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Medical Forum / Diseases and Disorders / Prostate BPH / November 2004Post PVP Prostate Irritation
Talked to a new Urologist today (my current one refuses to even consider PVP as an option). He said that he has experienced cases where there was prostate "irritation" after PVP that lasted for up to six months. He theorized that it was caused by tissue reaction to the laser light (sunburn?). He also said that LaserScope is also concerned about reports of this and has been around with a survey and asking questions. I offer this as a FYI, not to re-ignite the "LaserScope are lying bastards" thread. If I have to, and it looks like I will, I will still elect a PVP over a TURP because of the better odds against short and long term complications. Neither is risk free and if I had my 'druthers, I'd rather not have either :-)  SignatureNelson none in my experience. if you would rather not, then you probably do not have very severe symptoms. you will eventually be happy to get back youthful streams of urine, 4 to 6 hours of retention, and no serious urgencies. this is what i enjoy now after pvp. > Talked to a new Urologist today (my current one refuses to even > consider PVP as an option). He said that he has experienced cases [quoted text clipped - 9 lines] > long term complications. Neither is risk free and if I had my > 'druthers, I'd rather not have either :-) On Thu, 4 Nov 2004 15:06:23 -0500, joggernut@highstream.net wrote (in article <10ontuichjv1je2@corp.supernews.com>): > none in my experience. if you would rather not, then you probably > do not have very severe symptoms. you will eventually be happy to > get back youthful streams of urine, 4 to 6 hours of retention, and > no serious urgencies. this is what i enjoy now after pvp. If that were assured, who wouldn't elect PVP? :-) I'm just not eager to roll the dice with impotence, retrograde ejaculation, and incontinence. SignatureNelson Nelson, You don't get impotence from PVP. And if there is any type of incontinence, it's rare and very temporary for those who might have an incident or two. Retrograde is a valid concern that you should ask your surgeon about. I got it from my 2nd PVP about 11 months ago. Ron > From: Nelson <nelson@nowhere.com> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 13 lines] > I'm just not eager to roll the dice with impotence, retrograde > ejaculation, and incontinence. > Nelson, > You don't get impotence from PVP. And if there is any type of incontinence, > it's rare and very temporary for those who might have an incident or two. > Retrograde is a valid concern that you should ask your surgeon about. > I got it from my 2nd PVP about 11 months ago. > Ron Thanks for the reassurance, Ron, but I'm not so sanguine. Rob Marks posted the following back in July (you can look up the whole thread on Google): > The TURP statistics I cited emanate from two sources. The first is > from a free booklet entitled "Treating Your Enlarded Prostate," [quoted text clipped - 21 lines] > It appears that most urologists do not volunteer this information to > prospective surgery candidates. I realize that these statistics are for TURP and not PVP and that PVP has probably not been around long enough to gather meaningful comparable statistics. However, it does not seem too much of a leap to consider PVP as a TURP done with a laser rather than a heated wire... at the end of the procedure, the same tissue is gone. I can't come up with a rationale that would cause me to expect that the long term statistics would be any different. If you can, I would be glad to hear it :-) BTW, I _can_ believe the odds against dying are better :-) The laser surgery cauterizes the tissue better and therefore can be expected to result in less infections, hemorrhaging, etc. SignatureNelson >> From: Nelson <nelson@nowhere.com> >> Newsgroups: sci.med.prostate.bph [quoted text clipped - 13 lines] >> I'm just not eager to roll the dice with impotence, retrograde >> ejaculation, and incontinence. Nelson, I have not heard of 1 case of impotence being caused by PVP. I've been a long time reader of this newsgroup, and other internet sites, and read research articles. If Patrick is reading, he can throw in his 2 cents. Ron > From: Nelson <nelson@nowhere.com> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 68 lines] >>> I'm just not eager to roll the dice with impotence, retrograde >>> ejaculation, and incontinence. > Nelson, > I have not heard of 1 case of impotence being caused by PVP. I've been a > long time reader of this newsgroup, and other internet sites, and read > research articles. If Patrick is reading, he can throw in his 2 cents. > Ron I would take no pleasure in being the first to report it ;-) SignatureNelson Nelson, This is a good question to ask Laserscope directly, give them a call. There are were no cases in the published results (146 men) but Laserscope should know if there were any cases in the over 40,000 procedures performed to date. Patrick > Nelson, > I have not heard of 1 case of impotence being caused by PVP. I've been a [quoted text clipped - 76 lines] >>>> I'm just not eager to roll the dice with impotence, retrograde >>>> ejaculation, and incontinence. |
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