To have Prostate operation or not
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Hi i am 59 and have had typical prostate problems for maybe 20 years poor flow need to go a lot etc, the urologists wanted to give me a Turp about 15 years ago or they said i could do watchfull waiting! of course i went for this, last year i had a PSA test and got a surprise it was 5 they said wait two months and it came dowm to 2.8 then 2.4 which they tell me is normal? but why did it go up in the first place? and they wanted to
do a turp again i preffered Holep so went to see a urologist a long way from me as they dont do it in the hospitals aroung here and i wanted nhs the urologist there asked me what is my quality of life like, i think its ok i jst have to pee a lot! so he said wait until it gets worse i was quiet surprised by this i am only retaining about 10 mls apparently i know im rambling on a bit here but any advice from you guys would be appreciated.
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derek76 grant75607
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Presumably you are getting urgency as well as frequency but it is good that you do not have retention as that is the damaging part and makes you more prone to infections. The NHS will always want to save surgical costs and suggest watchful waiting or pass the cost of medications to your GP.
Daily 5mg Cialis would probably help the flow without the nasty Tamsulosin side effects.
Did you have much of a problem in getting referred to another NHS area? I had a fight at the time to be reffered from Scotland to Northumbria.
grant75607 derek76
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Supertractorman derek76
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derek76 Supertractorman
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Just before then a friend in the Highlands persuaded Raigmore in Inverness to refer him to one of the first two London hospitals doing PVP. They even paid all his out of pocket expenses.
We are as NHS patients entitled to be treated at the hospital of our choice particularly if a hospital in our area does not do the procedure or has a long waiting list. You can Google for references to that. I remember that NHS Scotland were and probably still do send patients to a big private hospital in the West of Scotland in order to speed treatments up.
I live in Sussex now and often my GP will get me seen at non NHS centres if NHS waiting times are long. I've had several orthopedic consultations, a CT scan and a colonoscopy at private hospitals as an NHS patient. In Kent patients are being offered treatment at a Calais hospital but have to pay their own travel expenses.
If you are having difficulty in being referred speak to your MSP.
The Scottish Health Minister was my MSP and I wrote to him when I was quoted 16 weeks for a Physio appointment. In his reply he said that he had not realised the waiting times were so long!!!
Supertractorman derek76
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derek76 Supertractorman
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I also contacted Ayr hospital who were doing Gyrus another laser version that had good reports but it had a 12 month waiting list.
Extract from a letter from a WG Urologist at the time!
"Thank you for your letter. I will write to the Freeman and see if they are taking outside referrals. If that is not the case you then you will be forced to go down the private pathway. I have to say though that I think your insistence on laser prostactectomy is somewhat starry eyed. All we are talking is a difference in what form of energy we use to get rid of the centre of the prostate"
I also spoke to one of the other urologists at the hospital knowing that Gyrus are trying to get their procedure trialled there and got the response that "We will not have that procedure at this hospital either"
Edinburgh was at the time of Burke and Hare at the forefront of medical science and experiment but in the 1990’s they went back to the Dark Ages. In fact Turkey were doing PVP years before Edinburgh and were actively encouraging it with banners over roads.
I’m glad that the Western now have a urinary infection department. I got a prostate infection on the two occasions I had a biopsy there. At the second one after the female Uro refused to administer a local anaesthetic or an antibiotic prior to the procedure. I swore as each of the 16 needles went in. One must have hit a blood vessel as I started to haemorrhage and had to stay the night. A doctor doing a ward round in the night asked why I was there. When I told him he said PSA terrorism.
Supertractorman derek76
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My first 16 needle biopsy was done without any anaesthetic and was painful due to my Haemmoroids, the second time was under General Anaesthetic and I had Sepsis next day. They claim Antibiotics were given under anaesthetic so I will never know if I received them or not.
Letter sent to MSP so will wait and see what happens.
Your comments are most appreciated.
derek76 Supertractorman
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paul20443 grant75607
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grant75607 paul20443
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But im pleased to hear that Holep worked for you where did you have it done?, I live in sussex and Tunbridge Wells is the only place near to me that does this operation.
paul20443 grant75607
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grant75607 paul20443
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ss3234 grant75607
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grant75607 ss3234
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ss3234 grant75607
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ss3234 grant75607
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derek76 grant75607
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grant75607 derek76
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derek76 grant75607
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An extract from it:
The National Institute for Health and Care Excellence (NICE) has now funded Cedar, an NHS academic evaluation centre at Cardiff University, to compare results of PAE with conventional surgery via a registry of prostate embolisation known as UK-ROPE.
A total of 17 centres in the UK will recruit more than 120 PAE patients over the period of a year and will close the study when all men have completed their 12-month follow-up. The results will be reported to NICE by the end of 2016.
“Our interim results have shown excellent symptomatic improvement and our conclusion locally is that PAE appears safe and effective in around 80% of men,” explained Dr Hacking, whose team has now performed 70 procedures in Southampton.
“There is a small incidence of recurrence and it may well be that in a group of patients a repeat or alternative procedure will be required after a few years.”