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

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Greenlight laser

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CJ - 28 May 2004 23:02 GMT
Has anyone had the Greenlight procedure for bhp? Comments, please.
Sasha Gottfried - 29 May 2004 04:35 GMT
Yes,

It works.......but don't necessarily expect the one or two week recovery.
It can take months.

Good Luck,

Marcus

> Has anyone had the Greenlight procedure for bhp? Comments, please.
Ron - 29 May 2004 04:54 GMT
and you might get an (unexpected) permanent side effect: one of the forms of
retrograde ejaculation - where there's no more semen - for me not ejaculated
or even in the bladder. Ask your uro about the risks.
Ron

> From: "Sasha Gottfried" <sashago@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 11 lines]
>
>> Has anyone had the Greenlight procedure for bhp? Comments, please.
David DeBar - 29 May 2004 16:48 GMT
I recently called my uro and told him that 6 months post PVP I only
ejaculate a few drops.  Like you my urine is clear.  I don't know where it
goes.
He explained that I have some degree of retro and that it takes up to three
years after PVP to archive normal ejaculation.

See my earlier post about what a woman really likes to see come out of a
penis.  It still feels the same, it's not a big deal.

Dave

> and you might get an (unexpected) permanent side effect: one of the forms of
> retrograde ejaculation - where there's no more semen - for me not ejaculated
[quoted text clipped - 16 lines]
> >
> >> Has anyone had the Greenlight procedure for bhp? Comments, please.
Ron - 29 May 2004 21:52 GMT
Dave,
My surgeon said that if you get retro from the PVP surgery (I'm past the
sixth month mark), it's a 99% chance that it's going to be permanent. I'm
also wondering if at the time of "orgasm" the sperm even leaves the testes.
I don't know what the health risks are from not being able to release &
renew the sperm cells (and the prostate fluid). There have been studies
showing that regular masturbation lowers the risk of prostate cancer. Do the
sperm cells stagnate, causing future problems? I'm not sure if anyone knows
the long term risks from the effects of the Greenlight Laser.
Ron

> From: "David DeBar" <porkdebarparts@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 35 lines]
>>>
>>>> Has anyone had the Greenlight procedure for bhp? Comments, please.
David DeBar - 29 May 2004 23:19 GMT
Ron
Ya, I heard that six month number before.  But, I wrote my doctor and told
him that a few months after my PVP, for a while I had a small amount of
ejaculation but then dropped back to just a few drops.  Here is his answer
to me:

Dear Davis: You must have some degree of  retrograde ejaculation,
Maintaining the  normal ejaculation depends on the  function the muscule
tissue around the bladder neck. nothing to do with the size of the prostate,
If you had some antegrade ejaculation after PVP, you should expect to
improve , from the original research from  Dr Malak in Mayo Clinic, It takes
3 years  to resume  normal ejaculation .Did you take any medication causing
retrograde ejaculation such  blood pressure pill?

The above answer is from Dr. Lin (a very respected doctor on this news
group).  Maybe my case is a little different because it comes and goes.

Dave
Ron - 30 May 2004 14:52 GMT
Dave,
I stopped taking Avodart on Feb 9, so it's unlikely that the medication is
the cause (before the op -under the influence of Avodart, ejaculations were
fine). Since my second PVP in mid-Dec.'04, there has been zero ejaculate
from the penis, and none found in the urine. There might have been an
ejaculatory sphincter type mechanism destroyed during the PVP and or the
sperm might be blocked at some point in the process or various other factors
can be involved. My surgeon said he doesn't know. In your case, the fact
that the mechanism worked after your surgery points to a better prognosis of
your condition.
Ron

> From: "David DeBar" <porkdebarparts@comcast.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 19 lines]
>
> Dave
Frederic E Henzi - 30 May 2004 05:53 GMT
Ron,

If I remember right, some men have the semen tubes tied or cut with no ill
effects.
I have no idea if retrograde ejaculation has any detrimental effects, but I
know that untreated BPH is an ever worsening misery and will lead to acute
retention. Compared to this, latent  future problems due to PVP are a minor
concern. At this time, it is probably not even known if Green Laser PVP has
any, better or worse long-term effects than traditional TURP.
I had PVP over a year ago and my quality of life improved dramatically. I'm
enjoying this change for the better and I'm not going to worry about an
unknown future problem.

Fred Henzi

> Dave,
>  My surgeon said that if you get retro from the PVP surgery (I'm past the
[quoted text clipped - 6 lines]
> the long term risks from the effects of the Greenlight Laser.
> Ron
Ron - 30 May 2004 14:58 GMT
Fred,
You make a good point. Fear of the future is pointless. But I'm still having
trouble accepting the rerograde condition - which I didn't expect; wanting
to have the choice to reproduce etc.
Ron

> From: "Frederic E Henzi" <f-henzi@comcast.net>
> Organization: Comcast Online
[quoted text clipped - 30 lines]
>> the long term risks from the effects of the Greenlight Laser.
>> Ron
 
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