 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate BPH / April 2007PVP vs Turp
I had double laproscopic hernia surgery and was on strong meds for pain. I was out of it and did not realize that I was unable to urinate for a few days and was taken to the emergency room where they catherized me and took out 5 liters of urine in a few hours. The diagnosis was acute renal failure. My Uro did a cystoscope today and said that my prostate is enlarged(5.9 x 5.0 cm) He recommended Turp rather than PVP due to the size of the prostate and also because he says it may take 4 weeks to determine if the PVP has worked. Any comments would be appreciated. He may or may not be right. He is probably recommending the TURP because that is what most uros do. He is familiar with it. Get a second opinion from a uro that does offer PVP. He is apt to offer a more informed opinion. I can't believe the line about having to wait 4 weeks to see if PVP has worked. If you brought your car into a mechanic who needed a certain piece of equipment to treat the problem, he might tell you that that equipment is unreliable and offer another solution. Dr's aren't any different. Also- Dr's sometimes sometimes have a financial incentive to offer one treatment rather than another. If the Dr. owns or leases the equipment for PVP, he has monthly payments and he wants to use the equipment. The equipment for a TURP is in every hospital. A doctor once told me that you should select the doctor and not the tool. Fred I have a friend whose prostate was so large his uro wanted to do an open prostate removal and he got a similar second opinion. I begged him to see Dr. Te in NYC who had done my PVP and is known to be able to deal with very large prostates. Bottom line - Dr. Te did a PVP on my friend to his delight and relief. Get a second opinion from a PVP uro as the previous poster recommended. Jim W. >I had double laproscopic hernia surgery and was on strong meds for pain. I >was out of it and did not realize that I was unable to urinate for a few [quoted text clipped - 8 lines] > > Any comments would be appreciated. Absolutely. Please, please follow Jim's advice. My PVP was the BEST thing I've ever done for myself. In situations with very large prostates (over 100 gms), some doctors will do the PVP 'outright', while others may choose to try Proscar or Avodart to shrink the prostate to a more 'manageable' size prior to surgery. In any event do not let the size of your prostate deter you from exploring PVP with a top flight surgeion like Dr. Te. Mr. B >I have a friend whose prostate was so large his uro wanted to do an open >prostate removal and he got a similar second opinion. I begged him to see [quoted text clipped - 15 lines] >> >> Any comments would be appreciated. > I have a friend whose prostate was so large his uro wanted to do an open > prostate removal and he got a similar second opinion. I begged him to see > Dr. Te in NYC who had done my PVP and is known to be able to deal with very > large prostates. Bottom line - Dr. Te did a PVP on my friend to his > delight and relief. Get a second opinion from a PVP uro as the previous > poster recommended. Jim W. Can you post Dr. Te's phone number? I'm concerned with the ability of my local PVP urologist as I have a large (100g+) prostate. TIA Dr Alexis E Te at 212-746-4811 http:www.cornellurology.com >>I have a friend whose prostate was so large his uro wanted to do an open >>prostate removal and he got a similar second opinion. I begged him to see [quoted text clipped - 7 lines] > > TIA Dr Alexis E Te at 212-746-4811 http:www.cornellurology.com >>I have a friend whose prostate was so large his uro wanted to do an open >>prostate removal and he got a similar second opinion. I begged him to see [quoted text clipped - 7 lines] > > TIA > Dr Alexis E Te at 212-746-4811 http:www.cornellurology.com > [quoted text clipped - 9 lines] >> >> TIA Thanks! I appreciate it! I would support what Jim and Mr B said in the previous posts. My 73 yr old brother put his intervention off until his prostate was over 100 grams and his URO did an open prostatectomy. The URO opened the prostate to peel out the insides. The prostate was left in place. My brother had a very difficult recovery from that operation. The advice about finding a surgeon experienced in PVP with large prostates is certainly good advice. > I had double laproscopic hernia surgery and was on strong meds for pain. I > was out of it and did not realize that I was unable to urinate for a few [quoted text clipped - 7 lines] > > Any comments would be appreciated. >I would support what Jim and Mr B said in the previous posts. My 73 yr >old brother put his intervention off until his prostate was over 100 [quoted text clipped - 3 lines] >about finding a surgeon experienced in PVP with large prostates is >certainly good advice. How is your brother now? Is there any chance the pain was worth the gain? Was the whole prostate removed or only part? Does he have incontinence or other unpleasant effects from the prostatectomy? Since he no longer has a prostate, he will never need to consider TURP or PVP or BPH meds again. Could that be considered a plus? Ed Couple of comments below... >>I would support what Jim and Mr B said in the previous posts. My 73 yr >>old brother put his intervention off until his prostate was over 100 >>grams and his URO did an open prostatectomy. His URo refused to do a TURP on him. Since he had mess in his groin area from a hernia repair, they were reluctant to do a TUMT on him. The URO opened the >>prostate to peel out the insides. The prostate was left in place. My >>brother had a very difficult recovery from that operation. The biggest problem he had was that they tried an epidural for pain control, but it did not work and they had great problems for about a week after the surgery getting the pain under control. He was miserable during that week!! The advice >>about finding a surgeon experienced in PVP with large prostates is >>certainly good advice. I urged him to go see Dr Te, but he did not want to do that. > How is your brother now? Is there any chance the pain was worth the > gain? Brother is doing great now. His surgery was Feb 9, 2006. He is very satisfied with the outcome. The pain was worth the gain. > Was the whole prostate removed or only part? Does he have incontinence > or other unpleasant effects from the prostatectomy? The capsule of the prostate was left in place. Only the bph tissue inside the capsule was removed. He had a little leakage during the first weeks post surgery, but has no long term incontinence. He has not mentioned whether he has retro or not. I assume that he has not suffered impotence from the surgery, but I can not verify that information. > Since he no longer has a prostate, he will never need to consider TURP > or PVP or BPH meds again. Could that be considered a plus? Not true! His hollowed out prostate is still there. Only some of the inside bph tissue was removed. The long term outcome remains to be seen. Time will tell if he needs further intervention. For now, things are great for him. > Ed >Couple of comments below... > [quoted text clipped - 36 lines] >seen. Time will tell if he needs further intervention. For now, things >are great for him. So it was a TURP without the TU. Resection of the prostate by open operation. That surprises me... while they were there, why not remove the whole thing (except the capsule)? Anyway, good for your brother. I have a big prostate (measured at 150 g, may be slightly smaller now after 2 years on Proscar). The symptoms are sort of under control with meds. So the uro is not pushing open or TURP but sometimes I think about PVP. I'm in Canada and nobody here does big prostates. so it might be Dr. Te... or I think there's a uro in Santa Barbara who does big prostates too... or Dr. Sancha in Madrid. This would be big money for me, because I think I would have to pay for the whole thing myself. So I appreciate info on alternatives such as open. Thanks. Ed |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2009 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.