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Medical Forum / Diseases and Disorders / Prostate BPH / January 2004

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Query/Concerns RE: PVP

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MB - 02 Jan 2004 00:29 GMT
I have had (probable) BPH problems. I am scheduled to see a PVP Uro on
Monday (this may get delayed as we might be getting a nasty blizzard and he
is 120 miles away). I hope to get a firmer dx.

Here are some concerns and maybe those who have had PVP's can respond:

1) My main symptom over the years when it acts up is decreased flow. I have
had some major bouts with inflammation in the bladder testicle area
(cystitis type symptoms). They have largely resolved but they are probably
associated with my BPH. But I have not had a great deal of urgency nor do I
generally have night-time problems. My concern: am I going to suddenly have
these problems post-PVP and if so, would they be more than temporary.

2) Another concern regards a post that said:  "He has been experiencing a
lot of intermittent urgency and pain post-surgery." What have others
experienced?? My sense is that this would not be the case generally.

Mel
Sasha Gottfried - 02 Jan 2004 02:59 GMT
Right, it probably occurs in a minority of PVP patients. But I don't believe
PVP is being promoted with the MINORITY in mind.

I'm sure as this procedure becomes more prevalent there will be many more
experiences that don't corroborate the "walk in the park" scenario that
Laserscope is promoting. I'm not doubting the superiority of PVP to TURP and
some of the alternatives. But the medical industry has a responsibility to
the patients who may not have such an  easy time of it. They need to be
REALISTIC and prepare patients for the more difficult experiences as well as
the quick success stories.

I was not given any written information whatsoever about what to expect. In
fact, I went into acute retention the next night and had to be taken by
ambulance to the hospital to get re-catheterized. Since then, I've learned
that urinary retention happens in 5-10% of the time, post-surgically. Where
was that on the Laserscope site? If I had more complete information I could
have been aware of the signs and gotten myself to a hospital hours earlier!

Today I was told that the surgery destroys the Uretha and it takes up to 3
months for the Uretha to repair itself. In another words, even if only 10%
of PVP patients are likely to experience a prolonged recovery, they should
be told that this possibility exists. I didn't see anything about this in
the literature either. For Christ sake, they are boiling human tissue in a
strategic and delicate area!

If marketing and medicine are to coexist, then the marketers should own up
to the real world... not the convenient fantasy-land of  best case
scenarios. I'm sure those success stories exist, but this is human health
were dealing with, not choosing a house painter or a television.

Marcus

> I have had (probable) BPH problems. I am scheduled to see a PVP Uro on
> Monday (this may get delayed as we might be getting a nasty blizzard and he
[quoted text clipped - 14 lines]
>
> Mel
Derry Argue - 02 Jan 2004 09:03 GMT
> I have had (probable) BPH problems. I am scheduled to see a
> PVP Uro on Monday (this may get delayed as we might be
[quoted text clipped - 12 lines]
> concern: am I going to suddenly have these problems
> post-PVP and if so, would they be more than temporary.

My urgency and getting up at night post PVP are very minor. If I
gave up the night time mug of tea I don't think I would have a
problem. The urgency seems associated with full bladder so with
a bit of forward thinking that would not be a problem either.
Don't avoid an early PVP for those reasons or you could end up
with other things a lot worse (kidney failure, permanent damage
to your bladder, etc.).

> 2) Another concern regards a post that said:  "He has been
> experiencing a lot of intermittent urgency and pain
> post-surgery." What have others experienced?? My sense is
> that this would not be the case generally.

See my posts. I was back doing moderately physical work (against
recommendations!) with a few days of surgery and have never
looked back. I feel five years younger. Go for it.

> Mel

Derry
 
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