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

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Total Retention after PVP:

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Dean - 07 Oct 2004 14:12 GMT
I had a PVP A year ago to correct three previous episodes of total retention
at that time I was told that after the PVP I wouldn't have anymore total
retention. Two weeks ago I was in the hospital to have a pacemaker installed
after the surgery I woke up with total retention again and was told this was
due to the anesthesia, however I think it was due to the enlarged prostate.
It was relieved with 5mg of Hytrin. I am wondering if anybody in the group
has had the same scenario or a similar one or has any different ideas on
what might of caused this.
             Dean,
Michael O'Brien - 07 Oct 2004 15:39 GMT
I had Turp just done recently after total retention. My doc. said that it
may not be enough and I too would be a candidate for the bladder pacemaker.
He says it takes 2 things to make it all work, 1st he could make a huge
pathway with the TURP or as in your case the PVP,but 2nd , the bladder has
to still be small enough to contract when signaled to go. He thought I might
of been to stretched out(the first episode stretched with 3000cc of urine
before I got cathed)to far for the bladder to come back to function. It did
however ,and at this point it's doing great!
Hows your bladder.? The other PVP should of taken care of the prostate
...no?
Michael O'Brien

Ps good luck and prostate health to you and us all
>I had a PVP A year ago to correct three previous episodes of total
>retention
[quoted text clipped - 9 lines]
> what might of caused this.
>              Dean,
Dean - 07 Oct 2004 23:04 GMT
Michael,
       I had a heart pacemaker not a bladder pacemaker implanted also  now
I have to get up at night about four times to urinate where as before the
surgery I had it down to one time and sometimes I didn't get up at all, so I
really don't know at this point what has happened any ideas on this would be
greatly appreciated.    Thanks Dean,
> I had Turp just done recently after total retention. My doc. said that it
> may not be enough and I too would be a candidate for the bladder pacemaker.
[quoted text clipped - 22 lines]
> > what might of caused this.
> >              Dean,
Spread deMocracy - 08 Oct 2004 23:29 GMT
Dean:   I understand that anesthesia and anti-histamines are both very hard
on prostates.   Nonetheless, here's a few questions I asked myself (and my
doctors) when I was diagnosed with BPH...however, I do not have a pacemaker.
What is causing (my) prostate to grow?  (That requires a blood work up.)  If
something is causing it, usually high DHT count,  is there any possibility
your that 5-Alpha blockers (inhibit DHT) will be safe and will have an
impact to improve the condition?  When my blood work revealed my DHT was
above the norm, I insisted on follow-up blood work to  identify any of the
other glands that may be treatable with medication, (preferable in my
non-medical opinion) if those medications have fewer side effects than
5-Alpha inhibitors, (DHT inhibitors). Maybe some or all of these questions
might apply to you?  If so, have you had a chance to discuss with your
doctors?  All the best to you.

>I had a PVP A year ago to correct three previous episodes of total
>retention
[quoted text clipped - 9 lines]
> what might of caused this.
>              Dean,
Dean - 09 Oct 2004 20:30 GMT
Thanks Spread for the very helpful reply I'll take your advice to the URO
with me when I go. In the last year I've had 6 different surgeries so I
haven't had much of a chance to follow up  on the PVP But I'm going to as
soon as I get around to it and I will ask some of the same questions that
you mentioned in your post. Thanks again and good health to you.   Dean,
> Dean:   I understand that anesthesia and anti-histamines are both very hard
> on prostates.   Nonetheless, here's a few questions I asked myself (and my
[quoted text clipped - 23 lines]
> > what might of caused this.
> >              Dean,
 
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