Green light PVP vs HoLEP

Posted by raylo32 @raylo32, Jan 28 8:31am

So, 71 YO and I have had BPH LUTS for at least 2 decades, and have been on Alfuzosin for maybe 15 years. It seems to be gradually getting worse but I am getting along and have "adapted" but, still, having to get up between 3 and 6 times a night on average is not fun.

Went back to Uro for a look and the details are 55cc prostate with prominent median lobe. And my bladder is showing the deleterious effects of the struggles, but not yet at the worst case. I'd like to stop that process and get more of my sleep back if possible, hence I once again considering surgery.

My doc does the UroLift and said I was a candidate, but I am not really interested in that for various reasons. He also does green light PVP on an outpatient basis in the same building and he recommends that for me.

I have been reading up on HoLEP and watching the videos it looks like a good process with perhaps less bleeding and no charred tissue like from PVP that may take a little more time to heal. It also seems to me that the way the HoLEP controls bleeding gives the surgeon a much better view of the anatomy and progress, whereas PVP bleeds a good bit and can obscure the view.

In any case, my doc doesn't do HoLEP and the only provider near me is Johns Hopkins about 50 miles away. I am considering going over there for a second opinion consult regarding this choice.

Has anyone here faced this choice and how did it work out for you?

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@elcorbs

Are you saying you don’t have incontinence? What I have read is that everyone has it for a while but most overcome it pretty quickly. I seem to be one that will be 6 months to a year to overcome my incontinence. As far as bleeding I never had any after the first couple of days. I walk 6 to 7 days a week and has never caused any issues or blood. Good luck with your healing and pray all goes well.

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No, none. Or painful spasms.
I feel deeply guilty about the fact I(apparently) have been dodging bullets of symptoms almost all men suffer , since I woke up from the surgery. Again, my doctor was impeccable fellowship trained, and is considered one of the most gentle hands in the medical profession Maybe my age helped as per my Dr. (51) , and I stopped drinking (4 years ago)and cigarettes( mid ‘24). I drank a lot of Gatorade for electrolytes prior to the surgery and after. I was given antibiotics during surgery, but not after and I have so far remained infection free

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@lovethealoha

No, none. Or painful spasms.
I feel deeply guilty about the fact I(apparently) have been dodging bullets of symptoms almost all men suffer , since I woke up from the surgery. Again, my doctor was impeccable fellowship trained, and is considered one of the most gentle hands in the medical profession Maybe my age helped as per my Dr. (51) , and I stopped drinking (4 years ago)and cigarettes( mid ‘24). I drank a lot of Gatorade for electrolytes prior to the surgery and after. I was given antibiotics during surgery, but not after and I have so far remained infection free

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*sugar free Gatorade. Yes yuck

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@elcorbs

Thanks for the positive thoughts. Staying as positive as I can under the current situation. Hopefully my doctor can help me with something else next month.

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He will. You are definitely being tested. I support your strength and resilience.

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