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PVP results +/-

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gmoney
gmoney

I am scheduled for PVP on 12/6.  Have nervous anticipation about the procedure.  I am not a candidate for urolift; the prostate is growing into the bladder.  doc says he can do other procedures; but, my best option is PVP greenlight.  Would like to hear other men's results.  How long was recuperation?  How bad was bleeding?  was catherter awful?  And, life after retrograde ejaculation for both straight and bi men.    Would appreciate any comments from those who have undergone procedure.  Would u do it over?  Happy with result?  

0 likes, 33 replies

33 Replies

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  • glenn77
    glenn77 gmoney

    Posted

    Not to worry you, but I had GreenLight and it was a disaster for me.  (Permanent high level incontinence.)   I would ask your doctor how many GreenLight procedures he has done and how many he has done this year.  Make sure he's really expert in this procedure.

    I am seeing a new doctor who is a professor at a teaching medical center.  He said that he used to do GreenLight, and had trained people to do the procedure, but we will not do the procedure or train additional doctors. He said the reason is that the heating of the prostate material by the green laser light happens when that light (532 nm) interacts with red blood cells.  He said there can be scattering of the light, and that spreads its effect to unintended areas of the prostate.

    I have to believe that really good and well trained doctors are OK with GreenLight procedures.  Just be careful that you have one of those doctors.

     

  • glenn77
    glenn77 gmoney

    Posted

    I would add that my intial problem was nocturia due to median lobe growth.   I have read that GreenLight is best used on really large prostates where a lot of material needs to be removed.
    • derek76
      derek76 glenn77

      Posted

      Friend had a very small prostate and had been self cathing for some time before having PVP in 2004 and has had no problems since. 
  • greg14620
    greg14620 gmoney

    Posted

    I had green light TURP on 8-24... recovery was no picnic... I hate that I had to do this at 53...

    Passing scabs the size of pencil erasers will change your life... bottom line make sure you have s good doctor

    I feel like half a man because of retrograde

    I had urolift in January ... dr botched the surgery and had internal bleeding and a second surgery that did not work

    My second deceased young and good and cared

    Again it's no picnic and it will change many things

    I kept a diary of my recovery if you interested

    Best of luck to you buddy 💪

    • gmoney
      gmoney greg14620

      Posted

      Your diary might be inciteful. Please pass on.  Sorry you didn't acheive the result you wanted.  Retro has me concerned too.  Although I've experienced it with drugs, and it's not so bad on its own.  But there are situations where it would be better to be able to shoot.  I'd welcome any comments from others with retro.

  • stebrunner
    stebrunner gmoney

    Posted

    Sounds like PVP greenlight is one of the procedures your urologist does, and he's only recommending the procedures HE does. There are other options such as HoLEP which other urologists do, and PAE which is done by interventional radiologists--and another option which is self catheterization (CIC) if you are not completely emptying your bladder. There are threads on this site that address these other options. Explore them and see if any of those are a better fit.

    I felt pressured by my urologist to chose one of his procedures--he only offered suprapublic prostatecomy and CIC. My  large prostate is also pressing into my bladder. I chose to go with CIC, which bought me time to research my options. I'm thankful I found this forum. The information I found on this site enabled me to make a decision I am comfortable with.

    Stebrunner

    • gmoney
      gmoney stebrunner

      Posted

        he does several procedures and wrote a paper on the subject that many other doctors have used in their practices.  Not feeling pressured as he has stated he will do Heloc, PVP or urolift at my choice but recommends PVP as he has done many and with good result..  Hard to imagine climax without "juice". though.  Haven't yet wrapped my brain around that.

    • uncklefester
      uncklefester gmoney

      Posted

      Are you on Flowmax? That gives you RE. Most men here are fine with RE but in the end we're all indiviuals that perceive thing differently. Many feel with RE they're less of a man. I don't understand that sentiment but I'm not them

    • stebrunner
      stebrunner uncklefester

      Posted

      Yes, I'm CICing 5 or 6 times a day to see if I can rehab my bladder tone. Last December I had AUR, and they drained 7 liters out! Due to my extreme retention, I've been told it's unlikely I would regain bladder function. My prostate size and large median lobe narrowed my options basically to HoLEP and PAE. I wanted to maintain sexual function--no RE--so I went with PAE. My goals with PAE were to stop my prostate from growing and to make CIC easier, and I've achieved both. Since PAE I've started voiding some on my own, and have natural voids of 140 to 150 ml which is amazing! It's been 5 months since my procedure, and it's slowly been getting better. I'm folowing Jimjames method of rehabbing my bladder tone. Hope to someday reduce my need to CIC. If not, I'm okay with that. I'd rather CIC than damage my sexual function--or risk other complications.

      Stebrunner

    • stebrunner
      stebrunner gmoney

      Posted

      I'm with you on that. HoLEP almost always results in RE so that's why I went with PAE. With PAE I still have "juice" but not as much as before. And it oozes out rather than shoots. I've heard that the oozing is temporary. Time will tell. Best of luck to you on your decision.

      Stebrunner

  • uncklefester
    uncklefester gmoney

    Posted

    Have you looked into HOLEP? From what I've read PVP isn't as long lasting as HOLEP. They both do a job on the prostate leaving you with RE. What are your symptoms presently?

    • gmoney
      gmoney uncklefester

      Posted

      My doc does pvp, heloc, and urolift.  I can choose which he performs, but he insisits pvp is right for me because prostate is growing into bladder neck and growth is predominately medial lobe.
    • gmoney
      gmoney uncklefester

      Posted

      Symptoms are frequent urination, unable to empty bladder, 1-4 times up at night to pee, dribbling, weak stream, 
    • derek76
      derek76 gmoney

      Posted

      The bladder neck area is the part that my Uro was able to avoid so no RE.
    • uncklefester
      uncklefester gmoney

      Posted

      Your symptoms are similar mine. Most of mine are under control by taking Flowmax and fernasteride. I had bad bleeding problems at the beginning of my problems.. No major bleeding since March 2016. Still thinking on having HOLEP because it will most likely ( operative phrase ) stop the occasional bleed. When bleeding I passed multiple clots the diamter of a pencil and at 1/2" long. It was no picnic and I willing to accept RE to avoid dealing with bleeding again.

    • derek76
      derek76 uncklefester

      Posted

      The laser seals as it goes. I was warned about the possibility of clots and scabs. Aftrer the PVP I had one rather bloby clot and one biggish scab and that was all. Nothing memorable after the Thulium/holmium procedure. 
    • uncklefester
      uncklefester derek76

      Posted

      You had it done in 2004 or was that your friend? Thats a good run. 
    • derek76
      derek76 uncklefester

      Posted

      We had it within a couple of months of each other. He had his done pivately by one of the two best ones in the UK who pioneered PVP here. I had mine done on the NHS. HIs flow was a bit less powerful last year  but no other problems and he now takes the daily Cialis for his flow.

      He is 75 now and I am 82.

       

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