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Medical Forum / Diseases and Disorders / Prostate BPH / January 2005

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Scheduled for NJ PVP

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Artie - 20 Jan 2005 23:40 GMT
This Saturday (1/22) I'm scheduled for a PVP at the Stone Center in Newark,
NJ. Doctor Sinha will be doing the procedure. My prostate is small with only
a small blockage. But paired with a bladder, weakened by a 25 year old back
injury, it's enough to cause me problems like 300ml retention and all that
goes with it. Flowmax worked for about two years, but is now losing it's
effect. Wish me luck.  I'll post again as soon as I'm able.

Thanks to all of you that previously posted your experiences and results,
they aided me greatly in making this decision.

Art
Sullivans - 21 Jan 2005 08:16 GMT
> This Saturday (1/22) I'm scheduled for a PVP at the Stone Center in
> Newark, NJ. Doctor Sinha will be doing the procedure. My prostate is small
[quoted text clipped - 8 lines]
>
> Art

We wish you the best Art, and look forward to a "fully-detailed" report when
you can!!

    Bob
Andy - 21 Jan 2005 14:01 GMT
Good luck Art.
I just had my PVP last week and I am doing fine. I did some
snow shoveling today with no problems.
The only thing that annoys me is persistent vely light bleeding
(just 2-3 drops of blood each time I urinate)
The doctor says that is normal.
Take care
Andy
Jack - 21 Jan 2005 15:29 GMT
Andy,
Suggest that you stop shoveling or even pushing snow for at least 2 more
weeks, or you may find a lot more than 2 to 3 drops of blood when you
urinate.  You have just had an operation where 30 to 70 gms of your prostate
have been obliterated.  The 30 to 70 gms, maybe even more, depends on how
big your prostate was prior to your operation.  The laser did  cauterize the
interior tissue of your prostate, but that doesn't mean all of it and it
still takes time to heal.  Any strain on your lower back, such as shoveling
snow will cause a strain on your prostate.  Please take it easy.

I know you feel well, at least I did, a week after my PVP, but I also
noticed any large amount of activity would cause bleeding for up to two
weeks after the operation.  Take care and hope your recovery continues.

Jack

> Good luck Art.
> I just had my PVP last week and I am doing fine. I did some
[quoted text clipped - 4 lines]
> Take care
> Andy
Ron - 21 Jan 2005 21:15 GMT
& I had much bleeding and blood clots for 7 & a half weeks after my first
PVP. Better safe than sorry Andy. This is your chance to read, watch TV, or
meditate.
Ron

> From: "Jack" <jrcomer@verizon.net>
> Reply-To: "Jack" <jrcomernospam@verizon.net>
[quoted text clipped - 26 lines]
>> Take care
>> Andy
Jim W. - 21 Jan 2005 22:37 GMT
yet another nagger:  Dr Te said the site is an open wound like all the skin
had been scraped off your arm for example.  If you don't take it easy you'll
open it all up again and go back to square one.  Give it some time! Jim W.

> & I had much bleeding and blood clots for 7 & a half weeks after my first
> PVP. Better safe than sorry Andy. This is your chance to read, watch TV,
[quoted text clipped - 35 lines]
>>> Take care
>>> Andy
Artie - 21 Jan 2005 22:50 GMT
Thanks for the good wishes guys. Because of a snow storm predicted for my
area, they moved my appointment up to 7:30am. At least I won't have much
time to worry about the procedure. I'll write up a full report.

Andy, my doctor has already explained to me that next week is for relaxing.
He doesn't even want me sitting for extended periods. I thought I could get
back to work by Wednesday. (Sitting in a padded chair behind a desk.) Dr.
Sinha looked squarely at me and said, "I will see you Thursday and then I
will make a decision when you will go back to work." He seemed kind of
serious about the relaxing thing. But, maybe that's just my uro. :^)

Thanks,
Art

> Good luck Art.
> I just had my PVP last week and I am doing fine. I did some
[quoted text clipped - 4 lines]
> Take care
> Andy
Vince Puma - 22 Jan 2005 14:28 GMT
Good luck, Art. I'm about four weeks post-op PVP, and all I can say is that
I hope you have the same wonderful results that I've had.  Except for a
minor post-op infection, flow is strong, retention isn't noticeable, and I'm
sleeping through the night.  Lots of days, I'm amazed that I have to urinate
only 2-3 times (and that's with drinking almost a gallon of fluids for my
ostomy)!  Great feeling, Man.

Let us know the news as soon as you can.

Vince
Signature

"Some men see things as they are and say 'Why?'
I dream of things that never were and say 'Why not?'"
--George Bernard Shaw

> Good luck Art.
> I just had my PVP last week and I am doing fine. I did some
[quoted text clipped - 4 lines]
> Take care
> Andy
Ron - 23 Jan 2005 15:53 GMT
Vince,
"2-3 times" per ?
Also, What does "fluids for my ostomy" mean?
Thanks,
Ron

> From: "Vince Puma" <vpuma@se.rr.com>
> Organization: Road Runner High Speed Online http://www.rr.com
[quoted text clipped - 20 lines]
>> Take care
>> Andy
Vince Puma - 24 Jan 2005 20:56 GMT
Sorry.  In a rush to post, y'know.  2-3 times/DAY, which is astounding in
that I have an ileostomy--I have no colon and wear a pouch, and for that
reason, I must constantly replenish fluids.  The colon's the organ
responsible for absorbing fluids, and since I don't have one, well, you get
the picture.  So I tend to drink a total of about a gallon of fluids each
day.  On good days now, I'll urinate only 2-3 times/day, but on the average
probably 5-6 times/day--depends on the amount of physical activity.  Before
the PVP, I could go up to 20 times per day.  Now that the retention is gone,
everything just flows fast and hard!

Sorry for the confusion.

Vince

Signature

"Some men see things as they are and say 'Why?'
I dream of things that never were and say 'Why not?'"
--George Bernard Shaw

> Vince,
> "2-3 times" per ?
[quoted text clipped - 29 lines]
>>> Take care
>>> Andy
Artie - 23 Jan 2005 21:25 GMT
I have to admit, after all the worry and hesitancy, the procedure was
anticlimactic. The last thing I remember is the anesthesiologist telling me
to breath deeply. The next recollection was my doctor's voice saying that
"I" did very well. As far as I know "I" was asleep; and whatever I did, that
I did so well, will remain a mystery. I would rather him tell me how he did.
The worse part of this, so far, is the catheter. Because of the snow storm
he told me to keep the catheter in till Monday. It's not too bad now, but
the first six to eight hours I was miserable. I had a very strong urgency to
urinate; but it was from the catheter. I finally decided to try to sleep
through it. I emptied the bag, went to bed, and awoke about two hours later
feeling much better. Doctor Sinha gave me some full color, before and after
pictures. What a difference. No wonder I couldn't pee.

My condition "Day 1":
   - No pain.
   - I can feel the catheter and need to move slowly.
   - No urgency.
   - Blood seeping from around the catheter. I was told that this is normal
since a ridged Cystoscope is used during the procedure.
   - Tomorrow morning I plan on removing the catheter. Hopefully I'll find
that my doctor did well too.

Thanks again for all the good wishes.
Jim W. - 24 Jan 2005 16:10 GMT
Make sure there is enough slack on the catheter so it doesn't tug.  The
cheese that develops around the penis is a natural secretion from catheter
irritation.  Hope it is out by now and this advice is unnecessary.  Jim W.

>I have to admit, after all the worry and hesitancy, the procedure was
>anticlimactic. The last thing I remember is the anesthesiologist telling me
[quoted text clipped - 19 lines]
>
> Thanks again for all the good wishes.
Artie - 24 Jan 2005 21:56 GMT
Jim,
I followed the directions of cleaning twice a day and using Bacitracin. I
think the Bacitracin may also act as a lubricant. I removed the catheter
after 48 hours. My first pee was disappointing. Very slow stream even though
my bladder felt full. The second attempt, about 1 hour later, was more
satisfying. I passed several blood clots and then let loose like a 20 year
old. Now I'm finding out what the word urgent means. When I get the urge to
urinate I have to immediately head to the bathroom. From what I've read
here, this should diminish with time.  Thanks.

All,
Day 2:
       - Removed catheter.
           Suggestion from nurse to remove in morning.
           Just in case problems develop doctor would still have office
hours. (Read as: Try to avoid the ER.)
       - First attempt to pass urine disappointing.
       - Second attempt, passed clots then strong stream. "Yea......"
       - Some blood. More in morning but now only a few drops.
       - No pain. Only slight sting on starting stream.
       - So far very happy with results.

Art

> Make sure there is enough slack on the catheter so it doesn't tug.  The
> cheese that develops around the penis is a natural secretion from catheter
[quoted text clipped - 24 lines]
>>
>> Thanks again for all the good wishes.
Jim W. - 25 Jan 2005 23:32 GMT
Post-PVP urgency is a "not-kidding" urgency but that did diminish quite a
bit in my case.  Jim W.

> Jim,
> I followed the directions of cleaning twice a day and using Bacitracin. I
[quoted text clipped - 49 lines]
>>>
>>> Thanks again for all the good wishes.
 
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