Green Light Laser and TURis
Posted , 4 users are following.
I had a urology appointment at my local hospital this week. This is a hospital that five years ago told me that the reason my prostate had regrown was because I previously had Green Light PVP rather than TURP .
The urology nurse told me that since recent NICE recommendations
they now offer patients TURis or Green Light Laser rather than the standard TURP.
0 likes, 16 replies
peter09839 derek76
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That is great news, I take it that this is a UK hospital offering Laser TURP or TURis on NHS. These procedures appear to have less side effects ,less time in hospital and for those like me with thin blood (Have been taking aspirins for over 10 years due to a temporary stroke in 2003). I wish I knew about them 6 months ago. All the very best Peter
derek76 peter09839
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derek76 peter09839
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At the time of my next laser surgery in 2013 I was taking Warfarin and stopped it for about four days though again they said that there was no need to.
Blood after laser surgery that seals the blood vessels as it it is done puzzled me. The urology nurse said that the blood mostly comes from the urethra that sustains a lot of trauma from the instruments and absorbs blood and swells up like a sponge.
stuarty derek76
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derek76 stuarty
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I had slight pain in my left testicle after my laser procedure in May 2013. I did not think too much about it at the time. It later worsened when I had a prostate infection due to the catheter being left in too long. Since then I have had other UTI's and bouts of prostatitis that seemed to account for the testicular and other pains.
The last prostatitis got better but the testicular pain increased greatly and I went back to my GP after Christmas. He did an examination and checked my urine sample said it was an infection causing Epididymitis and prescribed Cipro. When it was little better after two weeks I phoned him and he thought that I may have had two infections and only one had responded so he prescribed another.
My next urine sample was clear but as my urine flow was mainly very slow he referred me back to urology.
I had the appointment on Thursday. My flow test was a disaster that produced a dribbling 87mls but only 130mls retention despite having drank a vast amount of liquid in the preceding two and a half hours.
The urology nurse checked my testicle and found no swelling but it is still painful. She said that is often an after effect of laser surgery. She did a DRE and said that there has been some re-growth in my prostate. The reduced flow could be due to that, scar tissue or a stricture. She has arranged for me to have a cystoscopy in a couple of weeks.
After my last surgery they suggest that I should take Avodart to prevent future re-growth. I asked if at my age it was likely to re-grow enough in my lifetime to cause future problems. He glanced at my age (79) on his notes and said pehaps not:-)
stuarty derek76
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Stuart
derek76 stuarty
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Try googling this:
Epididymitis lingering or something else?
Camster derek76
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derek76 Camster
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The gland shrinkage after PAE does not seem to be very great. Can problem lobes be targetted?
Camster derek76
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I emailed Dr. Martin Pisco in Portugal recently about any problems with prominent median lobes. I've been in contact with him about having PAE done there depending on costs. He is very honest about having a 15% non-response rate, reasons unknown to him. You can check his website. Just Google Professor Martin Pisco.
derek76 Camster
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With TURP and Green Light many people get away with one procedure but it seems to be down to the shape and size of the gland.Perhaps if I had chanced the TURP offered when my prostate was only 35grms it might not have grown again... who knows.
Camster derek76
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Mayo Clinic doctors were there on January 15.
We have to make some tough choices. As Hippocrates said, "First, do not harm."
There are things that have efficacy from alternative medicine. Stinging nettles root extract, pygeum, saw palmetto (works better in mild to moderate cases), graminex (pollen extract), et al. These are things that can be used to keep the prostate healthy and slow down growth.
derek76 Camster
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Some who took nettle root extract found that they were going to the toilet every half hour. Some people have praised beta sitosterol for its help.
Camster derek76
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Before modern medicine, this was all people had to remedy their ills. Could you imagine someone with BPH problems a century ot two ago?Out of desparation to survive, they founds things in their environment to help with their maladies.
derek76 Camster
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Camster derek76
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