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huw - 30 Oct 2007 21:08 GMT

I've moved this topic to the top, Derek, hope you don't mind, but if Ed has
had a TURP procedure that allowed him to be eating in a restaurant 5 hours
later I think the Group will be interested. Who is the wonder surgeon who
carried the TURP? On second thoughts perhaps they weren't so caring if they
allowed him to leave hospital after major surgery within a couple of hours.
I may be wrong but I haven't heard of TURP being carried out so quickly, has
anyone else on the group? Certainly when I was in the Uro ward with acute
retention one of the memories that sent me along the PVP road was the sight
of zombie-like TURP patients, catheters swinging as they wandered around
the ward comparing their pink bags for redness....
Well, I did have a PVP at 2.30pm and I really was in the hotel restaurant at
7.30pm, no catheter, no pain and two years down the line still completely
recovered from BPH, but I thought I was lucky even for PVP. I'd be
interested in hearing more about Ed's procedure!
Huw

>>I have never heard of a TURP patient being up and dining out five hours

later.Were you complete with catheter and leg bag?
Derek.

<estyffe@gmail.com> wrote in message
news:1193682640.165180.281000@z24g2000prh.googlegroups.com...

>I can understand what you are saying as I have endured BPH for over 10
> years. Been taking terazosin, an alpha blocker for most of that time.
> It was very effective in the beginning. I went from 5 times nightly to
> once.
> However, this year I have experienced a further prostate enlargement
> which meant getting up every two hours. This was very disruptive to my
> sleep.
> My urologist finally said it is time to deal with the problem and he
> recommended the TURP(trans urethral resection of the prostate). I had
> it done last Tuesday- 6 days ago.
> I have stayed with the alpha blocker for the time being. It is my hope
> to get off the medication once I am fully healed.
> I had the surgery at 230 pm while under a spinal anaesthesia which
> meant that i was not fully asleep, neither was i really aware of the
> surgery as they gave me an additional sedative. By 330 I was fully
> awake and in recovery. by 730 pm I was having dinner in a restaurant
> on my way home.
> There was never any need for painkillers post surgery which amazed me.
> for a couple of days I felt a burning sensation on urination but after
> 4 days that went away entirely. I only had a catheter for the first
> night and I took it out at home in the morning.
> So far, so good. It remains to be seen if I will flow well without
> meds but I suspect I am headed in that direction.
> It seems to me that your bph is well controlled if you are only
> getting up once nightly. Perhaps you are rolling over when the urge to
> pee comes on you and it is not really caused by a different sleeping
> position.
> Ed

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--
Annapurna Diary - Ladakh Diary - Gokyo Diary
http://www.trekdiaries.co.uk

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Rich256 - 31 Oct 2007 00:09 GMT

> I've moved this topic to the top, Derek, hope you don't mind, but if Ed has
> had a TURP procedure that allowed him to be eating in a restaurant 5 hours
[quoted text clipped - 55 lines]
>
> - Show quoted text -

Your case was most certinally exceptional. It was one that gave me
the biggest boost towards PVP. That and a close friend almost died
from TURP.

I had a catheter the first night and was wondering by the end of the
second day if I would need to have it put back in. By the next
morning I was at least back to where I had been just before the PVP.
Never any significant sign of blood.

Then I had continuous improvement for the next three months. Now at
17 months and still doing well.

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forlorn hope - 31 Oct 2007 11:11 GMT

> Your case was most certinally exceptional. It was one that gave me
> the biggest boost towards PVP. That and a close friend almost died
> from TURP.

Hi Rich256 and all
I'm sorry to hear about your friend. TURP is major surgery and carries with
it all the problems of major surgery. I remember coming round after having
my PVP and being surprised that he hadn't catheterised me. I dressed
quickly and went to wait in the Ward reception for the all clear to leave
the hospital. After about 15 minutes Mr Muir appeared with a couple of
foreign doctors who had been observing the PVPs. I jumped up and went over
to thank him and ask if I could leave and he turned to the doctors and said,
"This was our first patient." I can still remember their looks of
astonishment. He said I was fine to leave but not to fly home until the
next day, just as a precaution. Flow was terrible that night but the next
morning I could have made the five bar gate, and I was on the plane a couple
of hours later. Two months later I was trekking in Ladakh in the Himalayas,
a new man and nearly a year of daily self-catheterisation just a distant
memory.
The UK is still offering TURP as the primary treatment for BPH even though
the regulatory body NICE has stated that PVP should be the new Gold
Standard. Inadequate funding and the fact that middle aged men don't make
enough fuss (and do they really matter anyway...?!) mean that Britain is
lagging far behind other countries. A few months after my op I was reading
the prostate page on Malehealth.com
(http://www.malehealth.co.uk/userpage1.cfm?item_id=128 ) and saw there was
no mention of PVP, so I wrote to them and my letter is still displayed
(http://www.malehealth.co.uk/userpage1.cfm?item_id=381 ) but they haven't
changed their information and this is the problem - so many men are having
TURP operations in the UK because they have never even heard of PVP, they
aren't getting up to date facts. Their Uros don't have the lasers and so
don't mention it as an alternative. It would have been the same for me too
had it not been for stumbling across this newsgroup!
Rant over. Anyway, I'm glad my experience helped you make your mind up,
that's nice to hear!
Cheers
Huw
--
Annapurna Diary - Ladakh Diary - Gokyo Diary
http://www.trekdiaries.co.uk

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Rich256 - 31 Oct 2007 17:12 GMT

> > Your case was most certinally exceptional. It was one that gave me
> > the biggest boost towards PVP. That and a close friend almost died
[quoted text clipped - 35 lines]
> --
> Annapurna Diary - Ladakh Diary - Gokyo Diaryhttp://www.trekdiaries.co.uk

Derek pointed out your malehealth post to me via email a few days
ago.

However, In the U.S. we still must search to find a PVP doctor. It
appears it may be their hospital that determines which method is
used. I had to switch doctors and hospitals to get the PVP. Not
significant for me as it meant a 10 mile drive instead of 2. Even
after switching there was a delay of about a year before getting the
surgery. Not all bad because in the meantime the Dr. went from having
performed about 50 PVP to having done over 200.

Same with the daVinci robot surgery. I notice that only one hospital
group (about four hospitals owned by the same organization) in my area
have the machine. There are perhaps at least 20 hospitals in the
area.

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forlorn hope - 31 Oct 2007 19:53 GMT

> Derek pointed out your malehealth post to me via email a few days
> ago.

I forgot about you guys and your networking......

> Same with the daVinci robot surgery.

I'd never heard of this robot until today. I've googled it and it sounds
interesting, no doubt it'll arrive in UK in about 2020!
Cheers
Huw

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Derek F - 31 Oct 2007 21:20 GMT

>> Derek pointed out your malehealth post to me via email a few days
>> ago.
[quoted text clipped - 7 lines]
> Cheers
> Huw

We have had the Da Vinci Code but not the Robot:-)
Derek.

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Rich256 - 31 Oct 2007 23:51 GMT

> >> Derek pointed out your malehealth post to me via email a few days
> >> ago.
[quoted text clipped - 12 lines]
>
> - Show quoted text -

I thought I posted this URL on another thread a couple days ago. It
didn't seem to take:

http://www.porterhospital.org/index.php?s=optional_2

Jim Fagelson is my URO.

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