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Medical Forum / Diseases and Disorders / Prostate BPH / June 2004Alternatvies to PVP
I had a TUNA 4 months ago. It was a total success. I can pee like a teenager now. I had been retro before because of Flomax. Now I am not retro anymore. Most of the posts on this newsgroup relate to PVP. It seems like the laser manufacturer has lots of shills here. There are drawbacks to PVP such as greatly enhanced chance of retro. Also the urethra gets destroyed during PVP and has to grow back. TUNA does not have these problems. There was a recent thread about success using TUMT. My uro steered me away from TUMT because of overheating risk. Before undergoing one of these surgical procedures, one should evaluate all of the procedures and pros and cons of each. By the way, my uro has kept me on proscar to avoid any future gowth of prostate. No side effects from that. How long were you catheterized afterwards? What was your post-of recovery like? Shall we call you a shill for TUNA because you are happy with the results? Probably not. Then why would you call someone who had good results from PVP a shill for Laserscope? This group is about sharing experiences. We've seen there can be good and not so good results from any procedure. I haven't been keeping track of the exact numbers but overall I'd say the satisfied PVP recipients outnumber the dissatisfied. Unfortunately, there's no way to predict the outcome from these types of procedures. > I had a TUNA 4 months ago. It was a total success. I can pee like a > teenager now. I had been retro before because of Flomax. Now I am [quoted text clipped - 8 lines] > my uro has kept me on proscar to avoid any future gowth of prostate. > No side effects from that. I was catheterized for two days. I was mildly uncomfortable urinating for about two weeks. I am not saying that posters sharing experiences are shills. I just don't understand why many posters think that PVP is the only effective treatment. Why would anyone want to risk being retro????? Having been seriously retro as a result of using Flomax, I can state categorically that orgasms were not as satisfying when I was retro,. I believe the incidence of retro with PVP is about 33%. With TUNA its less than 1%. The only negative with TUNA is that there have been some reports of the results not lasting because the prostate grows back. Hopefully the very skilled uro who performed my procedure coupled with my ongoing use of Proscar will avoid a recurrence. I am not a TUNA shill. I just believe that if you have BPH you need to look at all of the possible treatments available. > How long were you catheterized afterwards? What was your post-of recovery > like? [quoted text clipped - 21 lines] > > my uro has kept me on proscar to avoid any future gowth of prostate. > > No side effects from that. > I am not saying that posters sharing experiences are shills. That seems to be exactly what you said, quote: "It seems like the laser manufacturer has lots of shills here." >I just don't understand why many posters think that PVP is the only effective treatment. For many, this newsgroup is the only source of information based on personal experience. For whatever reason, there seem to be a disproportionate number of posters who have had the PVP procedure and many (probably most) have been very happy with the results. Several of them were treated previously with less than satisfactory results. I think that explains their enthusiasm. > I believe the incidence of retro with PVP is about 33%. > With TUNA its less than 1%. That's good information that I'm sure a lot of people don't know. > I am not a TUNA shill. I just believe that if you have BPH you need to look at all of the possible treatments available. I know that. And I think people do (look at all possible treadments) that but let's face it, you can't get unbiased information from your urologist. He is going to push the procedure he's comfortable with and many of them (if we are to believe information posted here) either have never heard of PVP or pooh-pooh it as unproven. It would be great if we had more TUNA recipients posting their experiences here. > > How long were you catheterized afterwards? What was your post-of recovery > > like? [quoted text clipped - 21 lines] > > > my uro has kept me on proscar to avoid any future gowth of prostate. > > > No side effects from that. Bob, This was a good post. As someone who thought that PVP had a very low risk of retro, that with an experienced PVP surgeon it was even lower, and that it was probably temporary anyway, I was surprised that I have it (six months post), with a 99% chance of it being permanent. Orgasm does not feel the same, and reproductive choice was stolen. People should consider all the options before surgery. Ron > From: bobking@usa.com (Bob King) > Organization: http://groups.google.com [quoted text clipped - 50 lines] >>> my uro has kept me on proscar to avoid any future gowth of prostate. >>> No side effects from that. > Bob, > This was a good post. As someone who thought that PVP had a very low risk of [quoted text clipped - 4 lines] > options before surgery. > Ron Ron, I was just reading something yesterday on a web site that said if you have retro and want to reproduce, the sperm goes into the bladder, but comes out soon in the urine. They can get the sperm out of the urine and implant it into the uterus, or use test tube methods to fertilize an egg; so you still have some options, don't give up. Liz > > From: bobking@usa.com (Bob King) > > Organization: http://groups.google.com [quoted text clipped - 50 lines] > >>> my uro has kept me on proscar to avoid any future gowth of prostate. > >>> No side effects from that. Thanks for your post. Problem is, I don't see any seminal fluid ever in the urine; I pee in a glass cup afterwards. When I had temp retograde from flomax, it was a completely diff story & I would see fluid in urine. I don't think that any sperm is being released. Where the blockage is - I don't know & neither does my surgeon. Ron > From: "Liz" <Liz@nospam.com> > Organization: Comcast Online [quoted text clipped - 81 lines] >>>>> my uro has kept me on proscar to avoid any future gowth of prostate. >>>>> No side effects from that. > Thanks for your post. Problem is, I don't see any seminal fluid > ever in the urine; You should be able to smell it. Retro gives the urine a very distict odor. > > Thanks for your post. Problem is, I don't see any seminal fluid > > ever in the urine; > > You should be able to smell it. Retro gives the urine a very distict > odor. I know a microscope would help, but how about a magnifying glass, is it strong enough? >> > Thanks for your post. Problem is, I don't see any seminal fluid >> > ever in the urine; [quoted text clipped - 4 lines] > I know a microscope would help, but how about a magnifying glass, > is it strong enough? No idea, never tried? Bob, TUNA can be an effective treatment when you don't have a median lobe plugging things up. For a median lobe, TUNA is ineffective and counterindicated. I am not aware of any better treatment for a median lobe than to have it removed And the safest, easiest way to have it removed is definitely PVP. Patrick > I was catheterized for two days. I was mildly uncomfortable urinating > for about two weeks. [quoted text clipped - 44 lines] > > > my uro has kept me on proscar to avoid any future gowth of prostate. > > > No side effects from that. > I was catheterized for two days. I was mildly uncomfortable urinating > for about two weeks. [quoted text clipped - 44 lines] > > > my uro has kept me on proscar to avoid any future gowth of prostate. > > > No side effects from that. But theres plenty of patients for whom TUNA is totally ineffective and its a proceedure thats done in the USA but not here in the UK Lee M., The statistics on retro come out of studies. See Laserscope and Medtronic websites for this info. Nambuca, If aprroximately 1 of 3 PVP's get retro and you didn't, then I guess you are one of the lucky 2 out of 3 who don't experience it. > I had a TUNA 4 months ago. It was a total success. I can pee like a > teenager now. I had been retro before because of Flomax. Now I am [quoted text clipped - 8 lines] > my uro has kept me on proscar to avoid any future gowth of prostate. > No side effects from that. I think you overplay the risks of retro etc with PVP ..........I had retro on Flomax but PVP was the best thing I did and sure as heck no retro now Tuna is a very good procedure but eventually you will most likely need a TURP anyway. It does not debulk the prosate - just shrinks it down. PVP removed tissue. In looking into this carefully I can see that pvp is a replacement for TURP when needed. But TUNA is OK for some and less invasive. > > I had a TUNA 4 months ago. It was a total success. I can pee like a > > teenager now. I had been retro before because of Flomax. Now I am [quoted text clipped - 11 lines] > I think you overplay the risks of retro etc with PVP ..........I had retro > on Flomax but PVP was the best thing I did and sure as heck no retro now |
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