TUNA vs PVP re: Retrograde, etc.

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Bob King - 21 Nov 2003 13:13 GMT

Hi
I am on flomax and proscar. Prostatitis is becoming more of a
frequent problem and my uro has suggesested TUNA. I am very concerned
about retro. Right now am completely retro and would like to reverse
this symptom. One previous poster who had PVP stated that:

"The improvement is short of miraculous. One qualification. I do have
retrograde ejaculation. My uro informed me prior to the procedure
that there was a good chance this would happen. Laserscope has put
out data that says that only 25% of PVP patients suffer from retro.
My uro, and another uro I spoke to, claims it is more like 75%. My
sense, from reading this list, is that 25% is too low. I'm hoping
that I return to full function with time."

Medtronics website provides study data indicating that less than 3% of
TUNA patients have retro symptoms.

If you have had one of these procedures please post your retro results
as well as overall pros and cons and the flow, frequency and longevity
success of the procedure.

ps If you work for the equipment manufacturer of either of these
procedures, please do not post as I am looking for unbiased patient
results

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bnd777 - 29 Nov 2003 19:28 GMT

I believe you will find that retro will occur in patients with median lobe
enlargement when they are on drugs , after turp or after PVP

Its the conditions specific effect that causes the retro more than the PVP

For sure PVP offers a far superior way of treating BPH and at 5 months post
op i continue to wholeheartedly recomend it

> Hi
> I am on flomax and proscar. Prostatitis is becoming more of a
[quoted text clipped - 20 lines]
> procedures, please do not post as I am looking for unbiased patient
> results

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sonny - 13 Jan 2009 03:00 GMT

Bob, I had a TUNA in July 2008. The only reason I had the TUNA was that I
did not like the retrograde ejaculation I was experiencing with Flomax. I
took weekend hiatus from it to deal with it. My urologist said there were no
sexual side effects with the TUNA. Initially I was OK, then around October
the retroejaculation occurred. Now its January. The doctor claims I am is
only patient out of 500 that has it, and seems to know nothing about
treatment. Suggest sudaphed which did not help. Now he suggests
antihistamines. He essentially read the information to me off the Mayo
Clinic website that I had already read back in October.

I have seen studies that the Flomax may be as effective if its taken every
other day and may help the retrograde ejaculation problem. I wish I had known
about that before I resorted to the TUNA.

I must say I am a bit bitter about this because my symptoms were so mild they
were not noticable to me. I went to the urologist because I had intermitant
microscopic blood in my urine. Several tests later indicated BPH with
retention. Retrospectively I would have more than one bladder scan reading
before trying any treatment. I should have done more research.

Your symptoms may call for more intervention.

>Hi
>I am on flomax and proscar. Prostatitis is becoming more of a
[quoted text clipped - 20 lines]
>procedures, please do not post as I am looking for unbiased patient
>results

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