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Medical Forum / Diseases and Disorders / Prostate BPH / October 2003

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Yet another PVP

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Nicksm20j - 31 Oct 2003 03:25 GMT
I have been reading this newsgroup for about three years and first learned of
the PVP here.  I read all of Patrick's original posts and all those posts that
charged him with being a Laserscope salesman.  He persevered and was
vindicated.   I waited until the procedure was certified and slowly worked its
way to the Northwest.  When it arrived I interviewed the first uro doing the
procedure in Portland.  I rejected him. I then waited some more until Sniders
took up the procedure and got up to speed in Renton, WA (near Seattle).  I'm
glad I waited because this guy is first rate. I appreciate all those that
forged the way and posted their results.  This group has been extemely helpful
in putting out information that is acurate.  It is hard for me to believe that
TURP will be around much longer.  Although I have to admit it is way too early
to declare victory for me.

So here is one more PVP story.  I have had BPH for about 6 years.  I have been
on Flowmax for about two years.  Lately I have been voiding as much as 10 times
a day and 3 times a night producing only about 100ml per event.  Sometimes it
would take me up to 10 min to get that amount out.  Other times it took 45 sec.
The mornings were the worst.  Sometimes I thought I was in retention.  I am 57
years old and the uro thought my prostate was only about 30grams.  Turned out I
had a large median lobe that was acting like a stopper.

So, yesterday I had the PVP.  What a non-event.  I took a general anesthetic.
The procedure started at 9:30am and I was walking out of the hospital 3 hours
later with catheter.  The catheter was removed the this morning at 11:00am.  I
had some bleeding while the catheter was in, and a little bit after it was
remove.  This afternoon I have been moving around very comfortably. The only
discomfort I now have is right after I empty I am having some pain as the
bladder continues to contract even after it is empty.  On day one I am having a
lot of frequency but I'm also drinking lots of water.  The steam is strong and
I am producing about 200ml in about 10 sec (start to finish).  I expect the
frequency will diminsh with time and the output will increase.  I'm celebrating
with a few glasses of wine.  Something that caused quite a bit of agonony last
week.

Nick
Lee M. - 31 Oct 2003 04:18 GMT
Thanks for the post Nick.  Let us know periodically for a couple of weeks at
least how things are going.  I think I'm probably a candidate for PVP
although my symptoms aren't as bad as yours.  Will be seeing a uro who does
PVPs in January.  Flomax has not worked for me.

Lee

> I have been reading this newsgroup for about three years and first learned of
> the PVP here.  I read all of Patrick's original posts and all those posts that
[quoted text clipped - 31 lines]
>
> Nick
Patrick - 31 Oct 2003 05:42 GMT
Nick,

Best wishes for a very quick recovery. If you had a large median lobe
stopping things up, you will be amazed at how good you will feel once
everything gets a chance to heal and to undo the damage caused to your
bladder by the obstruction.

Give it time to heal.  In a few weeks you will have to begin training your
mind that you no longer have a BPH problem.  That takes time too, so be
patient.

For most people the procedure is so benefical that I believe it should be
used before BPH symptoms get severe. This way the bladder is not damage and
it doesn't take too long to fully recover from BPH.

Best wishes for continued improvement,

Patrick

> I have been reading this newsgroup for about three years and first learned of
> the PVP here.  I read all of Patrick's original posts and all those posts that
[quoted text clipped - 31 lines]
>
> Nick
Steve - 31 Oct 2003 11:00 GMT
> Best wishes for a very quick recovery. If you had a large median lobe
> stopping things up, you will be amazed at how good you will feel once
> everything gets a chance to heal and to undo the damage caused to your
> bladder by the obstruction.

I apologize if this has been asked and answered before but what is the
definitive test to determine if the problem is a large median lobe?

> For most people the procedure is so benefical that I believe it should be
> used before BPH symptoms get severe. This way the bladder is not damage and
> it doesn't take too long to fully recover from BPH.

Hmm... this is a perspective I hadn't considered.

Steve
Patrick - 31 Oct 2003 13:27 GMT
Steve,

I am not aware of a definitive test for a large medium lobe. In fact in my
case, several very good urologist missed it for many years.
I had cytoscopes and ultrasounds several times over a period of many years.
But no one said median lobe, in fact they said there wasn't a large medium
lobe!

It wasn't until Dr. Te did his diagnostic work.  From Dr. Te's tests:
urodynamics, cytoscope and ultrasound, Dr. Te told me, "It is obvious that
you have a huge median lobe blocking the bladder outlet.  It has to be
removed as procedures like Tuna and TUMT will not work."

Patrick

> > Best wishes for a very quick recovery. If you had a large median lobe
> > stopping things up, you will be amazed at how good you will feel once
[quoted text clipped - 11 lines]
>
> Steve
Derry Argue - 31 Oct 2003 10:24 GMT
> I read all of Patrick's original posts and all those posts
> that charged him with being a Laserscope salesman.  He
> persevered and was vindicated.  

If Patrick was a Laserscope salesman, he would be able to spell
surgery!

Sorry, Patrick, I couldn't resist and smile every time I read
surgury!<VBG> We are all indebted to you and "a rose by any
other name, etc".

Derry
Patrick - 31 Oct 2003 13:31 GMT
Derry,

Some day I will learn the Queen's English but for now you are stuck with the
American Internet version.  :)

Best of luck to you Brits as you weave through your nationalize health
system.  I look forward to hearing about your successful PVP.  I hope that
it is soon and you get complete relief from your BPH.

Best Regards,

Patrick

> > I read all of Patrick's original posts and all those posts
> > that charged him with being a Laserscope salesman.  He
[quoted text clipped - 8 lines]
>
> Derry
John Kutina - 31 Oct 2003 17:38 GMT
BPH is a horror - PVP appears to have saved me, yet very few know about
PVP.

I am on a crusade to spread the word  -- all of us who had good PVP
results should do this!

Regards,
John Kutina
 
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