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Medical Forum / Diseases and Disorders / Prostate BPH / July 2003More Press for PVP
Laser Prostate Surgery By Sean Kenniff, MD Jul 15, 2003, 12:05pm Email this article Printer friendly page As a company president Tristam Pough has little time to spare, and yet without even realizing it, he began to reorganize his days - when the symptoms of his enlarged prostate became serious. "Just as a smoker looks around a room for an ashtray-a person with this disorder looks around the room for a bathroom all the time," he said. Tristam isn't alone. More than 50-million men in the U.S. suffer from the condition-which is traditionally treated with drugs-or the removal of the prostate altogether. Tristam instead chose a new Photoselective Laser Surgery, to remove only part of his prostate. Dr. Alexis Te uses the laser at NY Presbyterian Hospital in NY. "It's almost like i point that laser and the tissue either boils away-or disappears," he said. Unlike other lasers in the past-this laser is designed to hone in on blood-rich tissue - like the prostate's and only go that far. So there's little damage elsewhere, and almost no blood loss during the surgery. "You can see how it's opening up a nice canal-removing those side parts of the prostate that were blocking the flow of urine," Dr. Te said as he performed an operation. The effects are almost immediate. Dr. Te just finished studying the laser - and found more than a 90% improvement in those painful and embarassing symptoms. "From what I have seen so far this procedure is very comparable in terms of its results-to the gold standard of surgery," he said. And that more invasive surgery carries with it-the possibility of incontinence and impotence. For Tristam, the decision to go with the laser was easy. He's now biking and sailing again, and no longer scouting out bathrooms. The Photoselective Laser is only being used for enlargement of the prostate, and not prostate cancer. If you'd like to contact Dr. Alexis Te at NY Presbyterian Hospital in New York City, call 212-305-0136. Dr. Sean Kenniff, CBS-4 News. ? Copyright MMII CBS Worldwide, Inc. Patrick: Great article. Incidentally, the stock (LSCP) continues to make new yearly highs on a regular basis. It's taking a long time, but I do think this will become the new gold standard. Nevertheless, there still seems to be far too few good doctors doing this. I'm in Michigan and so far I am not pleased with the current situation (one doctor doing it has not gotten glowing reports on this ng). If my situation got bad, I'm not sure what I would do. Mel > Laser Prostate Surgery > By Sean Kenniff, MD [quoted text clipped - 50 lines] > > ? Copyright MMII CBS Worldwide, Inc. > Patrick: > [quoted text clipped - 10 lines] > doctor doing it has not gotten glowing reports on this ng). If my situation > got bad, I'm not sure what I would do. Talk with others who have had PVP surgery to find a skilled, experienced doctor. I would not consider anyone who has done less than 20 operations. Then talk with that doctor to see if you have a comfort level. Distance should not be the determining factor. I traveled 1800 miles for my PVP surgery. Yes -- I would travel if I had to. But I'd like to find a doctor at least in my State so that perhaps I could see him/her BEFORE I have real problems!! MB > > Patrick: > > [quoted text clipped - 17 lines] > should not be the determining factor. I traveled 1800 miles for my > PVP surgery. Do you take BPH medication? Are toilets on your mind when you go to events? Do you have urgency to go and it just trickles? Do you get up more than 2 times at night? Is air travel and car trips a timing challenge? I had all these symptoms and it was a real problem. As far as I could figure out, BPH is a mechanical constriction which gets worse with time.I understand that some meds do shrink the old prostate, but I was concerned with side effects because I have T2 diabetes. Eventually, after a year of research and reading the NG, I opted for PVP because it removes the mechanical constriction. I traveled from Seattle to Santa Barbara. Dr Laub did I good job and I'm enjoying retirement again. Medicare and supplemental paid most of it, but not the trip. Good luck Fred Henzi > Yes -- I would travel if I had to. But I'd like to find a doctor at least in > my State so that perhaps I could see him/her BEFORE I have real problems!! Mel, Don't wait for "real" problems. If you have a blockage and you are "managing" by using medications, your bladder still has to strain. This does cause damage over time. Also, do you have residual? If you do, the residual will creep up slowly until the chances of full retention because more and more likely. The last thing you want is some resident at the loal hospital doing an emergency TURP on you because you went into retention in the middle of the night. You and I have been talking for perhaps two years. Isn't it time to say goodbye to all your BPH symptoms and to the medications? With 1000 PVPs done per month all over the country, it is getting easier and easier. As always best wishes for good health, Patrick > Yes -- I would travel if I had to. But I'd like to find a doctor at least in > my State so that perhaps I could see him/her BEFORE I have real problems!! [quoted text clipped - 26 lines] > > should not be the determining factor. I traveled 1800 miles for my > > PVP surgery. Hi Patrick: Thanks for your concern. Read my note just sent to Fred. I definitely have that concern as I stated in that email (to be in a crisis and be unable to travel). That's why I NEED to find a doctor, as outlined. Patrick, I am doing well right now with flomax. My local urologist found virtually no residual retention. My best form of action is still wait and see at this time. Hopefully procedures will get even better and more importantly more doctors will get PVP trained and gain experience. I realize it worked well for you and this is what I would choose. Mel > Mel, > Don't wait for "real" problems. If you have a blockage and you are [quoted text clipped - 43 lines] > > > should not be the determining factor. I traveled 1800 miles for my > > > PVP surgery. Mel, I hope you stay out of trouble with the Flomax. Watch your symptoms carefully and yes find a good PVP doctor. There are new doctors all the time as Laserscope is now selling 30 laser systems a quarter and about 1000 fibers a month. Best Wishes for good health, Patrick > Hi Patrick: > [quoted text clipped - 66 lines] > > > > should not be the determining factor. I traveled 1800 miles for my > > > > PVP surgery. What is the usage of fibers in a typical PVP? I assume it's more than 1 per operation? > Mel, > I hope you stay out of trouble with the Flomax. Watch your symptoms [quoted text clipped - 81 lines] > > > > > should not be the determining factor. I traveled 1800 miles for my > > > > > PVP surgery. Lee, The fiber part is just one per operation. Patrick > What is the usage of fibers in a typical PVP? I assume it's more than 1 per > operation? [quoted text clipped - 94 lines] > my > > > > > > PVP surgery. So one could infer about 1000 PVPs are being performed every month? Lee > Lee, > The fiber part is just one per operation. [quoted text clipped - 105 lines] > > my > > > > > > > PVP surgery. Lee, That's about what is being done per month worldwide right now (about 1000/month). I think that is pretty amazing considering one year ago, only 6 doctors were doing about a total of 10/month! But it is still only a fraction of the number of TURPs done per month in the US (estimated at >15,000/month) Patrick > So one could infer about 1000 PVPs are being performed every month? > [quoted text clipped - 116 lines] > > > my > > > > > > > > PVP surgery. "Patrick" <303delaware@comcast.net> wrote in news:J_mcnTSiTpV-HbmiU- KYvg@comcast.com:(Snip) > Laserscope is now selling 30 laser systems a quarter and about 1000 > fibers a month. Ye gods! Makes the UK look a bit archaic with less than 100 (guesstimate) for the whole country! Somebody needs to get their act together. Derry Sounds like a money saver for the NHS if they got their act together 4 days in hospital plus possible complications for TURP versus PVP and day surgury with the cost of fibres I will bet PVP wins hands down .......BUPA are quite happy with the option of PVP so it must be a cost saving > "Patrick" <303delaware@comcast.net> wrote in news:J_mcnTSiTpV-HbmiU- > KYvg@comcast.com:(Snip) [quoted text clipped - 6 lines] > > Derry > There are new doctors all the > time as Laserscope is now selling 30 laser systems a quarter and about > 1000 fibers a month. Does the Laserscope list all the uros doing PVPs? http://www.laserscope.com/surgical/consumers/fad.html Or are there others? Jack Crane > Does the Laserscope list all the uros doing PVPs? > http://www.laserscope.com/surgical/consumers/fad.html > > Or are there others? I should have added that I'm interested only in the U.S. or Canada. Jack Crane Jack, Yes, I believe that the Laserscope site (www.laserscope.com) lists all the doctors that are actively doing PVPs in the US and internationally right now. What I was mentioned in in my previous post was that the company sold 30 new systems in the quarter that ended June 30. So sometime this quarter, I persume, 30 new doctors will be doing PVPs. Patrick > > There are new doctors all the > > time as Laserscope is now selling 30 laser systems a quarter and about [quoted text clipped - 6 lines] > > Jack Crane |
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