Yep - my stream is now like a fire hose, full blast. :-)

It's funny, I went in to my Uro's office ready to request a PVP (was pretty sure
I'd need surgery, even before my first visit). He's not only a very well-respected
Dr. here, but also a friend of our family. I guess I looked a little disappointed
when he recommended a TURP instead and explained why. He told me, with a smile,
"Hey, I get paid more for a PVP, if you really want it, but I think you'll be more
satisfied in the long run with a TURP." As early as my prostate became enlarged,
and as fast as it grew, I really didn't want another surgery in the near future.
But, I'm NOT a Dr., so get several professional opinions if you're unsure.

<snip>

<snip>

<snip>

Thanks for the reply. I was beginning to think you must need the
"secret handshake" to be acknowledged in this group :)

Well, as I'm already a 70yr old grandfather with a prostate the size
of a candy-melon, plus on Hormones (ADT), I don't have any thoughts
about ejaculation or which way it goes.  (maybe I'll be a 71 yr old
flasher when the testosterone "flare" returns next yr after the
hormones have departed my body).

So looks like the TURP's for me then.
I'm looking forward to pissing birds off trees LOL.


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I had a TURP about three months ago. My URO told me the same thing, that TURP is
the gold standard, the procedure he preferred in my case. I didn't have cancer,
but my prostate was very large, requiring me to self-catheterize 2-3 times a day.
I had been retaining 900-1,000 ml of urine according to bladder scans taken on
several occasions. He said that PVP is more likely to allow reoccurrence of
blockage in a shorter time, especially when a large amount of tissue must be
removed. He removed about 30 g. of tissue which was cancer free. At 55 years of
age, he told me I had the prostate of a 70 year-old. I spent two relatively
pain-free days in the hospital, and I'm doing very well 3 months later. No
incontinence, a stronger stream than when I was 16, but do have retrograde
ejaculation, as he predicted before the surgery, although it has not affected the
quality of  sensation during intercourse. Best of luck to you.

Hello all
(I posted this as a reply further up the list, but go no comments).

I, too, have urinary problems inherited from HDR Brachytherapy for
advanced Prostate Cancer,  performed in mid July this year. I had to
wear a Foley Catheter for almost 4 wks post discharge from hospital.
I'm on 1Flomax/day and still have probs voiding, from zero at night
(Nocturia) to about 80% at high noon, plus retain approx 250ml on a
post void Bladder scan.

Going into the HDRB, my prostate was 65cc and had previously had some
"easing" done 16 yrs ago by a General Surgeon. So, in essence, I got
Prostate Cancer on top of an old BPH complaint.

Just yesterday, I saw the Uro who did the HDRB implant and discussed
either another TURP or PVP. He opted for the TURP as he said it was
more reliable, the Gold Standard, easier to remove the correct amount
of tissue, and there were some problems showing up from the newer
Laser treatments.

Anyway, he won't do a thing until he has a look at another Cystoscopy
he scheduled for me in a few wks time.
He did comment that any re-sectioning would need to possibly wait
another 3 months for the tissue damaged by the HDRB to re-stabilize.

I'm not too confident on any of these things, but will have to "bite
the bullet" eventually dependent on his opinion/s....

Anyone else in here with a similar story?

PS: I do post more regularly in alt.support.cancer.prostate

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