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Benign prostatic hypertrophy.

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Post Subject:

TURP - Is it recommended?

Reply from: John Wilson
Date: 28 Feb 2007, 21:40
TURP - Is it recommended?

Hi -My dad has benign prostate enlargement around 50cc and it is pressing
against his bladder causing frequent urination (4 times or more per night).
He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
effects are minimal. Just wondering if I can get some feedback for him
please

Thanks





Reply from: Ed@ed.ed
Date: 01 Mar 2007, 05:25
Re: TURP - Is it recommended?

On Thu, 1 Mar 2007 06:40:33 +1000, "John Wilson" <xxjanitor@yahoo . com >
wrote:

>Hi -My dad has benign prostate enlargement around 50cc and it is pressing
>against his bladder causing frequent urination (4 times or more per night).
>He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
>effects are minimal. Just wondering if I can get some feedback for him
>please

Investigate the PVP procedure before deciding.

Search this newsgroup or check this link.
* tinyurl . com /363jre

Many say PVP is better than TURP (less bleeding, faster recovery). But
some have not had success with PVP and there is less experience with
PVP (it is a newer procedure), so read and inform yourself so you can
make an intelligent decision.

Also don't overlook drugs. My urologist says to try meds first, and do
surgery if the meds are not satisfactory. Possibilities for meds
include Flomax.

Ed

Reply from: John Wilson
Date: 01 Mar 2007, 17:20
Re: TURP - Is it recommended?


<Ed@ed.ed> wrote in message
news:33lcu2le37a0i4dmeeltil2uapcsq6nqsc@4ax . com ...
> On Thu, 1 Mar 2007 06:40:33 +1000, "John Wilson" <xxjanitor@yahoo . com >
> wrote:
>
>>Hi -My dad has benign prostate enlargement around 50cc and it is pressing
>>against his bladder causing frequent urination (4 times or more per
>>night).
>>He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
>>effects are minimal. Just wondering if I can get some feedback for him
>>please
>
> Investigate the PVP procedure before deciding.


>
> Search this newsgroup or check this link.
> * tinyurl . com /363jre
>
> Many say PVP is better than TURP (less bleeding, faster recovery). But
> some have not had success with PVP and there is less experience with
> PVP (it is a newer procedure), so read and inform yourself so you can
> make an intelligent decision.
>
> Also don't overlook drugs. My urologist says to try meds first, and do
> surgery if the meds are not satisfactory. Possibilities for meds
> include Flomax.

OK, thanks Ed
He is scared of the catheter - said he would rather die!! He had a bad
experience with having a catheter after removal of a kidney stone
(uretheroscopy)
He tried Flomax - didn't seem to alleviate the symptoms - I guess there are
only so many options and then he has to face surgery

>
> Ed



Reply from: bruferg@cox . net
Date: 02 Mar 2007, 23:48
Re: TURP - Is it recommended?

On Feb 28, 10:25 pm, E...@ed.ed wrote:
> On Thu, 1 Mar 2007 06:40:33 +1000, "John Wilson" <xxjani...@yahoo . com >
> wrote:
>
> >Hi -My dad has benign prostate enlargement around 50cc and it is pressing
> >against his bladder causing frequent urination (4 times or more per night).
> >He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
> >effects are minimal. Just wondering if I can get some feedback for him
> >please
>
> Investigate the PVP procedure before deciding.
>
> Search this newsgroup or check this link. * tinyurl . com /363jre
>
> Many say PVP is better than TURP (less bleeding, faster recovery). But
> some have not had success with PVP and there is less experience with
> PVP (it is a newer procedure), so read and inform yourself so you can
> make an intelligent decision.
>
> Also don't overlook drugs. My urologist says to try meds first, and do
> surgery if the meds are not satisfactory. Possibilities for meds
> include Flomax.
>
> Ed

The Green Light IS better than TURP. Had it done a year and a half
ago. In one afternoon. Home the next morning. No after effects. No
bleeding. No erection problems. No more getting up at night or
searching for rest rooms throughout the day. Unless there are unusual
circumstances requiring more conventional procedure, I would run from
any physician pushing TURP. They make more money on TURP. Hospital
makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing.
Prolongs problem at $2 per pill for life.


Reply from: John Wilson
Date: 02 Mar 2007, 23:54
Re: TURP - Is it recommended?


<bruferg@cox . net > wrote in message
news:1172875682.592065.57770@z35g2000cwz.googlegroups . com ...
> On Feb 28, 10:25 pm, E...@ed.ed wrote:
>> On Thu, 1 Mar 2007 06:40:33 +1000, "John Wilson" <xxjani...@yahoo . com >
>> wrote:
>>
>> >Hi -My dad has benign prostate enlargement around 50cc and it is
>> >pressing
>> >against his bladder causing frequent urination (4 times or more per
>> >night).
>> >He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
>> >effects are minimal. Just wondering if I can get some feedback for him
>> >please
>>
>> Investigate the PVP procedure before deciding.
>>
>> Search this newsgroup or check this link. * tinyurl . com /363jre
>>
>> Many say PVP is better than TURP (less bleeding, faster recovery). But
>> some have not had success with PVP and there is less experience with
>> PVP (it is a newer procedure), so read and inform yourself so you can
>> make an intelligent decision.
>>
>> Also don't overlook drugs. My urologist says to try meds first, and do
>> surgery if the meds are not satisfactory. Possibilities for meds
>> include Flomax.
>>
>> Ed
>
> The Green Light IS better than TURP. Had it done a year and a half
> ago. In one afternoon. Home the next morning. No after effects. No
> bleeding. No erection problems. No more getting up at night or
> searching for rest rooms throughout the day. Unless there are unusual
> circumstances requiring more conventional procedure, I would run from
> any physician pushing TURP. They make more money on TURP. Hospital
> makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing.
> Prolongs problem at $2 per pill for life.
>
Sounds so encouraging - he was dreading the TURP and one reason was the need
for a catheter - on the internet says that most patients would need a
catheter - did you have one?
Also since his prostate is pressing against his bladder that might be a
problem to have a PVP - he will get a urologist to advise as so far he is
going by the family doctor's opinion.
Thanks very much



Reply from: Ed
Date: 03 Mar 2007, 07:29
Re: TURP - Is it recommended?

On 2 Mar 2007 14:48:02 -0800, bruferg@cox . net wrote:

>On Feb 28, 10:25 pm, E...@ed.ed wrote:
>> On Thu, 1 Mar 2007 06:40:33 +1000, "John Wilson" <xxjani...@yahoo . com >
>> wrote:
>>
>> >Hi -My dad has benign prostate enlargement around 50cc and it is pressing
>> >against his bladder causing frequent urination (4 times or more per night).
>> >He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
>> >effects are minimal. Just wondering if I can get some feedback for him
>> >please
>>
>> Investigate the PVP procedure before deciding.
>>
>> Search this newsgroup or check this link. * tinyurl . com /363jre
>>
>> Many say PVP is better than TURP (less bleeding, faster recovery). But
>> some have not had success with PVP and there is less experience with
>> PVP (it is a newer procedure), so read and inform yourself so you can
>> make an intelligent decision.
>>
>> Also don't overlook drugs. My urologist says to try meds first, and do
>> surgery if the meds are not satisfactory. Possibilities for meds
>> include Flomax.
>>
>> Ed
>
>The Green Light IS better than TURP. Had it done a year and a half
>ago. In one afternoon. Home the next morning. No after effects. No
>bleeding. No erection problems. No more getting up at night or
>searching for rest rooms throughout the day. Unless there are unusual
>circumstances requiring more conventional procedure, I would run from
>any physician pushing TURP. They make more money on TURP. Hospital
>makes more. Pharmacy makes more. Flomax is a stop gap. Cures nothing.
>Prolongs problem at $2 per pill for life.

Yes, you have a point, but remember that surgery (TURP and PVP) are
permanent and can't be undone. Surgery carries much more risk than
meds. Sometimes they go wrong and leave big quality of life issues for
the patient.

Meds can be undone just by stopping them. By taking meds, you put off
surgery to a day when procedures may have improved.

Ed

Reply from: theal123@aol . com
Date: 02 Mar 2007, 16:29
Re: TURP - Is it recommended?

On Feb 28, 3:40 pm, "John Wilson" <xxjani...@yahoo . com > wrote:
> Hi -My dad has benign prostate enlargement around 50cc and it is pressing
> against his bladder causing frequent urination (4 times or more per night).
> He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
> effects are minimal. Just wondering if I can get some feedback for him
> please
>
> Thanks

For those who recommend the Greenlight PVP laser, some urologists, who
do both the PVP and TURP, would not perform the PVP when the prostate
is against the bladder or in the bladder itself. If the prostate was
compressing the urethra below the bladder, then the PVP would be a
good choice. In your case, I can understand the MD recommending a
TURP although it has more potential side effects than the PVP. I
would recommend getting a second opinion from a urologist who has
performed many TURPS recently and at least 100 Greenlight PVP's , and
assess the advantages & disadvantages of each procedure. If you don't
have urine retention, or kidney stones, or other problems, besides
getting up 4 times a night, some people would rather put up with the
bothersome getting up than undergo surgery. I wouldn't hestitate to
get a 3rd opinion from a urologist if necesssary.


Reply from: John Wilson
Date: 02 Mar 2007, 20:54
Re: TURP - Is it recommended?


<theal123@aol . com > wrote in message
news:1172849353.916999.244940@64g2000cwx.googlegroups . com ...
> On Feb 28, 3:40 pm, "John Wilson" <xxjani...@yahoo . com > wrote:
>> Hi -My dad has benign prostate enlargement around 50cc and it is pressing
>> against his bladder causing frequent urination (4 times or more per
>> night).
>> He is 64. Reasonably fit. Doctor recommends a TURP operation. Says side
>> effects are minimal. Just wondering if I can get some feedback for him
>> please
>>
>> Thanks
>
> For those who recommend the Greenlight PVP laser, some urologists, who
> do both the PVP and TURP, would not perform the PVP when the prostate
> is against the bladder or in the bladder itself. If the prostate was
> compressing the urethra below the bladder, then the PVP would be a
> good choice. In your case, I can understand the MD recommending a
> TURP although it has more potential side effects than the PVP. I
> would recommend getting a second opinion from a urologist who has
> performed many TURPS recently and at least 100 Greenlight PVP's , and
> assess the advantages & disadvantages of each procedure. If you don't
> have urine retention, or kidney stones, or other problems, besides
> getting up 4 times a night, some people would rather put up with the
> bothersome getting up than undergo surgery. I wouldn't hestitate to
> get a 3rd opinion from a urologist if necesssary.

Thanks very much - that is good info - I will go over it with my dad - he
has had a kidney stone recently removed with a ureteroscopy and
unfortunately has some urine retention as well which shows up in ultrasound.
He is deathly scared of catheters as had a bad experience when he had the
ureteroscopy. I guess it looks like a TURP is inevitable but will get more
opinions from urologists. He certainly would put up with frequent urination
but as you say he may have other complications by not undergoing surgery
Thanks again
>



Reply from: Mr. B
Date: 02 Mar 2007, 21:07
Re: TURP - Is it recommended?

Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would STRONGLY
recommend that you thoroughly research this before undertaking a TURP. I
awoke following the procedure without any catheter. My recovery was
painless and the relief from my symptoms immediate. While I can't guarantee
that your father will enjoy my success, PVP in the hands of an experienced
physician is nothing short of remarkable.

Mr. B
"John Wilson" <xxjanitor@yahoo . com > wrote in message
news:45e5e8c4$0$11603$afc38c87@news.optusnet . com .au...
> Hi -My dad has benign prostate enlargement around 50cc and it is pressing
> against his bladder causing frequent urination (4 times or more per
> night). He is 64. Reasonably fit. Doctor recommends a TURP operation.
> Says side effects are minimal. Just wondering if I can get some feedback
> for him please
>
> Thanks
>
>
>
>



Reply from: John Wilson
Date: 02 Mar 2007, 22:19
Re: TURP - Is it recommended?

Wow! That is very encouraging thanks. Could you tell me please did you have
a similar situation i.e. was your prostate pressing against your bladder?
As I understand that might be a reason that he would need a TURP as opposed
to a PVP?

Thanks


"Mr. B" <nospamtrader.boys@verizon . net > wrote in message
news:5u%Fh.44$9g5.27@trnddc08...
> Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would STRONGLY
> recommend that you thoroughly research this before undertaking a TURP. I
> awoke following the procedure without any catheter. My recovery was
> painless and the relief from my symptoms immediate. While I can't
> guarantee that your father will enjoy my success, PVP in the hands of an
> experienced physician is nothing short of remarkable.
>
> Mr. B
> "John Wilson" <xxjanitor@yahoo . com > wrote in message
> news:45e5e8c4$0$11603$afc38c87@news.optusnet . com .au...
>> Hi -My dad has benign prostate enlargement around 50cc and it is pressing
>> against his bladder causing frequent urination (4 times or more per
>> night). He is 64. Reasonably fit. Doctor recommends a TURP operation.
>> Says side effects are minimal. Just wondering if I can get some feedback
>> for him please
>>
>> Thanks
>>
>>
>>
>>
>
>



Reply from: Mr. B
Date: 04 Mar 2007, 03:33
Re: TURP - Is it recommended?

Yes it was, along with constricting the urethra.

Mr. B
"John Wilson" <xxjanitor@yahoo . com > wrote in message
news:45e894db$0$9770$afc38c87@news.optusnet . com .au...
> Wow! That is very encouraging thanks. Could you tell me please did you
> have a similar situation i.e. was your prostate pressing against your
> bladder?
> As I understand that might be a reason that he would need a TURP as
> opposed to a PVP?
>
> Thanks
>
>
> "Mr. B" <nospamtrader.boys@verizon . net > wrote in message
> news:5u%Fh.44$9g5.27@trnddc08...
>> Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would
>> STRONGLY recommend that you thoroughly research this before undertaking a
>> TURP. I awoke following the procedure without any catheter. My recovery
>> was painless and the relief from my symptoms immediate. While I can't
>> guarantee that your father will enjoy my success, PVP in the hands of an
>> experienced physician is nothing short of remarkable.
>>
>> Mr. B
>> "John Wilson" <xxjanitor@yahoo . com > wrote in message
>> news:45e5e8c4$0$11603$afc38c87@news.optusnet . com .au...
>>> Hi -My dad has benign prostate enlargement around 50cc and it is
>>> pressing against his bladder causing frequent urination (4 times or more
>>> per night). He is 64. Reasonably fit. Doctor recommends a TURP
>>> operation. Says side effects are minimal. Just wondering if I can get
>>> some feedback for him please
>>>
>>> Thanks
>>>
>>>
>>>
>>>
>>
>>
>
>



Reply from: John Wilson
Date: 04 Mar 2007, 04:19
Re: TURP - Is it recommended?

Thanks Mr B - we're better informed - appreciate that


"Mr. B" <nospamrosariorose9@verizon . net > wrote in message
news:TdqGh.251$Ih.102@trnddc02...
> Yes it was, along with constricting the urethra.
>
> Mr. B
> "John Wilson" <xxjanitor@yahoo . com > wrote in message
> news:45e894db$0$9770$afc38c87@news.optusnet . com .au...
>> Wow! That is very encouraging thanks. Could you tell me please did you
>> have a similar situation i.e. was your prostate pressing against your
>> bladder?
>> As I understand that might be a reason that he would need a TURP as
>> opposed to a PVP?
>>
>> Thanks
>>
>>
>> "Mr. B" <nospamtrader.boys@verizon . net > wrote in message
>> news:5u%Fh.44$9g5.27@trnddc08...
>>> Having undergone a PVP (at UCLA by Dr. Reiter) at age 60, I would
>>> STRONGLY recommend that you thoroughly research this before undertaking
>>> a TURP. I awoke following the procedure without any catheter. My
>>> recovery was painless and the relief from my symptoms immediate. While
>>> I can't guarantee that your father will enjoy my success, PVP in the
>>> hands of an experienced physician is nothing short of remarkable.
>>>
>>> Mr. B
>>> "John Wilson" <xxjanitor@yahoo . com > wrote in message
>>> news:45e5e8c4$0$11603$afc38c87@news.optusnet . com .au...
>>>> Hi -My dad has benign prostate enlargement around 50cc and it is
>>>> pressing against his bladder causing frequent urination (4 times or
>>>> more per night). He is 64. Reasonably fit. Doctor recommends a TURP
>>>> operation. Says side effects are minimal. Just wondering if I can get
>>>> some feedback for him please
>>>>
>>>> Thanks
>>>>
>>>>
>>>>
>>>>
>>>
>>>
>>
>>
>
>



Reply from: Rob
Date: 05 Mar 2007, 05:38
Re: TURP - Is it recommended?

Ed is right. Trying meds first is preferable to jumping into
surgery. There are lots around and perhaps one might help your
father.

I've suffered from BPH for almost 30 years. I've been taking Proscar
for 12 years. It has arrested further enlargement, but didn't or
couldn't take me back to where I was when I was 30 years old. Neither
will any surgery.

I experience frequent urination and can't go to the theater or opera.
But, I can go to
movies or ball games, etc.

Knowing what I know now, I would not consider any surgery unless I
were blocked. And from what I've gleaned from the hundreds who have
reported their PVP experiences on this site, the PVP procedure will
clear a blocked urethra every time.

By contrast, the risks of TURP are unacceptable considering the
availability of the newer PVP procedure.

Twenty years ago, before PVP, a neighbor, otherwise a healthy man,
underwent a TURP procedure at an HMO. He came home and died two days
later of what was termed heart failure. That's when I searched and
discovered that TURP carries a risk of death of one in 250
procedures. Another friend has been incontinent for 20 years after
undergoing TURP. He wears a diaper 24/7.



Reply from: John Wilson
Date: 05 Mar 2007, 08:07
Re: TURP - Is it recommended?


"Rob" <rob1552@hotmail . com > wrote in message
news:1173069507.191544.301230@t69g2000cwt.googlegroups . com ...
> Ed is right. Trying meds first is preferable to jumping into
> surgery. There are lots around and perhaps one might help your
> father.
>
> I've suffered from BPH for almost 30 years. I've been taking Proscar
> for 12 years. It has arrested further enlargement, but didn't or
> couldn't take me back to where I was when I was 30 years old. Neither
> will any surgery.
>
> I experience frequent urination and can't go to the theater or opera.
> But, I can go to
> movies or ball games, etc.
>
> Knowing what I know now, I would not consider any surgery unless I
> were blocked. And from what I've gleaned from the hundreds who have
> reported their PVP experiences on this site, the PVP procedure will
> clear a blocked urethra every time.
>
> By contrast, the risks of TURP are unacceptable considering the
> availability of the newer PVP procedure.
>
> Twenty years ago, before PVP, a neighbor, otherwise a healthy man,
> underwent a TURP procedure at an HMO. He came home and died two days
> later of what was termed heart failure. That's when I searched and
> discovered that TURP carries a risk of death of one in 250
> procedures. Another friend has been incontinent for 20 years after
> undergoing TURP. He wears a diaper 24/7.
>

Thanks Rob
This is very sobering and scary
I will not let him have a TURP under any circumnstances and as you say meds
will have to be the first option - his doctor told him that he is not
advised to have the situation indefinitely where his enlarged prostate is
pressing against his bladder as this will probably cause changes in the
bladder chemistry i.e. might lead to cancer is my understanding
I guess there are no happy endings!
Thanks again for your experience and insight



Reply from: Ed
Date: 05 Mar 2007, 17:33
Re: TURP - Is it recommended?

On 4 Mar 2007 20:38:27 -0800, "Rob" <rob1552@hotmail . com > wrote:

>Ed is right. Trying meds first is preferable to jumping into
>surgery. There are lots around and perhaps one might help your
>father.
>
>I've suffered from BPH for almost 30 years. I've been taking Proscar
>for 12 years. It has arrested further enlargement, but didn't or
>couldn't take me back to where I was when I was 30 years old. Neither
>will any surgery.
>
>I experience frequent urination and can't go to the theater or opera.
>But, I can go to
>movies or ball games, etc.
>
>Knowing what I know now, I would not consider any surgery unless I
>were blocked. And from what I've gleaned from the hundreds who have
>reported their PVP experiences on this site, the PVP procedure will
>clear a blocked urethra every time.
>
>By contrast, the risks of TURP are unacceptable considering the
>availability of the newer PVP procedure.
>
>Twenty years ago, before PVP, a neighbor, otherwise a healthy man,
>underwent a TURP procedure at an HMO. He came home and died two days
>later of what was termed heart failure. That's when I searched and
>discovered that TURP carries a risk of death of one in 250
>procedures. Another friend has been incontinent for 20 years after
>undergoing TURP. He wears a diaper 24/7.

Apparently it is well known that TURP stresses the heart and can lead
to heart problems. See
* w w w .pubmedcentral.nih.gov/articlerender.fcgi?artid=1476133
(lots more too if you look).

Ed


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