Biopsy suspected tissue with a PVP?

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Tom DS - 16 Oct 2003 15:25 GMT

I wanted to give you some more info from my previous message.

I see that PVP seems to be the most acclaimed method today. I had a TURP
almost 3 years ago. A couple of months ago I had some chunks of blood in my
urine. I had an MRI and x-rays and did not show any kidney stones. My
prostate is very large so they did not get a good look at the bladder.

The first cystoscope found some unusual tissue at the intersection of the
bladder and the prostate.

After 6 weeks on Cipro I had another cystoscope. My uro wants to biopsy and
remove the tissue. It could be prostate tissue or a bladder tumor.

I gather PVP does not give you any tissue for biopsy.

I will appreciate any comments and suggestions.

Thanks
Tom

MY uro wants to biopsy some tissue

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Patrick - 16 Oct 2003 21:12 GMT

Tom,
PVP doesn't provide tissue for a pathologist to look at as the tissue is
vaporized.

But this should be totally irrelevant to you.

Does your doctor suspect that you have prostate cancer?
If he does, or if he wants to rule out prostate cancer, PSA and a prostate
biopsy should be done BEFORE you have anything done surgically to your
prostate.

PVP should only be done to vaporize enlarged prostates caused by BPH. If
there are cancer cells present in the prostate, you don't want to have a PVP
or any other BPH related surgury.

Patrick

> I wanted to give you some more info from my previous message.
>
[quoted text clipped - 17 lines]
>
> MY uro wants to biopsy some tissue

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spam@invalid.co - 16 Oct 2003 22:58 GMT

>I wanted to give you some more info from my previous message.
>
>I see that PVP seems to be the most acclaimed method today.

Only by a particular clique in this NG.
PVP is a commercial procedure which is merely one of several
procedures which are competing for recognition in the treatment of
BPH.

> I had a TURP almost 3 years ago. A couple of months ago I had some chunks of blood in my
>urine. I had an MRI and x-rays and did not show any kidney stones. My
[quoted text clipped - 14 lines]
>
>MY uro wants to biopsy some tissue

Cancers are routinely discovered from biopsy of the tissue which is
provided by the TURP procedure. Go ahead with your uro's suggestion.
In the unlikely event that a cancer is discovered , you will be in the
fortunate position of knowing that it is probably in its early stages
and can therefore be treated effectively.

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Patrick - 17 Oct 2003 00:58 GMT

Spam,
Your advice is dangerous and wrong.

Nobody should go for a TURP to find out if they have cancer. Test for
cancer BEFORE a TURP by PSA and biopsy.

Patrick

> >I wanted to give you some more info from my previous message.
> >
[quoted text clipped - 29 lines]
> fortunate position of knowing that it is probably in its early stages
> and can therefore be treated effectively.

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Derry Argue - 17 Oct 2003 08:06 GMT

> Spam,
> Your advice is dangerous and wrong.
[quoted text clipped - 41 lines]
>> the fortunate position of knowing that it is probably in its early
>> stages and can therefore be treated effectively.

When at King's College Hospital, London, for a preliminary interview I
asked consultant surgeon Gordon Muir about the possibilities of a TURP
spreading cancerous tissue during the maceration process rather than PVP
simply destroying it by evapourating it -- assuming cancerous cells are
present.

He told me this is something they are researching now. Presumably they
don't bother researching something that is not a serious possibility.

I agree with Patrick. High PSA indicates that something needs further
investigation and the proven way to carry out that investigation is by a
biopsy. It is still not known if a TURP will accelerate the spread of
cancerous tissue which might normally stay within the prostate.

Derry

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Tom DS - 18 Oct 2003 21:31 GMT

Thanks for your input. My PSA had been up to 13 a few years ago. I have also
had 4 biopsies, including the tissue from the TURP in June of 2000. My PSA
has been in the 4-6 range lately. I have no problems except for the blood a
few months ago.

I keep getting caught in a medical web where each higher PSA got me a
biopsy. The TURP was a miracle since had have 5 emergency room visits (in
NY, VA, PA, England and Italy).

Now my uro has found something that is probably nothing, but since he found
some unusual tissue in the area of the bladder and prostate, he must confirm
that it is not cancerous.

I think he will take tissue samples with the TURP and then laser to remove
the rest of the tissue.

I will appreciate any more thoughts and suggestions.

Thanks
Tom

> I wanted to give you some more info from my previous message.
>
[quoted text clipped - 17 lines]
>
> MY uro wants to biopsy some tissue

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