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Medical Forum / Diseases and Disorders / Prostate BPH / August 2007Question about TURP
I am on the max dose of xtral and the doc says that the next step is a turp. That's all we have available in Ottawa. My psa has been going up steadily for the past few years and I have had 3 biposies with no cancer found. I am expecting that some day they will find some. In the meantime, I need a turp as sometimes when I wake up in the middle of the night and have great trouble passing urine. My understanding of the turp is that the urethra is cut to make a bigger passageway. Will this in any complicate the future radical prostatectomy? Thanks Wayne in Ottawa >I am on the max dose of xtral and the doc says that the next step is a turp. >That's all we have available in Ottawa. [quoted text clipped - 9 lines] >Thanks >Wayne in Ottawa Hi, Wayne. There are PVP practictioners in Toronto and the Toronto area. Many feel that PVP is a better alternative than TURP... although you should investigate and decide that for yourself. Yes, a channel is cut. I think it is more accurate to say that the prostate gland is hollowed out, from the urethra inward. This is the way TURP and PVP both work. (But PVP uses a laser to do the tissue removal.) I don't see how a TUPR or PVP would affect a future prostatectomy, but I'm not a doctor. BPH does not increase the chance of getting prostate cancer. So your chances are the same as anybody else. Ed > I am on the max dose of xtral and the doc says that the next step is a turp. > That's all we have available in Ottawa. [quoted text clipped - 9 lines] > Thanks > Wayne in Ottawa Total removal of the prostate should not be a problem. Check around a bit. I think PVP is available in your area. http://www.canhealth.com/may04.html#anchor30138 > Total removal of the prostate should not be a problem. > > Check around a bit. I think PVP is available in your area. > > http://www.canhealth.com/may04.html#anchor30138 My concern with either PVP or turp, is that the urethra is destroyed and what is left is scarred prostate tissue through which the urine can pass. If the prostate is removed, there is no urethra where the prostate used to be. Does this make sense? Maybe I should be asking this question of a NS concerned with cancer and not BPH Wayne >> Total removal of the prostate should not be a problem. >> [quoted text clipped - 7 lines] >be. >Does this make sense? The mucous lining of the urethra is indeed destroyed where the prostate is. It grows back, though... takes a while. A prostatectomy wipes out the whole thing, true. After that, prospects are very good, I'm told. No more prostate growth either. The big downside to an open prostatectomy is that it is very hard on you. Consider where that prostate is... just about the most inaccessible part of the body. One of the side effects of open is death. Really. There is significant mortality. But if you are strong and if you survive (and most do, of course), then it leaves you in a good position. Ed > >> Total removal of the prostate should not be a problem. > [quoted text clipped - 23 lines] > > - Show quoted text - As I pointed out before, prostatectomy is not what it used to be. An it is the most complete method for prostate cancer. A couple friends had severe problems with the seeds treatment. http://www.davinciprostatectomy.com/treatment_options.html http://www.porterhospital.org/index.php?s=optional_2 > The mucous lining of the urethra is indeed destroyed where the > prostate is. It grows back, though... takes a while. [quoted text clipped - 9 lines] > > Ed Thanks for that reply I talked to a fellow I met on an Alaska cruise last month. He lives in Maine and he had a prostatectomy using laproscopic surgery and he said it went well. I hope by the time I need it, that will be available here otherwise I may just take a trip to Maine. Wayne >> The mucous lining of the urethra is indeed destroyed where the >> prostate is. It grows back, though... takes a while. [quoted text clipped - 13 lines] >and he had a prostatectomy using laproscopic surgery and he said it went >well. Interesting... but would be mainly for prostate cancer, right? Ed . >>> The mucous lining of the urethra is indeed destroyed where the >>> prostate is. It grows back, though... takes a while. [quoted text clipped - 18 lines] > > Ed Yes, for prostate cancer |
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