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

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PVP + 5 weeks: Celebration!

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Maurice Batey - 18 Feb 2004 21:59 GMT
Five weeks after PVP (and 6 since last 'event'), first time: no retro
ejac! <g>.

(Urine) flow still disappointing, though perhaps just slightly better.
(Wonder if this might be because the uro did less than he might after
I specifically asked to try to avoid retro...)

No sign whatsoever of blood since 3-day aberration a week ago.

Maurice Batey (Retired in Hampshire, UK)

    http://www.maurice.eurobell.co.uk

(Change "no.spam" to "." in E-mail address.)
nambucca - 18 Feb 2004 23:00 GMT
Five weeks after PVP (and 6 since last 'event'), first time: no retro
ejac! <g>.

(Urine) flow still disappointing, though perhaps just slightly better.
(Wonder if this might be because the uro did less than he might after
I specifically asked to try to avoid retro...)

No sign whatsoever of blood since 3-day aberration a week ago.

Maurice Batey (Retired in Hampshire, UK)

http://www.maurice.eurobell.co.uk

(Change "no.spam" to "." in E-mail address.)

Its odd that your urine flow is little better
If Gordon Muir did your op he would want to know why

Have you had a follow up appointment ?

As for retro I had it for 7 months but its reversed itself now and the flow
is fantastic but then it has been from straight after the op
Ron - 19 Feb 2004 05:02 GMT
nambucca,

When you had the retro, Was there semen coming out in the urine via prostate
into bladder. Or was there no semen at all visible in urine? Can PVP seal
off [block] the semen ducts in the prostate? And if so, can this be undone?

> From: "nambucca" <nambucca@nospam.com>
> Organization: BT Openworld
> Newsgroups: sci.med.prostate.bph
> Date: Wed, 18 Feb 2004 23:00:54 +0000 (UTC)
> Subject: Re: PVP + 5 weeks: Celebration!

> ...As for retro I had it for 7 months but its reversed itself now and the flow
> is fantastic but then it has been from straight after the op...
nambucca - 19 Feb 2004 21:16 GMT
> nambucca,
>
[quoted text clipped - 12 lines]
> >
> Cant tell you .....didnt look
but certainly had dry orgasm ......soon noticed when the retro reversed
though
Ron - 20 Feb 2004 04:55 GMT
Thanks for reply.

If anyone else had post PVP, no semen at all (& none coming out in urine -
so not considered retrograde), please share experience.

> From: "nambucca" <nambucca@nospam.com>
> Organization: BT Openworld
[quoted text clipped - 23 lines]
> but certainly had dry orgasm ......soon noticed when the retro reversed
> though
Maurice Batey - 19 Feb 2004 22:52 GMT
> Its odd that your urine flow is little better
> If Gordon Muir did your op he would want to know why
>  
> Have you had a follow up appointment ?

I've discussed this with Larner (he gave me his mobile/cellphone
number!).
His reply: "Patience!".

He routinely does the follow up at PVP + 3 months.

Maurice Batey (Retired in Hampshire, UK)

    http://www.maurice.eurobell.co.uk

(Change "no.spam" to "." in E-mail address.)
nambucca - 20 Feb 2004 19:24 GMT
On Sun, 18 Feb 3904 23:00:54, "nambucca" <nambucca@nospam.com> wrote:

> Its odd that your urine flow is little better
> If Gordon Muir did your op he would want to know why
>
> Have you had a follow up appointment ?

I've discussed this with Larner (he gave me his mobile/cellphone
number!).
His reply: "Patience!".

He routinely does the follow up at PVP + 3 months.

Maurice Batey (Retired in Hampshire, UK)

http://www.maurice.eurobell.co.uk

(Change "no.spam" to "." in E-mail address.)

Hmmmmmmm.........Gordon Muir does his follow up at 6 weeks
I guess Larner could be right if some kind of inflamation is still causing
the poor urine flow but mine was totally amazing from straight after the op
.....
Chris - 20 Feb 2004 22:55 GMT
>I've discussed this with Larner (he gave me his mobile/cellphone
>number!).
>His reply: "Patience!".
>
>He routinely does the follow up at PVP + 3 months.

Glad to hear you're celebrating, Maurice !

I've just got around to my follow-up with Mr Larner, at PVP+ 4 months
or so.  He's happy with my flow rate, but wants to see us at PVP+ 12
months to do proper longitudinal assessment of the technique and
compare PSA.
I didn't score zero on the AUA,  but I reckon "1" is quite an
improvement on "23".

He has noted all my problems post-PVP during the first couple of
months.... acute retention, blood clots, and is presenting a paper to
fellow surgeons on a warts-and-all appraisal of PVP.
That doesn't mean he isn't happy with the operation, but he doesn't
think that advertising it as totally straightforward and problem-free
is right.

To go back to a well-discussed topic, when Laserscope talk of a
30-minute op, I'll bet it is problem-free! My prostate was probably
that small 30 years ago. But having removed 185 ml of material from
mine, Larner says there's no way a major op like that wouldn't take
time to recover from.
Patrick - 21 Feb 2004 00:38 GMT
Chris,
Do you realize that you can't do a regular TURP on a 185 gram prostate
because of the real possiblity of major bleeding.

The only options for a 185 gram prostate is open prosectomy or PVP.  You
should be very happy you had this choice.

Patrick

> >I've discussed this with Larner (he gave me his mobile/cellphone
> >number!).
[quoted text clipped - 23 lines]
> mine, Larner says there's no way a major op like that wouldn't take
> time to recover from.
Magna - 21 Feb 2004 09:20 GMT
Chris wrote:

> > He has noted all my problems post-PVP during the first couple of
> > months.... acute retention, blood clots, .........

CHRIS,

Am I right in thinking from your post that you had acute retention
after PVP!?

(If I think this is the first time it has been reported from anyone
here.)

How long after? and did Tim Larner give you specific instructions on
what to do if it happened and what were they?

Regards, Magna
Sasha Gottfried - 21 Feb 2004 17:38 GMT
No it isn't the first time that someone in this NG had acute retention
following PVP! The day after my surgery, back in November, I went into
retention and had to be taken to the emergency room via ambulance later that
night. I had a thread up on the newsgroup called "PVP nightmare", but it has
miraculously disappeared! Just wondering who is the little guy behind the
screen monitoring this group?

My prostate was 88 grams and after two months I had urgency, frequency and a
hell of a lot of pain.
Thankfully, acupuncture has made life bearable. It's been 3 months post, for
me and I'm still having some post-urination irritaion, but the urgency is
way down and that makes it possible to function reasonably well.

Marcus

> Chris wrote:
>
[quoted text clipped - 13 lines]
>
> Regards, Magna
Richard - 22 Feb 2004 05:28 GMT
Marcus wrote:

> I had a thread up on the newsgroup called "PVP nightmare", but it has
> miraculously disappeared! Just wondering who is the little guy behind the
> screen monitoring this group?

I don't think there was anything very miraculous about the
'disappearance' of the 'PVP nightmare' thread. All ISPs, in my
experience, only carry the more recent postings in any newsgroup. Some
keep older postings up a little longer than others, but they quite
quickly disappear -that's why archives like the Google one exist.

I did a quick search in Google Groups for 'PVP nightmare', and lo and
behold, a nice little thread with six postings came up on the first
page. So if there is a 'little guy' somewhere waiting to censor
Marcus's postings, he's probably to be found in the offices of his
ISP!

Richard Slessor
Sasha Gottfried - 22 Feb 2004 06:33 GMT
Interesting.....why would the "little man" at the ISP delete that particular
listing?
Perhaps we should do a search for "littlemanan@ISP.com?

> Marcus wrote:
>
[quoted text clipped - 15 lines]
>
> Richard Slessor
Ron - 22 Feb 2004 20:33 GMT
I also went into retention the day after my first PVP and several other
times thereafter, with bloodclots and dark red urine for 7 and a half weeks
after that. I had to repeat the PVP 14 months later. This one left me with
problems as well. This surgery is not a picnic for everyone, though those
who try to warn, are often picked on.

> From: "Sasha Gottfried" <sashago@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 33 lines]
>>
>> Regards, Magna
Sasha Gottfried - 22 Feb 2004 22:11 GMT
Ron,

When and where did you have your PVP surgery?

Marcus

> I also went into retention the day after my first PVP and several other
> times thereafter, with bloodclots and dark red urine for 7 and a half weeks
[quoted text clipped - 39 lines]
> >>
> >> Regards, Magna
Ron - 22 Feb 2004 22:29 GMT
I'm not wanting to point the finger and to blame.
I just want people to be aware that they might have side effects from the
PVP that they did not anticipate. For example: overwheming urgencies to pee
that come very suddenly, and sexual side effects that destroy orgasm and
sexual satisfaction. Other than that, I don't want to be more specific at
this time. But I will say that my first PVP was Oct '02, and my second, mid
- Dec '03.

> From: "Sasha Gottfried" <sashago@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 57 lines]
>>>>
>>>> Regards, Magna
nambucca - 23 Feb 2004 17:26 GMT
> I'm not wanting to point the finger and to blame.
> I just want people to be aware that they might have side effects from the
[quoted text clipped - 67 lines]
> >>
> > A bad workman blames his tools !!!!!!

Maybe people sould know which area you are in because your problems could
just as well be user error or of course they could be connected with some
other medical condition which complicated things
Ron - 24 Feb 2004 02:48 GMT
There was no other medical condition.
The doctor was an experienced surgeon. My point is that there are risks
anyway, and some might be unanticipated (as it was for me). Ask your surgeon
if he can guarantee that you will not have the side effects. See what he
says. Those willing to take the risks should go ahead.

> From: "nambucca" <nambucca@nospam.com>
> Organization: BT Openworld
> Newsgroups: sci.med.prostate.bph
> Date: Mon, 23 Feb 2004 17:26:58 +0000 (UTC)
> Subject: Re: PVP + 5 weeks: Celebration!

>...Maybe people sould know which area you are in because your problems could
> just as well be user error or of course they could be connected with some
> other medical condition which complicated things
nambucca - 24 Feb 2004 18:19 GMT
> There was no other medical condition.
> The doctor was an experienced surgeon. My point is that there are risks
[quoted text clipped - 11 lines]
> > just as well be user error or of course they could be connected with some
> > other medical condition which complicated things

Actually my surgeon assured me that there theorectically was a slight risk
of incontinance but it had not happened in any of the other 100 plus ops he
had done and there was a risk of retro but that no other side effects or
risks had been encountered or could be envisaged

Having been treated abominably by a previous Uro who wanted to do a TURP and
had the audacity to INSIST that there were NO SIDE effects from a TURP and
then slipped in but you will have retro I I had run a mile from him
...........hence was very careful indeed to ask a million questions before
having PVP
Ron - 24 Feb 2004 20:41 GMT
I was aware that there was a slight risk of retrograde (about 9%).
Since my second PVP (after the fact), I've been old that the risk of retro
is 30 to 40 %.
But what I have now is not retro. No semen is coming out from penis or in
urine via bladder. So there is no climax feeling - no release or
satisfaction. I had experienced temporary retro when I was on flomax. This
is a very different experience: One that I was not warned about.

I just think that those considering this surgery should be aware of this
possibility - which I did not get from my first surgery (didn't even get
retro).
I'm still hoping that it's not permanent. But at 10 wks post OP, I'm not
too optimistic.

I'm still waiting that maybe someone else had this experience, which they
would share with us, and I'm hoping that after a few months, things returned
to normal. One can hope, but then one must accept.

> From: "nambucca" <nambucca@nospam.com>
> Organization: BT Openworld
[quoted text clipped - 31 lines]
> ...........hence was very careful indeed to ask a million questions before
> having PVP
sky - 25 Feb 2004 07:28 GMT
I think what you are experiencing is retro.  A very bad case. When I
took one Flomax I had retro, but it wasn't that bad.  Occasionally
ejaculated and good amount of feeling.  With two Flomax, it was very
similar to your current situation.  Hope it improves.
Ron - 26 Feb 2004 04:23 GMT
With Retro, the semen goes into the bladder coming out in urine.
I have no semen coming out in urine. Either the sperm was blocked by PVP, so
no longer coming into prostate, or so much prostate was destroyed so the
fluid of the prostate is not produced, or both. Very different than my
Flomax experience of Retro. Thanks for your good wishes.
ron

> From: sky321@yahoo.com (sky)
> Organization: http://groups.google.com
[quoted text clipped - 6 lines]
> ejaculated and good amount of feeling.  With two Flomax, it was very
> similar to your current situation.  Hope it improves.
MB - 23 Feb 2004 20:04 GMT
Ron:

Assuming what you say is true, it would be helpful to know a bit more. I
know one person's bad experience led me to not see that particular doctor.
Fortunately, there are a few more NOW in my area.

Mel
> I'm not wanting to point the finger and to blame.
> I just want people to be aware that they might have side effects from the
[quoted text clipped - 65 lines]
> >>>>
> >>>> Regards, Magna
Al - 22 Feb 2004 22:46 GMT
Sorry to hear you have had problems.

So many guys (me included) have reported excellent PVP results that we
know the Laserscope machine can do a good (maybe even miraculous)job.

But the machine does not work automatically, a trained surgeon has to
use it.  And it can't reverse damage that has already occurred or fix
unrelated secondary health problems.

I have noticed that those of us with successful procedures don't
hesitate to name their doctors, and we have seen those names over and
over.  But some of you guys with unsuccessful experiences don't seem
willing to disclose who the surgeon was or where the procedure was
performed.  You mention "warning" others, it seems to me the best
warning would be letting other guys know where not to go.

Al

> I also went into retention the day after my first PVP and several other
> times thereafter, with bloodclots and dark red urine for 7 and a half weeks
[quoted text clipped - 39 lines]
>>>
>>>Regards, Magna
James Mullins - 22 Feb 2004 23:16 GMT
I found the post "PVP Nightmare" on previous page #7, so you can find it
if you search.  I don't think anyone is editing or censoring posts which
are on topic.  Please continue to post and just tell it as you see it.
As I've said before, my experience with PVP was mildly, but not wildly
successful.  What I did like about it was the relatively mild (for me)
after effects.  Catheter time was short, very little bleeding, and mild
pain.  Recovery time was about two weeks before I could resume lifting
anything over 10 lbs.  At PVP + 4 months, I have retro, but I had that
after the TUIP.  I get up twice a night and I can go for about two hours
between daytime urinations unless I drink a lot of coffee, to which I
admit being mildly addicted.  I could give up caffeine, but I prefer not
to.  I am 70 years old with a PSA of 0.3 and have had BPH for about 15
years or so, although it's hard to pinpoint the onset.

--
Derek F - 01 Mar 2004 00:07 GMT
Try the German news server news.individual.net. You have to register with
them but they keep posting for a very long time. All of your PVP nightmares
are there.
Derek.
> No it isn't the first time that someone in this NG had acute retention
> following PVP! The day after my surgery, back in November, I went into
[quoted text clipped - 28 lines]
> >
> > Regards, Magna
 
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