Just a short note to say the I am now 15 months post-PVP and I feel great.
Strong flow, no freq, no urgency, no residual, no retro. After 15 months, my
bladder seems to have regained the elasticity lost to years of bladder
outlet obstruction caused by BPH.
AUA score = 0
Quality of Life Score = Delighted
PSA = 1.6
Peak Flow > 50 ml/sec
capacity without urgency > 800 ml
residual 0 ml
I want to mention secondary improvements that I attribute to Laserscope PVP.
Prior to PVP, I could not run or bike longer than 20 or 30 minutes because
of BPH. I literally timed my runs to be between mens' rooms. Now I am
running 5 miles in under 40 minutes (something I haven't done since age 23)
and biking over 50 miles without the need to stop. As a result of this, I
am in better physical shape now at age 45 than I was at age 25. I attribute
this directly to having the PVP done.
Seems like many others both on and outside this newsgroup have had excellent
results as well. Laserscope tells me that over 5000 PVPs have been done so
far this year. This is a significant number given that there are about
150,000 TURPs done per year. I estimate that within 3 years PVP with
overtake TURPs inthe United States as the most used and the perferred
surgical procedure for the treatment of BPH.
I heard that Dr. Te is now running two machines and is fully booked until
December. He was inundated with inquiries after the WNBC TV segment that
ran in June.
It seems like the dialog here has been very positive as well.
To those here who are plagued by BPH and are still on the fence. Go have it
done. The sooner the better. You will regain freedom over BPH that you
don't fully realize how much you have lost.
Take care and best wishes for good health,
Patrick
Nicksm20j - 15 Sep 2003 16:33 GMT
Great to hear you are doing well. I am looking forward to being rid of this
BPH problem myself. However, I am on the fence on where to go. I have seen
two uros in the NW and both of them tell me that retro occurrs in 75% of PVP
procedures. This goes contrary to one of the published studies that Laserscope
has on their web site. They claim only about 20%. The newsgoup also seems to
be reporting way less than 75% , although this is less than scientific. Given
what my uro said about retro, would you be shopping for someone else? I kind
of like this guy but am not married to him.
Nick
Patrick - 15 Sep 2003 23:54 GMT
Nick,
Determining the probability of retrograde before a PVP is not easy. But
here are some facts:
1. Retro for a TURP is in the 75% and up range.
2. Retro is more likely when your condition is related to a large median
lobe that grows into the bladder neck.
3. Retro with a PVP is significantly less likely than with a TURP.
If I had to risk having retro or living with worsening BPH, the decision
would be easy for me.
For you, the odds are in your favor that you can have a PVP, rid yourself of
BPH and not have retro. But the risk of retro is still there but shouldn't
stop you from getting treatment for BPH before it seriously damages your
bladder which it certainly is doing.
Patrick
> Great to hear you are doing well. I am looking forward to being rid of this
> BPH problem myself. However, I am on the fence on where to go. I have seen
[quoted text clipped - 6 lines]
>
> Nick