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Medical Forum / Diseases and Disorders / Prostate BPH / May 2004Proscar and PVP
I have been told by my urologist that once you have taken Proscar for a prolonged period of time, your urethra, the channel through the prostate, becomes fiberous, and you are no longer a good candidate for PVP treatment as the resonant frequency of the tissue is no longer that of the Green Light Laser. Is there anyone out there who has had PVP after having taken Proscar for a few years, and what was their experience? Ironman Am on Proscar for 2 months now and i would be interested . Steve > I have been told by my urologist that once you have taken Proscar for > a prolonged period of time, your urethra, the channel through the [quoted text clipped - 4 lines] > experience? > Ironman > I have been told by my urologist that once you have taken Proscar for > a prolonged period of time, your urethra, the channel through the [quoted text clipped - 4 lines] > experience? > Ironman I doubt it. I was on Proscar for years and had PVP with successful results. I'd get a second opinion. > I have been told by my urologist that once you have taken Proscar for > a prolonged period of time, your urethra, the channel through the [quoted text clipped - 4 lines] > experience? > Ironman I would not take Proscar at all after the side effects i suffered ......go for PVP fast What side effects, I have been on Proscar for 2 months and NO side effects. Steve > > I have been told by my urologist that once you have taken Proscar for > > a prolonged period of time, your urethra, the channel through the [quoted text clipped - 7 lines] > I would not take Proscar at all after the side effects i suffered ......go > for PVP fast > What side effects, I have been on Proscar for 2 months and NO side effects. > [quoted text clipped - 8 lines] > > > experience? > > > Ironman Steve, It takes a long time, at least six to twelve months to get any effect from Proscar. Main effects: shrinking the prostate, lowering incidence of prostatitis, hematuria and hematospermia; side effects: lowering sex drive, promoting the growth of hair. In combination with FloMax or one of its cousin alpha blockers, it is the medical treatment of choice for BPH. It is not that effective for everyone, but takes possibly a year to find out if it works for you. Ironman > > I would not take Proscar at all after the side effects i suffered ......go > > for PVP fast I know it takes a wile to get results from it. But when you say side effects remember what your saying. I asked my Uro what you said and he said , is he a doctor. I'll Listen to my Uro. You may be trying to help but not every ones body is the same and acts the same to the same drugs. Steve . > > What side effects, I have been on Proscar for 2 months and NO side effects. > > [quoted text clipped - 20 lines] > > > I would not take Proscar at all after the side effects i suffered ......go > > > for PVP fast > I know it takes a wile to get results from it. But when you say > side effects remember what your saying. [quoted text clipped - 4 lines] > You may be trying to help but not every ones body is the same and > acts the same to the same drugs. Your uro knows less about Proscar than these guys: http://www.proscar.com/proscar_finasteride/proscar/consumer/index.jsp They make it, they tested it, read what they say and then decide. FWIW, no doctor can possibly know any more about a drug or a treatment than does someone who can read and does so, that's exactly where they get their knowledge of drugs, side effects*, etc.. They like to think they're God but they're not, often they're wrong. So don't be afraid to get second opinions and don't take ANY prescription w/o going to the manufacturer's website and finding out that the doctor is giving you and what effects it may have. *Bad terminology, no drug has "side effects", every drug has "effects". Some are desired, some aren't but they're not "side effects". Ooof... sorry, didn't mean to write a lecture. > I know it takes a wile to get results from it. But when you say side effects > remember what your saying. [quoted text clipped - 39 lines] > > > >Well my 3rd uro told me that Proscar did have side effects ......firstly lowering sex drive and causing retro 2ndly when its combined with Flomax which is a muscle relaxant the next thing you could get is a Hiatus Hernia I know I replaced one problem with another PVP was brilliant at solving the BPH .........theres nothing like that to solve Hiatus Hernia So go back and point this out to your Uro .......and face him with telling the truth I was on the 2 drugs for 6 months and i wish i had never ever taken them > > > > I would not take Proscar at all after the side effects i suffered > ......go > > > > for PVP fast I had a headache from day one with Proscar, I think the reason was that it shrinks the blood vessels. Certainly those not on Proscar prior to a PVP have been put on it to reduce post operative bleeding. Flomax put my BP up and my resting heart beat went up to 124 bpm within the space of five days. Now I stick to Saw Palmetto and Nettle Root. Derek. > What side effects, I have been on Proscar for 2 months and NO side effects. > [quoted text clipped - 11 lines] > > I would not take Proscar at all after the side effects i suffered ......go > > for PVP fast > I had a headache from day one with Proscar, I think the reason was that it > shrinks the blood vessels. Certainly those not on Proscar prior to a PVP > have been put on it to reduce post operative bleeding. > Flomax put my BP up and my resting heart beat went up to 124 bpm within the > space of five days. Now I stick to Saw Palmetto and Nettle Root. > Derek. My uro took me off Proscar a few years ago after being on it for about 3 years. His reason was that he had found that if you take Proscar for several years it could result in a lessening of one's bone density. jg I, too, would be interested in the answer to this inquiry. I have taken Proscar for over 12 years with no problems but might need the info at some point. Chuck > I have been told by my urologist that once you have taken Proscar for > a prolonged period of time, your urethra, the channel through the [quoted text clipped - 4 lines] > experience? > Ironman > I, too, would be interested in the answer to this inquiry. I have taken > Proscar for over 12 years with no problems but might need the info at some [quoted text clipped - 10 lines] > > experience? > > Ironman So far we have only heard from Barry who has had a lengthy treatment with Proscar and then PVP. So far, so good, but it would be nice to have more data points than just one. Ironman I have PVP scheduled in three weeks and my Dr. took me off Proscar. He said it either made the prostate absorb more or less ( I forget) of the laser energy and being off Proscar before the operation would be beneficial. I presume if he wanted me to be off it for a longer time he would have scheduled the PVP further out. David >> I, too, would be interested in the answer to this inquiry. I have taken >> Proscar for over 12 years with no problems but might need the info at some [quoted text clipped - 14 lines] >have more data points than just one. >Ironman My PVP was one year ago yesterday. Happy anniversary. My quality of life is much greater. However, I am still taking saw palmetto. My median lobe was enlarged and thus the reason for the PVP. PVP can't entirely solve a median lobe that protrudes into the bladder. The saw palmetto will hopefully keep the median lobe from growing and causing urinary problems again. > My PVP was one year ago yesterday. Happy anniversary. My quality of > life is much greater. However, I am still taking saw palmetto. My > median lobe was enlarged and thus the reason for the PVP. PVP can't > entirely solve a median lobe that protrudes into the bladder. The saw > palmetto will hopefully keep the median lobe from growing and causing > urinary problems again. I thought that the pvp laser can effectively target and destroy the median lobe tissue protruding in the bladder. In what way has the pvp laser been unable to to "entirely solve a median lobe that protrudes into the bladder"? Where was your procedure performed and about how many procedures has your urologist done. Thanks. > > urinary problems again. > [quoted text clipped - 3 lines] > protrudes into the bladder"? Where was your procedure performed and > about how many procedures has your urologist done. Thanks. PVP laser can make a channel through the median lobe, but can't destroy it. In some instances the lobe can protrude into the bladder and the uro has to be very careful in this area. For major median lobe problems, turp can be more effective, but this should be evaluated by your uro. Just make sure he has an open mind with regard to PVP, which a lot of uros don't. Two questions: do you have retro ejaculation and what is your daytime voiding frequency (and how does it compare to pre-PVP?) > My PVP was one year ago yesterday. Happy anniversary. My quality of > life is much greater. However, I am still taking saw palmetto. My > median lobe was enlarged and thus the reason for the PVP. PVP can't > entirely solve a median lobe that protrudes into the bladder. The saw > palmetto will hopefully keep the median lobe from growing and causing > urinary problems again. > Two questions: do you have retro ejaculation and what is your daytime > voiding frequency (and how does it compare to pre-PVP?) I do not have retro ejaculation. My voiding frequency during the daytime is mostly normal. I usually void about every 2-4 hours. At night, it's once or twice. Most of the time I feel my bladder empties completely, but on occasion it does not. I'm sure this is from my median lobe which still protrudes into my bladder. That's why I'm taking saw palmetto, to keep it under control. Dr. Laub in Santa Barbara did my PVP. He is very experienced. I would guesstimate he has done well over 75 by now. It's important to use an experienced uro who has operated on all types of prostates. I have the same problem Barry and have PVP scheduled for July 13 in NYC by Dr. Te. He feels confident he can deal with the prostate in the bladder problem. What kind of improvement did you experience? I experience urgency at the 150ml or so level and so sometimes have to urinate every 20 minutes; sometimes I can go 2 hours if I haven't drunk much. I usually am up 3 or 4 times at night. Thanks, Jim W. > > Two questions: do you have retro ejaculation and what is your daytime > > voiding frequency (and how does it compare to pre-PVP?) [quoted text clipped - 8 lines] > would guesstimate he has done well over 75 by now. It's important to > use an experienced uro who has operated on all types of prostates. > I have the same problem Barry and have PVP scheduled for July 13 in NYC by > Dr. Te. He feels confident he can deal with the prostate in the bladder [quoted text clipped - 17 lines] > > would guesstimate he has done well over 75 by now. It's important to > > use an experienced uro who has operated on all types of prostates. Jim, It would help to know: have you been taking Proscar, and if so, for how long, and how much larger than normal is your prostate? Thanks in advance. Ironman No Proscar and not a large prostate - just that it protrudes into the bladder. Dr. Te says the procedure will only take about 30 minutes. Jim W. > > I have the same problem Barry and have PVP scheduled for July 13 in NYC by > > Dr. Te. He feels confident he can deal with the prostate in the bladder [quoted text clipped - 22 lines] > Thanks in advance. > Ironman > I have the same problem Barry and have PVP scheduled for July 13 in NYC by > Dr. Te. He feels confident he can deal with the prostate in the bladder [quoted text clipped - 17 lines] > > would guesstimate he has done well over 75 by now. It's important to > > use an experienced uro who has operated on all types of prostates. I also had median lobe protruding into the bladder but I feel my pvp removed that problem.My urologist said nothing about it still protruding.I also don't have retrograde ejaculation and the quality of my life has improved significantly[pvp 2 months ago].I often sleep 6 hours sraight w/o getting up whereas before up every 90 minutes with much difficlty trying to urinate,sometimes felt the urge during the day every half hour and then had alot of trouble urinating.It was very uncomfortable.So I don't think if median lobe was still protruding I would have such great improvement.Curious about where that info came from about not being able to remove all of median lobe. Al I'll sign up for your results right now! Jim > I also had median lobe protruding into the bladder but I feel my pvp > removed that problem.My urologist said nothing about it still [quoted text clipped - 7 lines] > from about not being able to remove all of median lobe. > Al I, too, have a median lobe that is pushing into the bladder. And I've been on Proscar for ten years with no observable side effects. At this point, I'm sorry, but I don't have confidence in any of the statements or pronouncements that have been made on this subject. There are a lot of well-meaning individuals who are making claims, some of which might be correct, but at the moment can't be substantiated. There was a time when a practicing urologist posted in this newsgroup on a regular basis and answered questions such as the one currently posed. I do wish we had him back. And at the moment, there's not even as much as a preliminary article available in the peer-reviewed literature that reports relevant data on the risks and efficacy of PVP. I have no doubt that PVP is a marked improvement over TURP, but just how much and what the morbidity data is are not yet available. Only a few self-serving articles by those who have a financial stake. |
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