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



jay1000 wrote:
"Lawrence Bookbinder" <lawrence@xxxxxxxxxxxxxxxxxxxxx> wrote in message news:1151262577.215492.325090@xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
ddebar wrote:
He was shocked how ragged mine
was and how I still bleed so much. I told him that this may be true but
that I'm happy with the results because I can pee well and sleep thru the
night. He told me that TURP would leave me with much smoother walls. I
told him that a TURP would practically guarantee that I would have had
retrograde ejaculation and because I had a PVP I function normally. He
agreed that was true, but it was because the neck of the prostate was not
removed and a lot of the gland was still within me.
Dave
--------------------
Dave, please confirm the following for me:
1. Did Dr. Sehn say that you had no post-PVP sexual complications
"because the neck of the prostate was not removed and a lot of the
gland was still within me."
2. I did not know the prostate has a neck or when you wrote "neck of
the prostate," did you mean to write "neck of the bladder?"

Lawrence J. Bookbinder (have PCa & BPH)
http://www.ljblgb.com (my BPH story)


If you look at the videos posted on the Laserscope web site it does look like there is a very rough and uneven urethral canal post PVP. It also is consistent with spot vaporization which really cannot evenly vaporize the entire surface area of the urethra. It's what you would expect the landscape to look like after a highly concentrated artillery barrage. I would also expect that a knife (TURP) would leave a smoother surface than a spot vaporizer.

Question is does it matter? Need an expert who is familiar with both procedures to comment.

Jay



I am not certain just where I saw it. Laserscope? There was a final view after several weeks and the urethra was fully recovered and smooth again.

Bottom line is that it doesn't matter. The tissue recovers.
.



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