After having the surgery about 30 days ago and being catheterized overnight
in the hospital I was sent home without the catheter. It appeared I was
passing urine so it seemed appropriate to release me. However, later that
day I began to strain a bit at urination while producing less and less. Not
having a full understanding what was happening, I delayed going to the
hospital and went into an excrutiating episode of acute urine retention and
had to be taken to the emergency room at 1 AM, by ambulance.
After being re-catheterized for a couple of days, then removing the
catheter, the flow increased and I was glad to be unloading. The stream had
improved 2-3X and the bladder was 40% less full than before the surgery
(after 2 weeks).
However, a month after the surgery, despite no problems with ejaculation, I
am having rectal senses of "fullness" after emptying..... even though my
bowels are moving well. This sense of "incomplete evacuation" also seems to
overstimulate the uretha (or something in that area) which I understand is
virtually destroyed during PVP and has to "rebuild" itself. These
unfortunate sensations can last well into the afternoon on some days and are
leaving me somewhat miserable at times.
I'm hoping that the overstimulation of the prostate during the PVP procedure
will soon calm down and the problem resolve itself. But I must say that this
procedure is somewhat oversold. No doubt it is superior than anything else
out there, but my experience indicates that the side effects are still no
walk in the park and patients should not necessarily expect a trouble free
experience. Laserscope, the company providing and selling the technology
should be much more forthcoming and honest about these matters while
surgeons and hospitals should follow suit and be required to give each
patient written information about all the side effects to look out for,
particularly acute urine retention.
It's easy to get inebriated with "new technology." Not so easy, at times, to
live with its consequences.
Any remotely similar experiences out there?
Please keep the information (as well as the stream) flowing.
Sam
Ron - 22 Dec 2003 04:02 GMT
Sam,
It is important that people know that this can happen with the PVP, though
these experiences seem to be rare. Thanks for sharing. Where did you have
this done?
> From: "Sasha Gottfried" <sashago@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 40 lines]
>
> Sam
Sasha Gottfried - 22 Dec 2003 04:14 GMT
Cal Pacific, in San Francisco.
I should add, that I have a kidney transplant and take a hell of lot of
drugs to sustain them and keep the blood pressure low. Still, with better
patient prep, the retention episode would never gotten out of hand. I don't
believe, given the proximity of the prostate to the organs of elimination
and the synergistic relationship to these organs, that it is unlikely for
these problems to be confined just to more medically complex situations,
such as mine. As more and more people undergo PVP, I would suspect that
there will be more experiences showing up that reflect less than the
ostensibly "problem free" surgery that Laserscope is marketing.
Sam
> Sam,
> It is important that people know that this can happen with the PVP, though
[quoted text clipped - 45 lines]
> >
> > Sam
lightshow - 22 Dec 2003 05:55 GMT
> Cal Pacific, in San Francisco.
>
> I should add, that I have a kidney transplant and take a hell of lot of
<clip>
------------------------However, a month after the surgery, despite no
problems with ejaculation, I
am having rectal senses of "fullness" after emptying..... even though my
bowels are moving well. This sense of "incomplete evacuation" also seems to
overstimulate the uretha (or something in that area) which I understand is
virtually destroyed during PVP and has to "rebuild" itself. These
unfortunate sensations can last well into the afternoon on some days and are
leaving me somewhat miserable at times.
Sasha, would you care to "twist one up" with me?
lightshow
Derry Argue - 22 Dec 2003 08:51 GMT
> But I must say that this
> procedure is somewhat oversold. No doubt it is superior
[quoted text clipped - 7 lines]
> information about all the side effects to look out for,
> particularly acute urine retention.
I am very sorry to hear of your problems but major surgery is
not like getting your car serviced. We are all different and you
do mention that you have other problems. There are always risks
which is why you were asked to sign a consent form.
I do hope that you have a rapid recovery and, in the near
future, feel as happy about having had a PVP as I do.
Derry
Ron - 22 Dec 2003 14:28 GMT
Sam,
A stool softner might help as it has helped me - a brand of Docusate Sodium.
You can get 100 softgels at the drugstore for 3 or 4 dollars.
> From: "Sasha Gottfried" <sashago@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 7 lines]
> unfortunate sensations can last well into the afternoon on some days and are
> leaving me somewhat miserable at times...