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Medical Forum / Diseases and Disorders / Prostate BPH / February 2004PVP vs TURP
what are the resaon to choose one rather the other? PVP is available for what kind of BPH? > what are the resaon to choose one rather the other? > PVP is available for what kind of BPH? > > I chose PVP because it offered the best chance of no damage ,no retro,and none of the side effects of TURP Also instead of a 4 or 5 day staty in hospital and the discomfort of a stiff catheter i was in and out of hospital in 4 hours and sitting in the garden next day It was a breeze yes ok fine but for you it seems that the results of PVP and TURP are the same that's my question can you tell me your result? > > what are the resaon to choose one rather the other? > > PVP is available for what kind of BPH? [quoted text clipped - 5 lines] > next day > It was a breeze >what are the resaon to choose one rather the other? >PVP is available for what kind of BPH? Both are TURP. The first is a laser TURP, one of a number, which is used for the relief of BPH symptoms which are caused by blockage of the Urethra by excessive growth of the Prostate. The second is the traditional Turp which is used for the same reason. One of the main differences between the two forms of TURP is that the Laser Turp is a destructive TURP but the traditional TURP is non-destructive. Thus the Laser Turp reduces the blockage of the Urethra by destoying tissue of the Prostate inside the body. The normal TURP reduces the blockage by removing the excess Prostate tissue. The advantage of the traditional TURP is that the Prostate tissue which is removed is available for biopsy. The disadvantage of the Laser TURP is that the tissue is not available for biopsy. Bear in mind that around 10% of men having to undergo treatment to relieve symptoms of blackage, apparently caused by BPH, actually turn out to have Prostate Cancer. Have a traditional TURP and this will be discovered and the cancer, if present, will be treated. Have a Laser TURP and the cancer will not be discovered. Therefore not treated - and certainly not nice. IMO, the above factor is a very important one when deciding on the particular treatment - BUT there may be other factors, individual to you personally, which should also be taken into consideration before deciding on any course of action. There are other questions to ask about laser surgery but the best advice must be to consult the professionals. IMO they are not perfect but they are infinitely more trustworthy than anything you will find on a newsgroup. HTH Regards > >what are the resaon to choose one rather the other? > >PVP is available for what kind of BPH? [quoted text clipped - 46 lines] > > Regards Since no good urologist and especially PVP ones will do PVP unless you have a low PSA or you have had biopsies done the ??????of cancer is irrelevant You also need to consider its been proved that actually with conventional TURP the fluids etc plus any cancer cells are exposed and reabsorbed into the body through the open bleeding wounds that are created and at the very least can trigger heart problems a few years ahead With PVP they have done a load of tests that prove that nothing is absorbed into the body because theres no open bleeding wounds ......the laser seals as it goes Hence why recovery is generally so much faster and better I know way too many people who had TURP and were very ill for weeks as a result >>what are the resaon to choose one rather the other? >>PVP is available for what kind of BPH? > >Both are TURP. By a loose definition. >The first is a laser TURP, one of a number, which is used for the >relief of BPH symptoms which are caused by blockage of the Urethra by [quoted text clipped - 5 lines] >Laser Turp is a destructive TURP but the traditional TURP is >non-destructive. You don't consider slicing chunks of the prostate gland out to be destructive? I think if you are going to label PVP destructive you also have to label TURP destructive also. >Thus the Laser Turp reduces the blockage of the Urethra by destoying >tissue of the Prostate inside the body. [quoted text clipped - 4 lines] >The advantage of the traditional TURP is that the Prostate tissue >which is removed is available for biopsy. Disadvantages of TURP is substantial bleeding, extended recovery time, substantially increased chance of undesirable side effects such as impotence and incontinence. >The disadvantage of the Laser TURP is that the tissue is not >available for biopsy. Biopsy of the prostate can be done separate from TURP or PVP. Advantages of PVP include almost no bleeding, speedy recovery, no hospital stay for the vast majority of patients, virtually no impotence or incontinence as a result of the surgery. >Bear in mind that around 10% of men having to undergo treatment to >relieve symptoms of blackage, apparently caused by BPH, actually turn >out to have Prostate Cancer. A large percentage of men will die with prostate cancer, but very few die from prostate cancer. >Have a traditional TURP and this will be discovered and the cancer, if >present, will be treated. > >Have a Laser TURP and the cancer will not be discovered. Therefore >not treated - and certainly not nice. Again, a biopsy can be taken separate from the surgery along with PSA tests should catch cancer before the PVP surgery is done. >IMO, the above factor is a very important one when deciding on the >particular treatment - BUT there may be other factors, individual to >you personally, which should also be taken into consideration before >deciding on any course of action. Agreed. >There are other questions to ask about laser surgery but the best >advice must be to consult the professionals. >IMO they are not perfect but they are infinitely more trustworthy >than anything you will find on a newsgroup. Well, understand that uro's will have their own prejudices as to which procedure that they are most comfortable with. So, I don't think it hurts to hear the opinions of those who have gone through TURP vs. those who have had PVP. But as always, YMMV. As I understand it, nearly three quarters of all prostate cancers develop in the peripheral zone - precisely the area *not* removed by a TURP. So while examining TURP chips can in some cases reveal unsuspected cancer, it would not be an adequate way of checking for cancer. If there is any realistic suspicion of cancer a proper TRUS biopsy should be done - that too does not infallibly reveal a cancer, but if enough cores are taken it has a much better chance of doing so than looking at TURP chips, not least because the peripheral zone is sampled as well as the 'TURP zone'. Once that has been done, the fact that PVP does not yield samples for the path lab becomes more or less academic. I'm one of several people posting here who did have a biopsy done before PVP. If any indicators suggest even a slight risk of cancer, I'd regard it as worth doing, for peace of mind if nothing else - though my personal experience may possibly suggest it is better to allow longer betwen the procedures than the three days I had. Richard Slessor Terri, You don't know what you are talking about. Your imformation is factually incorrect. Patrick > >what are the resaon to choose one rather the other? > >PVP is available for what kind of BPH? [quoted text clipped - 46 lines] > > Regards |
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