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

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PVP Today

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Jim W. - 14 Jul 2004 03:00 GMT
Arrived at hospital at 5:45 for 7:30 procedure.  Actually delivered to Dr.
Te's operating room at 9:00AM.  I think I was in recovery stage 1 about
11:00 and stage 2 at 11:45am.

They did the voiding test at 1:45 - removed catheter and told me to urinate
in a plastic urinal when I felt ready.  I felt ready within 15 minutes but
was only able to produce a few very bloody drops.  I felt I was blocked up
because there was fierce urgency but the nurse and later the urological
intern
said it was too soon after catheter removal - bladder was still irritated
and I hadn't consumed enough liquid.  I begged to differ pointing out the 3
liter IV's already consumed.  They brought some escalatingly senior
urologists in and they finally agreed to recatheterize me and quickly
drained 400ml.

They then notified Dr. Te who thought the anesthesia was the cause of the
blockage and ordered another voiding test at 6pm.  This time I was able to
slowly urinate a thin red stream and progressively clearer and larger
volumes.  At 7pm Dr. Te told them to release me.

I'm home now with pretty severe urgency at low volumes of output.  I quickly
took 2 Flomax and that has helped.  I was hoping they would give me a script
for URISED to manage the urgency but the urologists at the hospital didn't
want to do that - perhaps I didn't explain correctly why I wanted it..

So day 1 was a little more challenging than I had hoped for but I realize it
is early in the game and I'll look forward to better days.

Jim W.
jack - 14 Jul 2004 04:54 GMT
> Arrived at hospital at 5:45 for 7:30 procedure.
I  had a microwave and know many persons who had microwaves, none had
problems. Why go for pvp which is surgery when you can go microwave?. My Uro
feels the same as I do. What am I missing?
Jim W. - 14 Jul 2004 13:50 GMT
I had ILC 3.5 years ago and had  8 bad days compared to 1 not too terrible
day with PVP [ILC is similar to microwave in that the shrinkage of the
prostate is due to heat damage].  The ILC didn't help me very much while PVP
offers the benefits of TURP without the trauma.  I didn't mean to be so
negative last night when I posted - it was more a comment on some of the
hospital staff not listening to the patient.  Jim

> > Arrived at hospital at 5:45 for 7:30 procedure.
> I  had a microwave and know many persons who had microwaves, none had
> problems. Why go for pvp which is surgery when you can go microwave?. My Uro
> feels the same as I do. What am I missing?
Liz - 14 Jul 2004 21:03 GMT
> I had ILC 3.5 years ago and had  8 bad days compared to 1 not too terrible
> day with PVP [ILC is similar to microwave in that the shrinkage of the
> prostate is due to heat damage].  The ILC didn't help me very much while PVP
> offers the benefits of TURP without the trauma.  I didn't mean to be so
> negative last night when I posted - it was more a comment on some of the
> hospital staff not listening to the patient.  Jim

ILC is that the Indigo Laser? My uro offered me Indigo or PVP, I have to
choose.
Do you know why it was not so effective? Was it due to too little tissue
getting zapped? (That's my concern.) I don't want PVP if Indigo works, but I
don't want the extra step of Indigo if I am going to need PVP anyway.
Jim W. - 14 Jul 2004 21:09 GMT
Dr. Te said that it was because ILC doesn't get prostate tissue protruding
into the bladder.  I consider PVP less invasive and less  traumatic than ILC
[ILC always requires a catheter for a few days, PVP a day or less] so I
don't see any reason for not going right to the PVP if it is available to
you.  Jim W.

> > I had ILC 3.5 years ago and had  8 bad days compared to 1 not too terrible
> > day with PVP [ILC is similar to microwave in that the shrinkage of the
[quoted text clipped - 9 lines]
> getting zapped? (That's my concern.) I don't want PVP if Indigo works, but I
> don't want the extra step of Indigo if I am going to need PVP anyway.
Liz - 14 Jul 2004 21:18 GMT
> Dr. Te said that it was because ILC doesn't get prostate tissue protruding
> into the bladder.  I consider PVP less invasive and less  traumatic than ILC
> [ILC always requires a catheter for a few days, PVP a day or less] so I
> don't see any reason for not going right to the PVP if it is available to
> you.  Jim W.

My uro is saying the opposite, ILC is just heat turning prostate tissue to
mush,
no bleeding, just swelling (hense the need for a catheter.) PVP is more
violent
and destroys the urethra.

> > > I had ILC 3.5 years ago and had  8 bad days compared to 1 not too
> terrible
[quoted text clipped - 11 lines]
> I
> > don't want the extra step of Indigo if I am going to need PVP anyway.
TAP - 14 Jul 2004 21:42 GMT
ILC is at the wrong wavelength to vaporize prostate tissue.  Instead it
burns it resulting in a lot more truma to the prostate.

PVP is at the exact wavelength that is completely absorbed by hemogolin in
the prostate cells, so they literally vaporize from within.  No burning,
little trauma to the adjacent tissue.

PVP is a much much better procedure than ILC, better results with less
truama, less catherization, less swelling etc.

There is no comparison.  Within a few years ILC will no longer be in use.

Patrick

> > Dr. Te said that it was because ILC doesn't get prostate tissue protruding
> > into the bladder.  I consider PVP less invasive and less  traumatic than
[quoted text clipped - 28 lines]
> > I
> > > don't want the extra step of Indigo if I am going to need PVP anyway.
Xes@ nospam.com - 14 Jul 2004 22:31 GMT
>ILC is at the wrong wavelength to vaporize prostate tissue.  Instead it
>burns it resulting in a lot more truma to the prostate.
>
>PVP is at the exact wavelength that is completely absorbed by hemogolin in
>the prostate cells, so they literally vaporize from within.  No burning,
>little trauma to the adjacent tissue.

Bullshit  baffles  Brains

>PVP is a much much better procedure than ILC, better results with less
>truama, less catherization, less swelling etc.
>
>There is no comparison.  Within a few years ILC will no longer be in use.

Typical utterances from a typical shill

SNIP

Do yourself a good turn - -  ignore the shills and 'fruitcakes' on
this NG  -  consult a qulaified and experienced urologist
TAP - 15 Jul 2004 02:23 GMT
A know nothing says nothing again.

Xes@nospam.com continues to pop in, add nothing to the discussion.  Just
continues to be a useless idiot.

> >ILC is at the wrong wavelength to vaporize prostate tissue.  Instead it
> >burns it resulting in a lot more truma to the prostate.
[quoted text clipped - 16 lines]
> Do yourself a good turn - -  ignore the shills and 'fruitcakes' on
> this NG  -  consult a qulaified and experienced urologist
Barry - 14 Jul 2004 18:21 GMT
> > Arrived at hospital at 5:45 for 7:30 procedure.
> I  had a microwave and know many persons who had microwaves, none had
> problems. Why go for pvp which is surgery when you can go microwave?. My Uro
> feels the same as I do. What am I missing?

My urologist told me that microwave was not appropriate for men who
have an enlarged median lobe which protrudes into the bladder.  PVP,
however, was appropriate and was successful.
Lewis M. Dreblow - 14 Jul 2004 13:13 GMT
Jim,

I had similar experience the first few days after and was able to
get relief with ibuprofen. My URO specifically told me to take
anti-inflammatories for a few days.

Lewis.
> Arrived at hospital at 5:45 for 7:30 procedure.  Actually delivered to
Dr.
> Te's operating room at 9:00AM.  I think I was in recovery stage 1 about
> 11:00 and stage 2 at 11:45am.
>
>  They did the voiding test at 1:45 - removed catheter and told me to
urinate
> in a plastic urinal when I felt ready.  I felt ready within 15 minutes
but
> was only able to produce a few very bloody drops.  I felt I was blocked
up
> because there was fierce urgency but the nurse and later the urological
> intern
> said it was too soon after catheter removal - bladder was still irritated
> and I hadn't consumed enough liquid.  I begged to differ pointing out the
3
> liter IV's already consumed.  They brought some escalatingly senior
> urologists in and they finally agreed to recatheterize me and quickly
> drained 400ml.
>
> They then notified Dr. Te who thought the anesthesia was the cause of the
> blockage and ordered another voiding test at 6pm.  This time I was able
to
> slowly urinate a thin red stream and progressively clearer and larger
> volumes.  At 7pm Dr. Te told them to release me.
>
> I'm home now with pretty severe urgency at low volumes of output.  I
quickly
> took 2 Flomax and that has helped.  I was hoping they would give me a
script
> for URISED to manage the urgency but the urologists at the hospital
didn't
> want to do that - perhaps I didn't explain correctly why I wanted it..
>
> So day 1 was a little more challenging than I had hoped for but I realize
it
> is early in the game and I'll look forward to better days.
>
> Jim W.
Jim W. - 16 Jul 2004 11:52 GMT
Thanks for the tip Lewis.  I  actually feel great now at PVP+2.5.  The flow
rate is nearly twice pre-op and I am beginning to trust that I can wait
longer to pee.  I'm starting to have real confidence that this is going to
work.  Eagerly awaiting the retro trial ;-)  Jim W.

> Jim,
>
[quoted text clipped - 42 lines]
>  >
>  > Jim W.
 
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