Re: Help!: Pros and Cons of BPH procedures

richreilly@xxxxxxxxxxx wrote:
I am typing this from a hospital computer where my Dad is due to a
recurring MRSA UTI presumed to be from long-term catheterization(Since
March '05).
It has gotten to the point where his nursing home is suggesting we
contact hospice because they feel that any time now his infection could
become unstoppable. They seem less interested in pursuing remedies and
prefer to "make him comfortable".
We are not ready for this and want to see if a procedure could rid him
of the catheter and thus the main cause of infection.
Surprisingly, he had not had a bladder function test until we asked for
one recently. He seems to have adequate bladder function. The current
Uro suggests TURP but tehre are concerns about morbidity. We are
learning of other options like Laser-TURP, TUNA, TUMT etc. We have
heard varying opinions on the efficacy of the less invasive techniques
like TUMT. Some have said new versions are working on folks with
retention even after lonfg-term catheterization. some have said that
some uros use TUMT because they make more money off the procedure. But
then..this is from a Uro that doesn't have the equipment to do TUMT.
so..it's hard to know when one is getting objective information.
As I peruse Pubmed, I see varying assesments on the various options.
And I don't see much in terms of how treatments differ regarding risk
of severe infection..of special interest in Dad's case.
If anyone has thoughts or experiences reagarding this, please post. I
can also be reached at richreilly at hotmail dot com.


Before TURP I strongly recommend PVP. I just went through it about 4 weeks ago and am very pleased with the results. PVP results in very little bleeding compared to what most experience with TURP.

How old is your father and what kind of overall physical condition.

I had TUMT a bit over a year ago. It is less invasive than TURP or PVP but has a success rate of only 50 to 80 percent. And it takes several weeks for it to produce any results.

Since both TURP and PVP use a general anesthesia they can be more dangerous.

The wonder of PVP is almost immediate results. It must be done in a hospital equipped for it.

If you check the Laserscope site you can find a list of doctors that perform the procedure. I think that other doctors may also use it but are not on their list. What is your location. Perhaps someone here can recommend a good PVP Urologist.

http://www.laserscope.com/surgical/consumers/index.html
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