Re: PVP ~ 12 Oct @ National Naval Medical Center ~ Bethesda
- From: "Tom Harms" <tomharms@xxxxxxx>
- Date: Tue, 20 Sep 2005 17:04:20 -0400
Just advised by Doctor that all is set for the 12 Oct PVP. :-)
"Tom Harms" <tomharms@xxxxxxx> wrote in message
news:VaEXe.12426$nq.9610@xxxxxxxxxxxxx
>I had Urodynamics this morning. They normally plan about two
> hours, but it took three hours for me due to the large normal residual
> amount (1,000 ccs) in my bladder. Initially, the technician inserted a 7
> FR
> (dual tube) catheter into my bladder and started to empty my bladder with
> a
> syringe ~ pulling the urine out. Since the outgoing tube was no bigger
> than
> 3½ FR, it took about a half hour to empty my bladder. The technician
> removed 950 cc from my bladder. Her normal procedure is to re-introduce
> about 400 cc of fluid with dye to take photos during various stages of
> bladder refillment. I convinced her that 400 cc of fluid in my bladder
> would not get a response, so she got the doctor's instructions to
> re-introduce as much dye-fluid as it took to get a response (sense or
> urgency to pee). Also sensor was also inserted into my anus to measure
> abdominal pressure. She took photos at various stages of re-filling my
> bladder and the computer measured corresponding pressure from the bladder
> and abdomen. The doctor has not called me yet with her evaluation of the
> results yet, but from my standpoint there were no surprises. My prostate
> has restricted flow from my bladder for many years. My bladder has
> *adjusted* by gradually increasing the amount of urine it would tolerate
> before it demanded that I void. It has reached the point now that my
> bladder allows me a fill up to a liter (1,000 ccs) before I'm alerted to
> void. Clearly this is not acceptable for a 62 year old man. The
> restriction caused by the prostate has to be relieved. My previous Renal
> Ultrasound indicates that both kidneys are normal, big bladder, & 61.6 cc
> prostate volume. I trust the doctors will proceed with the PVP, because
> there are no viable alternatives.
>
>
> "Tom Harms" <tomharms@xxxxxxx> wrote in message
> news:9A%We.12325$nq.6854@xxxxxxxxxxxxx
>> At appointment on 15 Sep, I was initially asked to give a urine
>> specimen, which I barely filled. The first thing the technician did was
>> check how much urine was in my bladder, which indicated over 900cc's.
>> The
>> Doctor ordered a catherization to empty my bladder. To my amazement, the
>> technician filled a bottle of 1000 cc's or one liter. I'm 62, 5'10", &
>> 170
>> LBs. I'm now currently scheduled for a PVP on 12 Oct, but will have a
>> Urodynamic evaluation on Monday, 19 Sep. The National Naval
>> Medical Center in Bethesda does a lot of PVPs ~ they also do TUNAs &
>> TURPs.
>> I think PVP is the procedure of choice if the patient qualifies. The
>> Urodynamic was explained to me ~ it sounds very complex. I'll do some
>> research on it. Tom
>>
>>
>
>
.
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