Dan,
An open prostatectomy is major surgury with major risk factors.

It is beyond comprehension why anyone would consider an open prostatectomy
when PVP is available.

Note that 117 gram prostate is now routine with PVP especially for doctors
like Lin in Florida and Te in New York.

Patrick

Your endo is trying to scare you stupid into having a radical proceedure
thats only ever done for Cancer and is failing to tell you that
incontinance, impotence is highly likely and even death could result

If your PSA is low then 117gm prostrate is a breeze for PVP
The uro in Londo who did my 70 gm one by PVP  3 weeks ago would have plenty
to say on the subject .......my stream was fantastic immediatly , i have had
no problems , just have to pinch myself to remember I even had an op
........I am 100% functioning !!

2 other endos insisted TURP was the gold standard but sure as hell i would
not be fit and well by now after one of them never mind having to have a
catheter etc

If i need another PVP in 5 or 10 years so what its a simple outpatient
proceedure with NONE of the problems TURP or open prostatectomy could create

Dan,

Dr. Nseyo told me the same thing that your un-named uro told you.  He told
me this after he had already started to do a PVP and decided that my
prostate was much bigger then the 150 grams that they expected.   During the
operation he informed me that my prostate is too big for him to perform a
PVP on.  He told me that he was going to end the surgery now and that I
should consider and open Prostatectomy.  He described it to me by telling me
that they would cut me from navel to pelvis, peel open the prostate like
removing the skin from an orange and remove the tissue inside.  They would
then sew it back together, put a tap under my navel that I could use to
urinate while the prostate healed within me. Later they would reattach the
prostate.  The only down side was risk of, impotence, incontinence and
possible death.  Call me a silly whip, but I respectfully declined that
offer.  I found another Urologist by the name of Dr. Lin in Florida.  I took
Proscar for three months prior to the PVP surgery that I had done at the end
of July.  After about three months on Proscar my erections waned and my tits
became sensitive.  I did manage to have sex the night before the day of the
operation.  I continued to take the Proscar for two weeks after the PVP.  I
stopped experiencing my normal morning erections.  I stopped taking Proscar
just two days ago and the "feelings" and stiffness is starting to stir
again.  I'll give it a functionality test this Friday.   I was told not to
have sex for three weeks after the surgery.

I do have a good hard stream now and can completely empty my blatter.  I was
not this way prior to the surgery.  The post surgery results are not pain
free.  I still pee frequently.  My blood pressure has dropped and a look
forward to a healthy life in a short time.

There are two problems that surgeons have with very large prostates:
1) It takes a long time to remove all that tissue using a LASER.
2) A large prostate bleeds a lot obstructing the surgeons view.  Unless he
is very experienced and able to proceed by "feel" the operation becomes
unmanageable.

Find a very experienced doctor like doctor Lin.

Good luck,

Dave
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