 |
 | Home | Contact Us | FAQ | Search & Site Map | Link to Us |
 | Sign In | Join | Other 45 Sites in Network |
Medical Forum / Diseases and Disorders / Prostate BPH / December 2004pvp and retro
I was reading on the Laserscope site about the PVP surgery, and came across one particular statistic which concerns me. Under the category of Retrograde ejaculation, the statistic showed 25%....From what I've read here at this NG, most posts seem to indicate a smaller percentage. Just curious...anyone out there find any other statistics to the contrary? The latest Laserscope website statistics show it to be 41%. Patrick >I was reading on the Laserscope site about the PVP surgery, and came > across one particular statistic which concerns me. Under the category > of Retrograde ejaculation, the statistic showed 25%....From what I've > read here at this NG, most posts seem to indicate a smaller percentage. > Just curious...anyone out there find any other statistics to the > contrary? I also heard from a reliable Laserscope source that certain doctors show consistantly better results and lower incidences of retro. This seems to confirm my view that the skill and patience of the surgeon is a key factor in the results obtained and the likelihood of retro. Patrick >I was reading on the Laserscope site about the PVP surgery, and came > across one particular statistic which concerns me. Under the category > of Retrograde ejaculation, the statistic showed 25%....From what I've > read here at this NG, most posts seem to indicate a smaller percentage. > Just curious...anyone out there find any other statistics to the > contrary? As has been discussed previously in this newsgroup: If the PVP surgeon needs to use the laser by the neck of the bladder, the chance of retro is increased. The surgeon's main priority is getting an open channel for a good flow. I was told AFTER my second PVP that the chance of retro is 33% or higher and is usually permanent. Before that, I thought that the chance was much less, and often not permanent. So the patient should definately discuss their own unique situation with their surgeon, after cystoscope diagnostics. I think that another factor might be how well the doctor can visualize the prostate as he's working the laser. If the patient's prostate is very "juicy"; a lot of blood preventing clear seeing, some tissue might be unintentionally damaged, causing retro. And this is where the skill and experience of the surgeon can be especially important but not always predictable. Ron > From: "TAP" <1LCrestview@comcast.net> > Newsgroups: sci.med.prostate.bph [quoted text clipped - 15 lines] >> Just curious...anyone out there find any other statistics to the >> contrary? Just a further note. In looking up the latest retro statistics of PVP retro, I found the cited statistics on retro with Holmium lasers to be 96%. This further supports my view that the KTP (PVP) laser at 532 nm wavelength is gentler on the patient than the 2032 nm wavelength of the Holmium laser. Patrick >I also heard from a reliable Laserscope source that certain doctors show >consistantly better results and lower incidences of retro. [quoted text clipped - 10 lines] >> Just curious...anyone out there find any other statistics to the >> contrary? >I also heard from a reliable Laserscope source that certain doctors show >consistantly better results and lower incidences of retro.> This seems to [quoted text clipped - 6 lines] >> Just curious...anyone out there find any other statistics to the >> contrary? Patrick, How would one go about determining which doctors consistently obtain better results? Tony, Ask Laserscope if your doctor has consistantly better results than other PVP doctors. Or ask your doctor for his results. Patrick > X-No-Archive: yes >>I also heard from a reliable Laserscope source that certain doctors show [quoted text clipped - 11 lines] > How would one go about determining which doctors consistently obtain > better results? I would say that 25% is a low number for BPH. I remember the doctors, who did the original laser study for Laserscope, saying at a Laserscope symposium at a Urology conference, the number Laserscope was using for retro was low. However, I believe the possibility of retro greatly depends on two things, the skill of the surgeon and how much work has to be done at the neck of and into the bladder. The more bladder work the greater the probability of retro. In my case I have retro after a PVP procedure and was forewarned about that possibility. My prostate size was only 85 grams prior to the PVP. However, 40 of those grams were in the medial lobe which had grown into the neck of the bladder and beyond. Because of that, my pre PVP average flow rate was about 2 ml/sec. I sat to urinate; it was a dribble most of the time. Post PVP (18 months ago), my rate is 12 to 15 ml/sec and the prostate is about 40 grams. In my case, the only thing retro has done is cause the semen to go the wrong way. The orgasm sensations are just about the same as prior to the PVP, perhaps a bit lower, but then I am now 75 so I'm grateful for any sexual sensations. My wife thinks it's great, as she puts it, "No mess no fuss". Hope my ramblings helped you some. Jack >I was reading on the Laserscope site about the PVP surgery, and came > across one particular statistic which concerns me. Under the category > of Retrograde ejaculation, the statistic showed 25%....From what I've > read here at this NG, most posts seem to indicate a smaller percentage. > Just curious...anyone out there find any other statistics to the > contrary? |
Reply to this Message |
 Sign In
 Join
 My Latest Posts My Monitored Threads My Blog My Photo Gallery My Profile My Homepage Start New Thread Enable EMail Alerts Rate this Thread
|
©2008 Advenet LLC Privacy Policy - Terms of Use
This website includes both content owned or controlled by Advenet as well as content owned or controlled by third parties.