PVP success stories!!!!!

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I've heard tons from those who have had aweful outcomes for surgeries.  Would like to hear from those who have had success following PVP, Turp, UROlift, etc,  Please post only those outcomes here..

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  • Posted

    You dont say if you are UK or USA based because I think the choices and outcomes are different. Here in the UK TURP is the proceedure favoured by the NHS, been done for years and urologists are good at doing it. The ' new' recommended by NICE proceedure is bipolar TURP which I had done in July, textbook recovery and outcome. I was talking to a urologist recently, not the one who performed my TURP who said that urolift was considered suitable only for a very few patients and PVP wasn't tried and tested. Some Hospitals will offer laser treatment and others wont, so choice here depends on where you live and if you want to travel.

     

    • Posted

      People on line talk about TURP without saying which type they had as there are now several better ones than the original version.

      There seems little doubt from posts on this and other Forums that UK PVP procedures have better outcomes than American ones.

  • Posted

    I had a very large prostate and needed a Holep as too big for Turp and less problem than a full invasive op. I was having great trouble peeing and had a catheter for a week.

    the op was done two months ago under a full general anaesthetic and lasted three hours. Recovery was slow but steady and I am now sleeping through the night and able to empty bladder every time I go to the loo. Occasional tingling sensation and I still need to go quickly when i fell the need, but life is pretty much back to normal.

    so if your prostate is large then Holep would get my vote. Certainly a lot better than living with a catheter!

    your doctor should give you his advice . I followed mine.

  • Posted

    I'm in the UK. I had the original PVP procedure in Newcastle in June 2004, 75 gram prostate. No problems and life back to normal on day two. Two friends were the same one NHS in London and the other privately in London. My prostate regrew and in May 2013 when it was 135grms I had Thulium/Holmium laser. Slightly longer recovery as I bled more as on Warfarin and sent home with a catheter that was left in for two weeks rather than one as the surgeon had wanted.

    The preferred NICE procedure is now PVP XLS laser. See link in my earlier post.

    https://patient.info/forums/discuss/nice-make-greenlight-pvp-the-preferred-uk-option-518190?page=0#2167566.

    If starting out on this path again I would now go for the non-surgical PAE.

     

  • Posted

    I am in Atlanta.  

    My urologist can perform Urolift but doesn't believe it would work well for me although he said he would do it if I wanted it.  The problem for me is that the prostate is growing into the neck of the bladder causing the BPH.  He recommends PVP Greenlight as the best way to correct this issue.  

    I don't believe I can get a better outcome in the UK or that staying in Atlanta will increase the chances of a poor outcome. He has also said PAE is not a good option for fixing my condition.

    • Posted

      The bladder neck is the problem area when it comes to retro.
  • Posted

    Guys!!! Please mention your age when you comment on the effects of your operations. I have a very strong feeling that everything goes well if the patient is under 70. Is this true? I am 76 and my TURP gave me incontinence.
    • Posted

      I was 69 when I had PVP and 79 when I had Thuluium/Holmium.
    • Posted

      I was just coming up to 84 when I had my TURP and it went almost exactly as had been described in a leaflet I was given prior to the operation which was done under spinal block. Today, 10 months after, things are still good. I may get up once or twice at night depending on time I go to bed and my fluid intake. I live in New Zealand and no other options to TURP was discussed and for all I know there may be no other procedure available-at least, under the public health service.

      There have been many negative reports in this forum on the TURP procedure but I can honestly say I am completely satisfied, so far, with the outcome of my operation.

    • Posted

      Hi Roy, Turp is what was told to me also. Did you have the urine retention before surgery? I only had a cystoscopy test. At 87  i was turned off by this forum. After reading what you said i don't know if i should get this done?

      Did you have to do other tests also?What were the risk and side effects?

      Thanks so very much for your info.

      frank,

    • Posted

      Frank, you are going to have to make your mind up and have something done eventually. Forums like this attract patients who have had bad results.

      Did you not have a flow test and a check for retention? That is usually the next step after a DRE.

    • Posted

      Hi Frank. The problem started when I was about 75 or 76. I noticed my stream was weak but was not alarmed as I had heard this was a normal ageing thing but over the next few years I developed a bulge on my right side which was more obvious first thing in the morning but reduced during the day such that when I visited my GP later in the day it was practically gone. So nothing was done until it became much bigger and remained through the day so that my new GP set up scans etc., which determined that my urine was being obstructed to the extent my bladder was overfilling and stretching into places it should not have. Hence the bulge.

      It was decided that I should be trained to self-catheterize and this is where the things went wrong. During the initial insertion of the catheter I experienced acute pain which the nurse said was nornal and that I should continue. I did, and after further insertion there was even greater pain and instead of urine coming out there was a lot of blood. We stopped the lesson there and the nurse said there are obviously obstructions somewhere (which we already knew) and a cytoscopy was proposed but within a few days a severe infection took hold which was resistant to the antibiotics prescribed and after four weeks of misery, needing to urinate every 40-50 minutes, I was admitted to hospital under emergency, put on a drip and fitted successfuly with a catheter which I had in place for seven months (during which time I had a cystoscopy and flow tests) until the TURP operation. This was completely successful and I only wish I had been offered this at the start.

      Clearly there have been bad experiences with all procedures judging by reports in this forum and it may be that TURP has been more often criticised but that may be due to the fact that it appears to be the most common procedure and I can only suggest that you start looking at options as soon as possible. It is your decision but I would suggest you do something earlier rather than later.

    • Posted

      Hi Roy, I had the the same things happen to me,

      bulge on my right side, my bladder was over fillinf just like yours,urologist caterized me,and i was put on a foley catheter for 5 months. I had retention,

      i could not pee. Now i started self cath,been doing this for 5 weeks,no problem.Iwent to another URO He did a cystoscopy ,then recommended TURP,i had PVP test for 5 months ,I was afraid of going thru with TURP at 87. Glad to her you had sucess full surgery.Did you have urine retention?

  • Posted

    PLease review our Thread...There are many who've had success with various procedures including me...I had a REZUM in mid-August...

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