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

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4 wks PVP - now almost normal

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John G. - 12 Jul 2004 20:10 GMT
I just thought I'd update the email that I sent yesterday ("4 wks
post-PVP. Still Catheterized!"). The urologist did a scope and found
that my Prostate was still huge and would need some radical surgery
"sooner rather than later." He filled my bladder with water left the
catheter out to see how things went. Right away I was able to pee about
300cc. As the morning progressed I was able to pee fairly freely and,
talk about celebration!

Last time the drive home proved to be my undoing, but this time things
are just fine. Peeing is certainly far from comfortable, and I have to
wait about 15 seconds before things start coming - but it does come,
Allelujia!

jg
Ron - 12 Jul 2004 21:00 GMT
John,
Thanks for the relief you're getting - even though it might be temporary!
Ron
(PS:This coming from a guy who had a 2nd PVP)


> From: "John G." <johnny.g@no_spam.com>
> Organization: Primus Canada
[quoted text clipped - 16 lines]
>
> jg
Liz - 12 Jul 2004 23:13 GMT
> I just thought I'd update the email that I sent yesterday ("4 wks
> post-PVP. Still Catheterized!"). The urologist did a scope and found
> that my Prostate was still huge and would need some radical surgery
> "sooner rather than later."

How can this be? Isn't the PVP supposed to remove essentially all of
the prostate except the shell? Is it hollow? confusing

> He filled my bladder with water left the
> catheter out to see how things went. Right away I was able to pee about
[quoted text clipped - 7 lines]
>
> jg
Ron - 13 Jul 2004 00:51 GMT
It all depends how much the surgeon gets out. He doesn't remove the entire
prostate. That's a different operation - one they do for cancer.
Ron

> From: "Liz" <Liz@nospam.com>
>... How can this be? Isn't the PVP supposed to remove essentially all of
> the prostate except the shell? Is it hollow? confusing...
Jim W. - 13 Jul 2004 02:13 GMT
There was an article about PVP in Sunday's New York Daily News where Dr. Te
says up to 15% of the overgrown prostate tissue is vaporized. Jim W.

> > I just thought I'd update the email that I sent yesterday ("4 wks
> > post-PVP. Still Catheterized!"). The urologist did a scope and found
[quoted text clipped - 15 lines]
> >
> > jg
Liz - 13 Jul 2004 03:43 GMT
> There was an article about PVP in Sunday's New York Daily News where Dr. Te
> says up to 15% of the overgrown prostate tissue is vaporized. Jim W.

I read within the last few days an article that I cannot remember now its
location.
It said that the TURP is like taking the fruit part of an orange, leaving
the peel intact.
That sounds more like 85-90 percent to me. Fifteen sounds like not enough.
Ron - 13 Jul 2004 05:42 GMT
Part of that online article is as follows:

["What makes this laser so special is that first, it is the most powerful
available for human use, and second, it works to seal off blood vessels as
it cuts, and this allows us to safely remove significant amounts of prostate
tissue," Te says.

"You can go home the same day or the next morning, recovery is almost
immediate and most men return to normal activities right away," Te says.

There is a downside to the procedure. Studies show it causes relatively
minor ejaculation problems in 30% of patients.]

Many of us did not know of this last statistic before going under.
Ron

> From: "Jim W." <vze27rdh@verizon.net>
> Newsgroups: sci.med.prostate.bph
[quoted text clipped - 23 lines]
>>>
>>> jg
John G. - 13 Jul 2004 15:06 GMT
From what I was able to gather, very large prostates that have been
large for a long time can sometimes be beyond either PVP or TURP to do a
complete job. The doctor said having a second PVP is out of the question
as is TURP. The only way I will finally be free of prostate problems
will be an incision in the lower abdomen and surgical removal of
prostate tissue from the outside. He said that this procedure, while it
takes longer to heal completely, results in more relief in the long run
and with few side-effects.

I will, of course, seek second and third opinions on this...

jg

> There was an article about PVP in Sunday's New York Daily News where Dr. Te
> says up to 15% of the overgrown prostate tissue is vaporized. Jim W.
[quoted text clipped - 18 lines]
> > >
> > > jg
 
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