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

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Post PVP doctors appointments

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John Kutina - 15 Dec 2003 16:55 GMT
I had a very successful PVP on Oct. 20th.

The uro had me in for two check ups since them. To those of you who had
good PVP results -- how many required visits did you uro want before he
released you on your own?

Regards,
John Kutina
Derek F - 15 Dec 2003 17:38 GMT
> I had a very successful PVP on Oct. 20th.
>
[quoted text clipped - 4 lines]
> Regards,
> John Kutina

What did the check ups consist of?
Derek.
John Kutina - 16 Dec 2003 00:06 GMT
Attention Derek F

The two were essentially urinalysis tests and general discussion.

What did your uro do?

Regards,
John Kutina
David DeBar - 15 Dec 2003 19:49 GMT
I only had one examination post PVP.  It was a few days after the opertion.
I was still passing small amount of blood at the time.  I was given
instructions to take it easy, not to lift anything  or drive.  I returned to
my home which was over a thousand miles from the Doctor.  He called me at
his expence about three times over the next few weeks to check on me and
assure me that all was going as expected. It's now been four and a half
months and I'm 100% cured of BPH with no side effects except that my blood
pressure is now lower.

Dave

> I had a very successful PVP on Oct. 20th.
>
[quoted text clipped - 4 lines]
> Regards,
> John Kutina
Lee M. - 15 Dec 2003 22:20 GMT
To what do you attribute the blood pressure drop?

Lee

> I only had one examination post PVP.  It was a few days after the opertion.
> I was still passing small amount of blood at the time.  I was given
[quoted text clipped - 15 lines]
> > Regards,
> > John Kutina
David DeBar - 15 Dec 2003 23:37 GMT
Dr. Lin asked me to bring him all medications that I taking prior to the
surgery.  When he saw I was taking Atenolol he asked me why I'm taking it.
I told him it's to control my blood pressure. He then told me that the
restriction of my urine path is contributing my high blood pressure.  That
once I have the operation, I will not need Atenolol. He was right.

Note that hypertension is caused by many things besides BPH.  He was basing
his prediction based on my life style (Hiker/Mountain Climber/Dancer),
weight, and health.  I found that I must also remain active to keep my blood
pressure down.  Activity alone was not enough to control my PB prior to the
operation.  I had to come off the Atenolol very slowly or my blood pressure
would jump back up.

Dave

> To what do you attribute the blood pressure drop?
>
> Lee
Dan - 15 Dec 2003 23:22 GMT
> I only had one examination post PVP.  It was a few days after the opertion.
> I was still passing small amount of blood at the time.  I was given
[quoted text clipped - 15 lines]
> > Regards,
> > John Kutina

I had HOLeP sugery, but I think the checkup would be the same.  At six
weeks I go back for a urine test. At 6 months I go back for a new
baseline PSA test and an ultrasound picture. Bye the way, the "take it
easy" advice is true. After 10 days, I felt so good I decided I could
shovel some snow. It was only 2 inches but now I can feel some aching
which I did not have before. It is not a lot of aching, but
nonetheless I am not doing anything more for 4 weeks.

Dan

Dan
John Kutina - 16 Dec 2003 00:01 GMT
Attention: David DeBar

David it sounds like you had a good uro with a genuine concern for your
health with three personal phone calls!

I hope you continue to recuperate quickly.

I am fine during the day but still have not cured the night calls. I am
down to one per night from the usual two as a result of
determined willpower. Any suggestions to help?

Regards,
John Kutina
Frederic E Henzi - 16 Dec 2003 05:57 GMT
John,

Getting up once per night isn't bad in my opinion. That is my routine too. I
can hold up to five hours during the day. At night I wake up for many
reasons and I just go out of old habit. I don't think that I will ever be
able to hold six or seven hours again to make it through the night. As long
as I can pee, all is well.
I've noticed that avoiding stimulants, like coffee, green tea and alcohol
decrease the holding time. I think that my prostate gets sometimes irritated
and I take a Tylenol. It works and lenghtens the holding time.

Fred Henzi
PVP'd in May 03

> Attention: David DeBar
>
[quoted text clipped - 9 lines]
> Regards,
> John Kutina
Patrick - 15 Dec 2003 22:50 GMT
John,
Since I am one of the original multi-center study group members, I had
follow ups at 1 wk, 1 month, 3 months, 6 months, 1 year and then annually
for 5 years post-PVP.  These are all voluntary. My insurance company gets
billed for the doctor's visit, the PSA testing, the flow and residual tests.
I receive no compensation for being a study group member.

Even if I wasn't a study group member, I would go annually for PSA, DRE,
flow and residual tests as I do have a history of BPH which I presume still
causes my prostate to enlarge.  No one should neglect the annual PSA and
DRE.

Patrick

> I had a very successful PVP on Oct. 20th.
>
[quoted text clipped - 4 lines]
> Regards,
> John Kutina
 
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