar with the study you cite. It was undertaken > because finasteride always lowers PSA. So, the experts thought that [quoted text clipped - 31 lines] > > Hope this helps. Certainly does help - thanks very much Rob - yes I see there is a risk with any drug - however sounds like Proscar is the right medication to take - I will suggest that he takes it on an empty stomach as you suggest - thanks for the info and it is valuable to have your actual experience and appreciate that. We have had invaluable assistance here and thanks very much They may be minimal. I had some real problems BUT I was better off in the end > Hi -My dad has benign prostate enlargement around 50cc and it is pressing > against his bladder causing frequent urination (4 times or more per [quoted text clipped - 3 lines] > > Thanks Was a PVP available for you? Can you tell me the sort of problems you had? Thanks > They may be minimal. I had some real problems BUT I was better off in the > end [quoted text clipped - 6 lines] >> >> Thanks It seems that these data are some of the best-kept secrets in modern medicine despite the fact that they are and have been available for years from the National Institutes of Health. First, the risk of impotence for those undergoing TURP is not less than 20 percent. The risk of permanent incontinence is 5 percent. And the risk of mortality is one patient in every 250 who undergoes TURP. Don't take my word for this. Check it out. By contrast, I know of no one who has died as a result of PVP. Or anyone who has experienced incontinence as a consequence. The same for impotence. The worst case scenarios I've seen posted in this newsgroup over the last three or more years are that PVP yielded no improvement or that a second PVP was required after a few years. Nothing worse. There have been thousands of postings and testimonials about PVP in this newsgroup and it's an easy process to search what you're looking for. I urge you and your father to proceed with due diligence in this matter. Don't let anyone rush you. There's too much at stake. Unfortunately, urologists are in business like anyone else. Economics does often enter into decisions and recommendations. That's why second and third and fourth opinions are vital. You are not buying a computer printer or digital camera. Take your time deciding and get all the facts. > It seems that these data are some of the best-kept secrets in modern > medicine despite the fact that they are and have been available for [quoted text clipped - 24 lines] > computer printer or digital camera. Take your time deciding and get > all the facts. Thanks for the post Rob - so right will do the research and get several opinions My main concern is that he might not be a canditate for PVP due to the position of his prostate against his bladder Will check it out - the TURP seems an awful procedure from what I can see > It seems that these data are some of the best-kept secrets in modern > medicine despite the fact that they are and have been available for [quoted text clipped - 24 lines] > computer printer or digital camera. Take your time deciding and get > all the facts. I have seen that mortality posting of one in 250 before but never have been able to find any statistics for it. Where did you find it? I had PVP about a year ago. "Piece of Cake". But one must recognize that any procedure that involves general anesthesia has risk. I was asked if I ever had any problems with anesthesia. Made me realize that although I never have had a problem I don't know which ones I have had. >> It seems that these data are some of the best-kept secrets in modern >> medicine despite the fact that they are and have been available for [quoted text clipped - 27 lines] >I have seen that mortality posting of one in 250 before but never have >been able to find any statistics for it. Where did you find it? Use Google... here is one I found: http://tinyurl.com/3c2wgn Ed > >> It seems that these data are some of the best-kept secrets in modern > >> medicine despite the fact that they are and have been available for [quoted text clipped - 33 lines] > > - Show quoted text - My question was the mortality of one in 250. That site is about Anesthesia "AND" TURP. I don't see any reference to the 250 number. And I assume the same Anesthesia is used for PVP. I have read that TURP has improved significantly. And PVP is not without consequences. Retro is almost a sure thing and anyone going with it had better plan on it. Those whose UROs try to avoid it are finding themselves back for another PVP in just a very few years. >> >> It seems that these data are some of the best-kept secrets in modern >> >> medicine despite the fact that they are and have been available for [quoted text clipped - 46 lines] >avoid it are finding themselves back for another PVP in just a very >few years. I have come across reports on mortality rates from time to time, and there are as many conclusions as there are studies. I don't know of one that specifically says 1 out of 250. Here is one that talks about 0.2 to 10% mortality. http://www.answers.com/topic/transurethral-resection-of-the-prostate Ed >> It seems that these data are some of the best-kept secrets in modern >> medicine despite the fact that they are and have been available for [quoted text clipped - 33 lines] > that although I never have had a problem I don't know which ones I > have had. Rich, when you had your PVP, did you need a catheter post operation? > >> It seems that these data are some of the best-kept secrets in modern > >> medicine despite the fact that they are and have been available for [quoted text clipped - 41 lines] > > - Show quoted text - Sorry about the delay. My 99 year old father in law passed away a week ago and have been kind of busy. Yes, I did have a catheter for one night. Removed it myself the next morning. "A memorial event!!" Can't imagine putting it in myself but a friend has been doing it every day for over a year. (He had a seed therapy for cancer. Had major problems afterwards). Now he would like PVP but it appears there may be a problem of the light bouncing off the seeds. Back to my experience. Flow was pretty good immediately following removal of the catheter. But as the day wore on it decreased to where by late evening I was only getting a dribble at a time. I was preparing myself to go in the next morning to have the catheter put back in. However, by morning I was at least back to where it was before the operation. Then for the next few days it improved dramatically. >> >> It seems that these data are some of the best-kept secrets in modern >> >> medicine despite the fact that they are and have been available for [quoted text clipped - 51 lines] > like PVP but it appears there may be a problem of the light bouncing > off the seeds. > Back to my experience. Flow was pretty good immediately following > removal of the catheter. But as the day wore on it decreased to where [quoted text clipped - 3 lines] > before the operation. Then for the next few days it improved > dramatically. Thanks very much for the info - I guess that seems the best option for my dad He dreads the catheter and I just told him that he has to 'get over it' - there are not too many options Thanks Rich >Hi -My dad has benign prostate enlargement around 50cc and it is pressing >against his bladder causing frequent urination (4 times or more per night). >He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side >effects are minimal. Just wondering if I can get some feedback for him >please This ng is skewed toward PVP. Additionally, I've seen posts from some here who've had complications from a PVP. Sometimes a TURP is necessary or the only game in town. More TURPS have been done than PVPs. Having said that, I had a TURP done June 06 and am still suffering. NB: My case is different to the norm as I had 99% Scar Tissue removed from a 72cc prostate (post HDR Brachytherapy for PCa.) Everyone is different, so don't consider ANYTHING until you've weighed ALL the possible outcomes! -Please reply to group as my email addr is fake! -Regards CC >>Hi -My dad has benign prostate enlargement around 50cc and it is pressing >>against his bladder causing frequent urination (4 times or more per [quoted text clipped - 12 lines] > Everyone is different, so don't consider ANYTHING until you've weighed > ALL the possible outcomes! Ok, thanks CC - will go in with an open mind - I guess it is a numbers game if it can be shown which method has less complications - and as you say, every case is different - will go down to the uro with him and try to get unbiased info > -Please reply to group as my email addr is fake! > > -Regards CC > Hi -My dad has benign prostate enlargement around 50cc and it is pressing > against his bladder causing frequent urination (4 times or more per night). [quoted text clipped - 3 lines] > > Thanks TURP is recommended and performed by in excess of 99% of BPH problems in this world! > > Hi -My dad has benign prostate enlargement around 50cc and it is pressing > > against his bladder causing frequent urination (4 times or more per night). [quoted text clipped - 6 lines] > TURP is recommended and performed by in excess of 99% of BPH problems in > this world! Because 99% of the world has not adapted to the more expensive methods such as PVP. The laser equipment is a lot more expensive and even relatively few hospitals in the U.S. have purchased them. I have not heard of a doctor recommending TURP if PVP is available. With one exception. When seed therapy for cancer has previously been performed it seems that PVP can not be used. The laser would reflect off the seeds. |
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