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

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PVP on Monday

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Richard - 24 Dec 2003 11:49 GMT
I had PVP done on Monday, after a negative biopsy last Friday (thank
goodness). I'll report in full when I'm back in front of my home
computer (early next week), but in general everything went smoothly,
and I'm delighted to be out of hospital now with no catheter, rather
than still in it with one, as I'd be if I'd had a TURP!

I have just one concern: after they took the catheter out yesterday
morning, I was peeing OK and a uroflow test at lunchtime showed I was
up to 20 ml/sec (from 8 just before the op) which was fine. However,
by yesterday evening the flow was down a lot and pretty slow in
starting; and it's stayed that way today. I *can* pee and it's not
painful, so there's no panic, and I'm also staying close to the
hospital so I can go in quickly if things deteriorate further, so I'm
not planning to contact them before the appointment I already have to
see the uro on Friday morning. However, I've had the impression that
most people have really good flow more or less from the start? There
seemed very little bleeding after the op, but I'm nevertheless
wondering if there's a clot blocking things partially. Does anyone
have an information or experience which might shed light on the
situation?

Richard Slessor
Derry Argue - 24 Dec 2003 17:04 GMT
> I had PVP done on Monday, after a negative biopsy last
> Friday (thank goodness). I'll report in full when I'm back
[quoted text clipped - 21 lines]
>
> Richard Slessor

Richard,

I think my flow slowed a bit after the initial "fire hose" and
then got back to more or less normal. I would suggest that
things might be a bit swollen and inflamed down there and take
a while to settle down. Have they given you an anti-
inflammatory?

Derry
Richard - 25 Dec 2003 03:16 GMT
Thanks for your quick response, Derry. Some swelling certainly makes
sense, but having seen on the monitor the hole which was created, it's
difficult to believe the prostate area itself has narrowed enough to
cause so much of a slowdown! Maybe the area below, around the external
sphincter, did get bruised though. Apart from the clot I suggested
previously, another possibility is a piece of loose tissue partly
blocking the outlet, I guess. My uro likes to tidy things up rather
more than the one shown on the Laserscope website, who as I recall is
shown as leaving quite a lot of 'fronds' of prostate tissue which
apparently then atrophy to leave a smooth surface (I'll talk about
that in more detail later); but I suppose something that *was* left,
either loose or still attached, might be getting in the way.

Anyway, I *do* have anti-inflammatories to take, so let's hope they
may sort things out. The first pee this morning was still very slow,
but as long as the flow doesn't stop altogether I can certainly wait
till I see the uro tomorrow!

Otherwise everything has been as good as advertised - catheter in only
overnight, no bladder washout, very little post-op discomfort, and out
of hospital within a day after the procedure.

Happy Christmas to all!

Richard Slessor
- 25 Dec 2003 06:01 GMT
I find this difficult to understand. Biopsy is very punishing to the
prostate, with resultant swelling and possibly increased urinary blockage as
a result. Did you really have biopsy on Friday and PVP on Monday? Seems
strange.

How long have others waited betw biopsy and pvp?

Jesse

Yo news:94e3b286.0312241916.69b40208@posting.google.com...
> Thanks for your quick response, Derry. Some swelling certainly makes
> sense, but having seen on the monitor the hole which was created, it's
[quoted text clipped - 21 lines]
>
> Richard Slessor
Derry Argue - 25 Dec 2003 09:03 GMT
> Maybe the area below, around the external
> sphincter, did get bruised though.

I missed the fact that you'd just had a biopsy too. I think that
would account for it. Frankly, I found the biopsies (two, with a
few years between them) far more traumatic than PVP.

Drinking lots of fluids in small regular doses helped me but I
had more bleeding, and for a longer period, from the biopsy than
PVP. Initially the flow was great, then back to "normal" (i.e.
slow) but I can't remember the time scale.

Derry
 
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