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Medical Forum / Diseases and Disorders / Prostate BPH / August 2004Had It Done August 11
I am 52 and have been suffering with BPH for several years. Had a PVP done by Dr. Butterworth in Indianapolis on August 11 with one objective being the discontinuance of Flomax. He has done 200-300 PVPs and I called some of his patients before proceeding. Here's my current status. I would encourage any input, feedback, words of encouragement, from Derry and other who have shared their past experiences with us. Upon reflection, it sounds like my story is very similar to others I have read on this newsgroup. I had a relatively small prostate, around 40 gr, that was restricting flow. The operation itself only took around 20 minutes per the nurse. I was sent home with a catheter and then the doctor called me at my home with instructions for removal the day after the surgery. I removed the catheter without difficulties and this removed most of the discomfort I experienced post-op. I had some medication for urinary burning, the stuff that turns the urine orange, and took that for two days. I am also on Bactrim to fight any potential infection that may emerge. The day after the catheter was removed I noticed that the urine flow has been reduced. After I took the catheter out the urine was coming out like a fire hose. I am assuming that inflammation has reduced the flow and when the inflamation subsides the urine stream will increase. Is this correct, is there anything I can do to reduce the inflammation like NSAIDs? I have also noticed a minute dribblet of blood upon commencing urination. I remember others experiencing this as well. What is the specific source of this blood and when can I expect it to stop? In total I am feeling pretty well but I have dramatically reduced my physical activities so I don't over do it and shortcircuit the healing. I remember reading here that some others didn't allow the healing process to progress and suffered the consequences. I am wondering what the next milestone should be? I have a follow-up appointment with the Dr. two weeks post op. Gary I've got about a month on you Gary. What I've taken from the experience and my first post-op appointment is that the site of the operation is a raw, healing area and you must expect it to take time to heal. I had a good first 2 weeks but then had increased urgency and burning. The Dr. prescribed Cipro and "the orange stuff" and that helped after a couple of days. At the 28 day mark when I was cleared for physical activity and sex - I did both (not at the same time) and found there was a bit of a setback associated with the ejaculation - urgency increased, volume capability was reduced, and some burning reoccurred. After some days post-sex things are getting better again. I think ejaculation is probably traumatic for a healing prostate and perhaps slows the healing process? My stream has remained amazingly strong since day 3. Bleeding stopped on the 2nd day although I did have a tinge after my second ejaculation. Jim W. > I am 52 and have been suffering with BPH for several years. Had a PVP > done by Dr. Butterworth in Indianapolis on August 11 with one objective [quoted text clipped - 31 lines] > > Gary Jim W.: Thanks for the feedback. If you don't mind could you provide some particulars on your case such as your age and the approximate size of your prostate. I seem to be finding that these two variables have the greatest impact on recovery time. Gary > I've got about a month on you Gary. What I've taken from the experience and > my first post-op appointment is that the site of the operation is a raw, [quoted text clipped - 50 lines] > > > > Gary Sure. 65yrs. Suffered from Prostatitis/BPH for 20 years. Prostate is not very large (don't recall the exact mass but Dr. Te was surprised how small it was) but it was growing into the bladder. The operation took 50 minutes, his original estimate was 30 minutes. I would definitely recommend being conservative in following the recovery schedule. Good luck! Jim > Jim W.: > [quoted text clipped - 58 lines] > > > > > > Gary > I have also noticed a minute dribblet of blood upon commencing > urination. I remember others experiencing this as well. What is the > specific source of this blood and when can I expect it to stop? My uro said the blood (either at the beginning or end of flow) was from small blood vessels that had been 'nicked' by the passage of tubes up & down the urethra. Hardly surprising! Don't worry; they will go away in a few days.  SignatureMaurice Batey (Retired in Hampshire, UK) www.maurice.eurobell.co.uk (Remove 'antispam.' to reply by email) >> I have also noticed a minute dribblet of blood upon commencing >> urination. I remember others experiencing this as well. What is the [quoted text clipped - 5 lines] > >Don't worry; they will go away in a few days. Sound advice - it you want something to worry about worry about the possibility that the condition is caused by cancer. Remember that 1/10 of post-Turp biopsies reveal that the condition was not benign but was malignant. All Turp treatments which are performed with lasers should include a biopsy. > I am 52 and have been suffering with BPH for several years. Had a PVP > done by Dr. Butterworth in Indianapolis on August 11 with one objective [quoted text clipped - 31 lines] > > Gary Sounds like all is healing pretty well Try taking Homeopathic Arnica i tablet 6 times a day (allow it to dissolve under the tongue ) that will reduce the inflamation and speed the healing process All: This is a follow-up to my earlier post. I remember some time back a discussion regarding the cost of a PVP. Well....one week after my procedure I received a copy of the hospital bill sent to my insurance company. The total charges were $11,183.19 with $3294.57 written off as a "contractual adjustment". I am assuming this is the rate negotiated between the hospital and the carrier, Anthem. The procedure was done at St. Vincent's in Indianapolis, Indiana. I am sure there will be separate bills for the attending physicians, but those have yet to arrive. I estimate them in the range of another +$2K. What do our friends across the pond think of these costs. (My insurance company will be paying the lion's share of the cost.) Gary K-S > I am 52 and have been suffering with BPH for several years. Had a PVP > done by Dr. Butterworth in Indianapolis on August 11 with one objective [quoted text clipped - 31 lines] > > Gary Just looked up mine as well (at Cornell-Weill, NYC): Surgeon's cost: $5000 he gets $1300 Anesthesiologist: $1300 she gets $800 Jim W. > All: > [quoted text clipped - 46 lines] > > > > Gary Do you mean the surgeon billed $5000 and the insurance company paid him $1300? > Just looked up mine as well (at Cornell-Weill, NYC): > [quoted text clipped - 57 lines] > > > > > > Gary yeah > Do you mean the surgeon billed $5000 and the insurance company paid him > $1300? [quoted text clipped - 72 lines] > > > > > > > > Gary Mine was also Cornell-Weill - Dec 03. total billing including before and after visits, tests, hospital, and surgeon came to $21,587. Of that the insurance company (BCBS) allowed them $7,147. of which they paid $6675. Worth every penny. > Just looked up mine as well (at Cornell-Weill, NYC): > [quoted text clipped - 64 lines] >>> >>>Gary |
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