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

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urodynamics

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peter lewis - 17 Jul 2004 23:19 GMT
I expect to have a  PVP in the near future to remove large prostatic tissue.
I have been advised to have urodynamic tests done prior to this operation.
Is this necessary since tests have established the size of my prostate hence
the need for the procedure.
Incidentally,should Gordon Muir perform the PVP or are equally satisfactory
results obtained from his team.

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Magna - 18 Jul 2004 10:57 GMT
Have you seen Mr Muir? I suspect he will not need to do urodynamics as
no one here has had reported him doing this.

I too am considering a PVP with Mr Muir, after seeing a local
Urologist. My symptoms are mainly frequency and poorish flow but
lately I have had the feeeling of my bladder being full with no desire
to pee. My main difficulty is that I feel I need some guidance from a
uro or my gp as to how bad my symtoms are in relation to the possible
risks with the after effects of a pvp. This I can't get and they all
say it's up to you as to how much you will put up with.

I'm late 50s High Wycombe area.
nambucca - 18 Jul 2004 21:02 GMT
> Have you seen Mr Muir? I suspect he will not need to do urodynamics as
> no one here has had reported him doing this.
[quoted text clipped - 8 lines]
>
> I'm late 50s High Wycombe area.

I have no hesitation whatever in recomending Gordon Muir
Given where you live you may already have seen one of the 2 local uros I
consulted and walked away from

My GP tried telling me after 2 yrs of discomfort and stop start stream
"there was nothing they could do " yet when I saw Consultant No 1 Dec 2002
they said after ultrasound and flow test i was so bad ,had median lobe
enlargement which drugs did not work on and i risked retention and needed
immediate TURP which i ran a mile from
Consultant No 2 put me on meds but they made no difference he too wanted to
do a TURP ........so June  2003 saw Gordon Muir ..........had PVP in July
2003
walked into hospital at 7 am ........op at 9 am .....70gm removed
.......walked out ....no catheter 12.30 pm could pee like a hosepipe and
apart from pulling /stinging sensation which waned over the course of 3
months have nothing but praise for PVP ........no retro either
TAP - 18 Jul 2004 18:19 GMT
Peter,
Urodynamics will determine if you have a large median lobe growing into the
bladder.  If you have, it has to be removed mechanically and PVP is the best
way to remove it.  If you don't have a large median lobe, urodynamics test
will help determine what the best couse of action is.

It is not that bad of a test to endure and it does give a lot of
information.

Patrick

> I expect to have a  PVP in the near future to remove large prostatic tissue.
> I have been advised to have urodynamic tests done prior to this operation.
[quoted text clipped - 5 lines]
> ----------------------------------------------------------------------------
> ----
Fredisg - 18 Jul 2004 21:08 GMT
>It is not that bad of a test to endure and it does give a lot of
>information.

Patrick,

Sounds like Eurodynamics!  A foreign adventure.  :)

My problem is, as long as I take my Hytrin, I pee fine and have very little if
any residual.  Take me off the Hytrin for a day and I just don't pee other than
a couple of drops per second.  If they take me off Hytrin to do the test, I
will be in agony.  If they keep me on Hytrin for the test, it will show almost
normal.  Any ideas???

Fred
peter lewis - 18 Jul 2004 23:08 GMT
 > >It is not that bad of a test to endure and it does give a lot of
 > >information.
 > >
 >
 > Patrick,
 >
 > Sounds like Eurodynamics!  A foreign adventure.  :)
 >
 > My problem is, as long as I take my Hytrin, I pee fine and have very
little if
 > any residual.  Take me off the Hytrin for a day and I just don't pee
other than
 > a couple of drops per second.  If they take me off Hytrin to do the
test, I
 > will be in agony.  If they keep me on Hytrin for the test, it will show
almost
 > normal.  Any ideas???
 >
 > Fred

 Further to that do I stay on Flomax and Avodart prior to the test and what
is the risk of infection when the catheter is removed?

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Jim W. - 19 Jul 2004 02:28 GMT
I wasn't told to stop Flomax before my Urodynamic test(s).  After all they
are trying to evaluate your condition now and that condition is with
Flomax or Hytrin.  If you are fine with the meds why are you seeking
treatment in the first place? Jim W.

>   > >It is not that bad of a test to endure and it does give a lot of
>   > >information.
[quoted text clipped - 21 lines]
> ----------------------------------------------------------------------------
> ----
Fredisg - 19 Jul 2004 07:05 GMT
> If you are fine with the meds why are you seeking
>treatment in the first place?

I've had a diminishing stream since I was 28 years old.  I have been on Hytrin
for about 12 years.  I just don't want to take this stuff much longer.
Jim W. - 19 Jul 2004 12:02 GMT
I'm with you there.  Had PVP last week to get off the Flomax.  Jim W.

> > If you are fine with the meds why are you seeking
> >treatment in the first place?
>
> I've had a diminishing stream since I was 28 years old.  I have been on Hytrin
> for about 12 years.  I just don't want to take this stuff much longer.
Magna - 19 Jul 2004 16:05 GMT
Nambucca,

Interesting that we may have seen the same uro! what area are you
from? Care to be more specific (only as much as you wish to be) as to
who are or where you saw the first two uro's? Mine didn't seem to want
to be questioned about anything. As I understand it quite the opposite
to Mr Muir.

Magna
nambucca - 20 Jul 2004 00:16 GMT
> Nambucca,
>
[quoted text clipped - 5 lines]
>
> Magna

The first one was an arrogant bastard although I understand his surgical
skills are good
The 2nd one was communicative but i was sceptical that his surgical skills
were that good

Muir was a definite breath of fresh air

Unless you travelled south or west of your area I doubt you saw either of
mine
Magna - 20 Jul 2004 08:12 GMT
Nambucca

Didn't go more than 15 miles so it looks unlikely that we saw the same.

Magna
 
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