>I had a PVP July 31, 2003. I recovered quickly and have been functioning
>well. Prior to the PVP I was told that I had a large 150+ gram prostate.
[quoted text clipped - 13 lines]
>between the side of the channel and the outer walls of the prostate. Dr
>Shen explained that a TURP would have cleared ALL that tissue out.
> >I had a PVP July 31, 2003. I recovered quickly and have been functioning
> >well. Prior to the PVP I was told that I had a large 150+ gram prostate.
[quoted text clipped - 30 lines]
>
> Ed
Ed, Dave:
No need to recount my experience with PVP except in the sense that
after I had the anesthesia and had me prepped for PVP they decided my
Prostate was too large (at 158 grams) to do the PVP to address my BPH
and AUR. Key word there being after I was on the table.
Ed will recall I then had open surgery a few weeks later for a
(thankfully) benign retropubic prostatectomy (4 days in hospital--that
was 2 months ago; feeling/urinating quite well).
All of that was a prelude to my confusion about "regrowth" of the
Protate and/or the need (or absence of need) for "redos" years later.
I raised that issue with the uro/surgeon who did both the abortive PVP
and the thus far successful open prostatectomy. When I asked him will
the Prostate (I still have "remnants" of the gland) regrow
necessitating more surgery, he looked at me, almost laughed and said
"yes we'll need to do this again in about 30 years" (I am 63 years
old, the uro is older and we both smiled HOPING we're around in 30
years).
Yet I've seen indications on this MB (at least regarding PVP or TURP
surgery) that it is quite conceivable that (e.g.) 8-10 years later the
Prostate will grow large enough again to require a re-do. Can
someone(s)--probably Ed!!--clarify these issues for me? Although there
are far worse surgeries in the world, I would not be anxious to have
my benign protatectomy done again...ever!!!
Thanks. Stay/be well.
ddebar - 06 Nov 2007 00:08 GMT
>> >I had a PVP July 31, 2003. I recovered quickly and have been
>> >functioning
[quoted text clipped - 73 lines]
>
> Thanks. Stay/be well.
Michael,
Yikes, an open prostatectomy!!! I'm glad you lived thru it and are doing
well. I had a very similar experience to you. During my first attempt at
having PVP performed on me, the doctor left the tent that my knee were
holding up and stood near my head. He also said my prostate is too big and
I should come back and have an open prostatectomy. He then described the
procedure and warned me of the risks that included death, incontinence, and
impotence. I found another doctor (Dr Lin) who did it with a PVP. I think
a big part of the problem is the time it takes the doctor to do the
procedure. A PVP is a slow burn and it could take the doctor hours on his
feet to burn away 150+ grams. He could do three smaller ones in that same
time. $$$ An open prostatectomy is faster. It's hell on you, but easier on
the doctor. I hope I'm wrong but that was my take. Another doctor wants to
do a TURP on me now because my prostate is 130 grams. I only get up once
per night if that often. When it becomes a real nuisance, I'll go back to
Dr. Lin for another PVP, if he is still around.
The results of my biopsy came back today. I do not have prostate cancer,
just a little infection that drove up my PSA.
Dave
Ed - 06 Nov 2007 05:12 GMT
>All of that was a prelude to my confusion about "regrowth" of the
>Protate and/or the need (or absence of need) for "redos" years later.
[quoted text clipped - 15 lines]
>
>Thanks. Stay/be well.
Michael,
I have heard different statistics about this. ...And forgotten them
all. Thankfully there is Google. According to
http://www.revolutionhealth.com/forums/prostate/prostate-gland-enlargement/2037,
5% of TURP patients will need a repeat in 5 years due to prostate
regrowth, plus another 10% due to the TURP not being done right the
first time.
In http://tinyurl.com/ywqet3 it says that there is a 6.6% repeat rate
for TURPs, and 3.3% for open prostatectomy.
My own uro told me something like a 15% repeat rate at 10 years for
TURP... not sure if my memory is accurate, though.
Ed
Michael - 11 Nov 2007 18:02 GMT
> >All of that was a prelude to my confusion about "regrowth" of the
> >Protate and/or the need (or absence of need) for "redos" years later.
[quoted text clipped - 29 lines]
>
> Ed
Ed, Dave
Thanks as usual for the feedback. I will hit Google after today's
Eagles loss, I mean game. Dave I'm sorry you went through what I went
through but congratulations on the thing that matters most: no
cancer!!! I have no doubt that "time" factors in to the doc's decision
not to do PVP on a large prostate, but they explained it (in part to
me) that me prostate in addition to being 158 grams, was wrapped
around my bladder in a very unusual/intertwined way (as they
discovered when I was on the table for the aborted PVP. The docs
(after I almost passed out from this "news") said these complications
(size, other organs, etc.) are more appropriately addressed with open
surgery. Let's hope they were correct!!!!! And Ed I'll take the 3.3%
open surgery regrowth probability at my age!!!
Honor our Veterans (it's 11/11)
ddebar - 12 Nov 2007 15:12 GMT
>> >I had a PVP July 31, 2003. I recovered quickly and have been
>> >functioning
[quoted text clipped - 73 lines]
>
> Thanks. Stay/be well.
I'm happy to report that my Biopsy report was negative. There was not any
cancer discovered in my prostate but some infection was seen that explains
the rise in my PSA.
Now my ejaculate is deep dark red like old blood. Gross! I guess this is
normal after a biopsy. I'll be glad when this clears up. Also my urine
stream slowed after the biopsy. I was told this is normal and will soon
return to normal. I'm sleeping thru the night now so things are OK.
Dave
null - 13 Nov 2007 10:09 GMT
>No need to recount my experience with PVP except in the sense that
>after I had the anesthesia and had me prepped for PVP they decided my
[quoted text clipped - 24 lines]
>
>Thanks. Stay/be well.
Does a prostatectomy leave one impotent?
ddebar - 14 Nov 2007 23:11 GMT
.>
> Does a prostatectomy leave one impotent?
It can, but not normally. It depends on how its done and the skill of the
surgeon and the luck of the draw. You have a lot more reading to do! An
open prostatectomy is very risky and current thought seems to be that a PVP
is the least dangerous. Don't take my word on this Read more opinions in
this NG. Talk to several doctors. Use Google. Ultimately decide for
yourself what you think is the best way to go.
A few years ago I was planning my life around the bath room. I was peeing
tiny amounts and very frequently. I would need to get up DURING sex and
pee, lose my erection and try to start over again. This was horrible! Now
I sleep thru the night and consider myself a 68 year old stud. I had a PVP.
Good luck,
Dave