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

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TURP and Laser

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anycall - 26 Feb 2005 21:39 GMT
This may be of interest- originally posted to sci.med.prostate.cancer

From: "anycall" <anycall@ntlworld.com>
Subject: Re: Which way to go?
Date: 26 February 2005 21:24

You may recall that I asked for comments, a few weeks ago, on my forthcoming
operation for bph.

In hindsight I should have perhaps posted to the bph newsgroup but I did get
a response, although unfortunately two contributors entered into a fairly
heated discussion. Anyway many thanks for your input.

I thought I might update you with what has happened.

After further discussion with my (TURP) uro I decided, just a few days
before the operation to go for "traditional TURP" rather than laser. It was
no easy decision.

I went into hospital on 27 Jan and had the operation at 9.00am. It took 1.25
hours. I awoke in the recovery room with just a little pain in the abdomen
which was quickly sorted out by a shot of morphine. I have suffered no pain
from that point onwards. As my blood pressure was a little on the low side a
nurse sat with me constantly in the recovery room for 2 or 3 hours until
they were confident that I could be returned to my room.

I was on antibiotics and paracetamol. I drank gallons of water and took in
plenty of other liquid through a (saline?) drip.I stayed in hospital for
three nights and returned home on day 4. Apart from feeling a little tired I
was fine and returned to my desk (at home) to work a week after discharge
from hospital.

A few days later I picked up a urinary infection which was soon cleared up
with antibiotics. I think that if I had continued on antibiotics upon
leaving hospital I would not even have got the infection, but we chose not
to continue with them as I have a low level allergy to them.

After two weeks there was no trace of blood in urine. I do have retro but
this makes no difference to the sensation during sex, and the retro may
reverse in time.

Luckily there was no need for the "simple prostatectomy" and the Uro removed
60g of material for analysis.

I am now urinating with a flow that I have not experienced since I was a
teenager, there is no more dribbling, no urgency and instead of getting up
to urinate 3 to 5 times a night, it is now 0 to 1 a night.

The test results showed no cancer.

On the same day a gentleman of 78 years also had the procedure and he left
on the same day that I did.

I am totally happy with the result of the TURP and if I had known how easy
it was going to be I would have had it years ago.

This is not to denegrate the laser option, I suspect that within a few years
it may overtake traditional TURP as the prefered option. I might easily have
chosen that method myself, it was simply that my particular circumstances
led me to choose the traditional TURP.

Anyway, thank you again for your comments and good luck to you.

Regards

Anycall

"anycall" <anycall@ntlworld.com> wrote in message
news:EGRFd.577$G22.62@newsfe5-gui.ntli.net...
>I would appreciate any advice/comments
>
> 57 years old
> large prostate 100g plus
> PSA over last five years between 5 and 10 (currently 9)
> catheter in place following cyscoscopy and biopsy last week
> first uro says have TURP but may have to abort during operation and do a
> simple prostatectomy
> found out last night that biospsy shows High Grade PIN- I don't know much
> about this yet but from what I have read so far I feel like "dead man
> walking"!
> second uro says he can do greenlight laser with no open surgery and will
> take further biopsies during operation,
> second uro says there is a small risk of prostate absorbing "operating
> fluid" if I had to have the prostatectomy and says he has done plenty of
> laser treatments on glands of upto 270g
>
> Questions:
>
> TURP or laser?
> Significance of High Grade PIN on choice of TURP or Laser?
> Anything else?
>
> Many thanks
Ron - 26 Feb 2005 22:17 GMT
Sounds like it was the right procedure for you, particularly with the 60g of
material for analysis. One can cut with a laser or a knife, but there are so
many factors involved that effect the level of success.
Ron

> From: "anycall" <anycall@ntlworld.com>
> Organization: ntlworld News Service
[quoted text clipped - 93 lines]
>>
>> Many thanks
joggernut@highstream.net - 26 Feb 2005 22:35 GMT
i had the pvp done 2 years ago.  no regrets.  i am pleased that your choice
turned out very well.  it is good to hear the experiences of all of our bph
people.

> This may be of interest- originally posted to sci.med.prostate.cancer
>
[quoted text clipped - 87 lines]
> >
> > Many thanks
 
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