Re: Kidney stone post PVP and two good doctors with differing opinions

I totally agree Derek, and was going to say that but didn't want to get into
a big rebuttal discussion, since you all know I don't like doctors (this is
just another reason). I believe the son of bitch should have finished the
job and delayed the following procedures (but still did them). Hell, I have
EGD's all the time (much simpler of course), but I have been delayed 2 hours
before, for various reasons. We don't know what the uro's problem might
have been with support staff, etc, but I believe he could have slipped the
next two people by a half hour (or even more), without the sky falling in.
I'll get off my soap box now. You are absolutely right, it was
dreadful...Pete

Derek F wrote:
I think that it is dreadful that a surgeon would stop an operation as
he was pushed for time. We have had plumbers stop and go off to
another job but I would never expect a doctor to do that. You are
unfortunate to have such a sensitive prostate. I tend to bleed for
days after a tooth extraction but the UK hospital where I had my PVP
tells patients on blood thinning drugs that they can continue taking
them. Derek.
"ddebar" <debar@xxxxxxxxxxx> wrote in message
news:l-SdnTu3yOdKTQLZnZ2dnUVZ_qGdnZ2d@xxxxxxxxxxxxxx
Derek,

From what multiple uros have told me, the amount of bleeding is a
function not only of the type of surgery, but also the condition of
the prostate. I was told that mine was huge and very well
"vasculated" <sp>. One guy who started to do a PVP on me stopped
during the procedure and told me that my prostate resembles a heart
that would bleed every time you touched it. He informed me that my
operation was taking too much time and that he had two other
patients scheduled for the same day. If he continued to operate on
me he would not have time for the other two. He suggested that I
have an open prostectomy, where they would cut me open from my navel
to my pelvis, reach in and "peel the prostate like an orange", sew
it back together and send me home with a tap on my tummy to pee out
of. Later I would come back and be put back together. Even under
the influence of the happy drugs they had me on, that did not seem
like a good idea! I told them to just let me out of here. I then
contacted Dr. Lin who after a long conversation and examining X-rays
that he had me send him, told me he could do the PVP and did. I
watched part of both procedures on the color TV monitor as they
operated on me. I could see how the field of view became obscured
with blood after it was hit with the LASER. I watched as the doctor
tried time and time again to seal of the bleeding places using the
LASER, only to have the bleeding start up again at a different place
when they blasted the tissue away. After while I could only see a
red screen and then went to sleep. When I awoke Dr. Lin was telling
me that the operation was over, but I bleed a lot and he had to do
it by "feel". I think Laserscope over-touts how bloodless a PVP is. If
you have a
very large prostate, it's going to bleed.

I don't understand why other uros believe that it's better to do it
with a TURP. I would think that there would be just as much
bleeding with another procedure. I get the feeling that a TURP is
more automated and the surgeon does not need to see. That's just a
guess on my part. My operation did not look the one Laserscope has on
their web site,
where the tissue is vaporized and there is no bleeding. During my
procedure I could see how the doctor was using the laser like a jack
hammer to cut into and under big chunks of tissue to break them
free. I could see how this caused bleeding and how the doctor would
need to slow down and wash the blood away to see were it was coming
from, then use the LASER to seal off the bleeding. This is not a
thing for the squeamish to watch. I'm glad I finally went to sleep.

Dave


"Derek F" <lordpilrig@xxxxxxxxxxxxxxxxx> wrote in message
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"Dad's kid" <richreilly@xxxxxxxxxxx> wrote in message
news:1151286112.632207.48170@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
I thought that PVP was less prone to bleeding. And in terms of
operating blind, wouldn't a TURP have been the same thing?

I cannot understand this 'not being able to see for blood' as the
laser is supposed to seal the blood vessels. I had quite a bloodless
aftermath.to my PVP.
You should get Laserscope to send you a copy of their CD with two
procedures on it or go to Dr Sanchas blog that has shorter versions
of the procedure.
Derek.


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