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Medical Forum / Diseases and Disorders / Prostate BPH / April 2008Latest laser TURPs
Four years ago I had a 'green-light' laser TURP (Tim Larner). Any laser improvements taken place since then?  Signature/\/\aurice (Retired in Surrey, UK) (Remove 'removethis.' to reply by email) >Four years ago I had a 'green-light' laser TURP (Tim Larner). > >Any laser improvements taken place since then? They've come out with a higher powered model. Might not be an issue for you unless you have a large prostate. Ed > Four years ago I had a 'green-light' laser TURP (Tim Larner). > > Any laser improvements taken place since then? What were the results? Are you encountering back to BHP problems again? Bill > What were the results? Excellent! Fast recovery. >Are you encountering back to BHP problems again? As the prostate does not stop growing just because of a TURP, the symptoms tend to slowly return. But I'm quite happy still. Up once (maybe twice) in night. No problems with long walks or journeys. Signature/\/\aurice (Remove 'removethis.' to reply by email) On Apr 6, 9:03 am, Maurice Batey <maur...@bcs.removethis.org.uk> wrote: > > What were the results? > [quoted text clipped - 11 lines] > /\/\aurice > (Remove 'removethis.' to reply by email) Similar results here at two years since PVP. When I asked the URO about it he said a second treatment was rare. I too get up once or twice a night. Figure that is age and maybe change in the bladder. The flow is so much better it doesn't take long. On Apr 5, 10:30 am, Maurice Batey <maur...@bcs.removethis.org.uk> wrote: > Four years ago I had a 'green-light' laser TURP (Tim Larner). > [quoted text clipped - 4 lines] > (Retired in Surrey, UK) > (Remove 'removethis.' to reply by email) Maurice et al I have been recently diagnosed with BPH at age 54, moderate size. I have tried the alpha blockers which I could not tolerate due to adversed symptoms, heart issues. Currently taking Avodart daily to "shrink size." My Uro recently kind of suggested Prolieve treatment. After reading the posting from Ron M, (2005)I am not sure I want to go down that avenue. Although it is not a laughing matter, I laughed out loud and until I cried reading Ron's story about his experience. I have asked the question and not really getting a good answer, so I pose to all of you out there, if I stopped taking Avodart, what will happen, long term. I do not like the sexual side effects of Avodart and I am much too young to stop having sex. Any answers? lastly I have read about the green light PVP, which sounds like a much better treatment/solution but I don't think there are any long term studies out there yet?? Thank you in advance Al >I have asked the question and not really getting a good answer, so I >pose to all of you out there, if I stopped taking Avodart, what will >happen, long term. I do not like the sexual side effects of Avodart >and I am much too young to stop having sex. Any answers? What will happen is that your prostate will continue to grow or at least not shrink. Has it shrunk yet at least to some degree? Supposedly these 5-alpha-reductase inhibitors (like Avodart) only have a significant effect on large prostates and even then it may take six months to see any shrinkage. If you want to be part of the cutting edge/ experimental area, you can consider another approach. Roughly, the current thinking as to why there is a growth of hyperplastic tissue in the prostate is that ageing males have an increase of estrogen (E). The estrogen protects the prostate cells from apoptosis (programmed cell death) while DHT continues marching on at the same rate producing new cells. The result: overcrowding. (Note that the actual activity is far more complex than what I've described.) Avodart suppresses 5-alpha-reductase which is responsible for converting testosterone (T) into dihydrotestosterone (DHT). The result is lowered DHT and less growth of prostate cells. However as you have discovered DHT has a considerable effect on sexual performance (google it especially a recent Greek army study where DHT levels were shown to be proportionate to sexual activity). My uro says only 4% have a problem (given the small non-random sample sizes how would he know?) but they must all be concentrated on the internet (see the "ask-the-patient" website). However why go with reducing DHT; why not deal with the other side of the equation: reducing E? This is actually very easy to do (see Arimidex, Femara, and Tamoxifen (you only need a fraction of the female dose)) and would have a major pro-sexual side effect as it will raise your T levels considerably but not DHT. Side effects...umm...maybe if you pull your E levels too low, over a period of time (years) you will experience a reduction in bone mass density, but that's about it. Of course your uro will hate the idea but hey, it's your body. Remember google is your friend. |
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