Wanted - Urologists Who Do Greenlight PVP on Patients Still Taking Aspirin

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jay1000 - 30 Jan 2009 20:13 GMT

Does anyone have the names of urologists who have experience doing PVP
on patients still taking aspirin. Preferably in the Washington, DC
metropolitan area.

I called 5 local uros and got the same response. Discontinue aspirin
10-14 days before the procedure. Some recommended a heparin bridge or
lovanox which are even riskier than just discontinuing aspirin.

I called Laserscope and they were totally non-helpful.

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Ed - 30 Jan 2009 20:59 GMT

>Does anyone have the names of urologists who have experience doing PVP
>on patients still taking aspirin. Preferably in the Washington, DC
[quoted text clipped - 5 lines]
>
>I called Laserscope and they were totally non-helpful.

The prostate is richly endowed with blood vessels, and bleeding is a
major risk with prostate surgery. So I'm not surprised that aspirin
needs to be discontinued before PVP.

But your post implies that you can't discontinue aspirin for other
reasons. Sounds like something's gotta give, either the aspirin or the
PVP. Can't your present uro suggest a solution?

Ed

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M.Balarama - 31 Jan 2009 14:14 GMT

>>Does anyone have the names of urologists who have experience doing PVP
>>on patients still taking aspirin. Preferably in the Washington, DC
[quoted text clipped - 13 lines]
> reasons. Sounds like something's gotta give, either the aspirin or the
> PVP. Can't your present uro suggest a solution?

I found mine on the greeen light web site
http://www.greenlighthps.com/consumers/fad/
enter you zip code and walla
good luck Michael

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jay1000 - 31 Jan 2009 19:15 GMT

>>>Does anyone have the names of urologists who have experience doing PVP
>>>on patients still taking aspirin. Preferably in the Washington, DC
[quoted text clipped - 18 lines]
>enter you zip code and walla
>good luck Michael

Thanks. I found the list a while back but it is useless for screening
uros. I called a bunch of them and they want nothing to do with
anyone on aspirin. But you go to the Laserscope site and get this:

"Widest patient selection

* Patients in retention 16
* Wide range of gland size and morphology 5, 17, 18
* Able to treat patients on anti-coagulants 6, 14, 17"

Catch 22 - Try to find a uro who treats patients on anti-coagulants.

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DerekF - 31 Jan 2009 20:58 GMT

>>>>Does anyone have the names of urologists who have experience doing PVP
>>>>on patients still taking aspirin. Preferably in the Washington, DC
[quoted text clipped - 30 lines]
>
> Catch 22 - Try to find a uro who treats patients on anti-coagulants.

I had my PVP in a UK hospital and at that time they were quite happy for me
to continue taking a daily mini aspirin. Looking at their site now it says
that "At the pre assessment clinic you will be asked about your current
medication. We particularly need the details of medication that may affect
bleeding"
Derek

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jay1000 - 31 Jan 2009 19:07 GMT

>>Does anyone have the names of urologists who have experience doing PVP
>>on patients still taking aspirin. Preferably in the Washington, DC
[quoted text clipped - 15 lines]
>
>Ed

Doctors are provincial...all the uro worries about is prostate
hemorrhage. My cardiologist worries about my prosthetic valve. No
reasonable suggestions from either one.

The only meds I found which might possibly reduce cardiac risk are
dipyridamole (Persantine) and ketoprufin (Orudis). They are not as
effective than aspirin but do not permanently inhibit platelets like
aspirin does. So they can be discontinued 24-48 hours before surgery.
Have to check them out with the uro and the cardiac guys. They will
not talk to one another so I have to be middle man.

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