TUR-P done by Green Laser.

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Bjorn
New Member


Date Joined Jan 2010
Total Posts : 15
   Posted 2/25/2011 2:54 PM (GMT -6)   
Due to 100 % urinary retention I had to use Foley Catheter for 19 months.
I was offered TUR-P and opted for having this operation done
by Green Laser.
I understand this is not the preferred methode,  having PCA T3 N1 M0 psa
116, but nevertheless insisted  on this.
A month before operation I tried Estracyt (same as Emcyt) psa down from
116 to 6.7 in 34 days.
Operation lasted for 65  minutes.
After day 2 all urinary functions completely restored - no pain whatsoever.
Small amount of blood on day 8, very minor though.
Now, 5 weeks past operation all is fine.  
Just wanted to report this if anybody out there consider Laser for TUR-P.
 
Bjorn

Age 78 location Norway T3 N1 M0
psa 140 8/2007 psa 150 9/2008 psa 150 6/2009
zoladex inj.6/2009 10/2009 2/2010 psa below 5 at nadir 12/2009
then rising again to 100 7/2010 116 11/2010.Estracyt 4 weeks psa
down to 6.7. Now on Estradiol patches Alcis 100.
Due to urinary retention permanently wearing Foley catheter 19 months.
Had TUR-P done by Green Laser 1/2011 - bladder function now 100%

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/25/2011 6:05 PM (GMT -6)   
Are you staying on with Emcyt, do you know all about Dr. Fred Lee's PCa personal journey and using emcyt??? You might be very interested if you never heard it! Estradiol patches work very similarly and I see you are on them, likely you have little to no side effects from the patches?
You could elaborate on how that is going, would be a good thing for others.

Thanks
Dx-2002 total urinary blockage, bPsa 46.6 12/12 biopsies all loaded 75-95% vol.; Gleasons scores 7,8,9's (2-sets), ct and bone scans looked clear- ADT3 5 months prior to radiations neutron/photon 2-machines, cont'd. ADT3, quit after 2 yrs. switched to DES 1-mg, off 1+ yr., controlled well, resumed, used intermittently, resumed again and still working

Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 2/25/2011 6:47 PM (GMT -6)   
Welcome Bjorn, I have never heard of your treatment method. Would love to learn more about it, and how you are doing with it.

Please keep us posted.

David
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

mr bill
Veteran Member


Date Joined Sep 2010
Total Posts : 688
   Posted 2/25/2011 7:19 PM (GMT -6)   
had a procedure very similar in 2007.  I had  urine retention, and they believed it was due to BPH.  They had done several negative biopsies prior to this.  The urologist in my home town wanted a partial prostatectomy, a TURP, would not work.  He said I would be laid up 6 to 8 weeks, and immediately set me up for pre-op.  All this time I had waited two weeks with a cath. to get in to see him.  He really did not care.  Played my trump card and off to the Cleveland Clinic.  The Urologist in my home town really got upset with that. Told me that if I go to Cleveland do not come back to him. So I haven’t. 
To make a long story short the Urologist in Cleveland taught me how to self-cath, ran me through a day’s worth of tests, checked out my previous biopsies, and within three weeks had me scheduled for a photo-selective vaporization.  Which is essentially the same as laser (as explained to me).  It was a breeze and I was back on my feet in six hours.  Seems they do not do this in Erie.  In essence they vaporized a portion of the Prostate to allow for the Bladder to empty.  Vaporization of the tissue does not allow for biopsy of any of the prostate during this procedure.  However, now, three years later, I found that the biopsies prior to the vaporization did not find my PC.  The urologist at the Clinic eventually did find it. The vaporization was not a problem, and if I was only dealing with BPH now I would have it done again if necessary.
 
 
http://my.clevelandclinic.org/disorders/benign_prostatic_enlargement_bph/Pages/urology_treatment.aspx

Bjorn
New Member


Date Joined Jan 2010
Total Posts : 15
   Posted 2/26/2011 6:09 AM (GMT -6)   
Zufus, and David, good to hear from you two veterans here..,
 
Zoladex (Lupron) failed on me ,after 6 months  rising psa levels again,despite two
additional Zoladex injections.
Due to my age - past  75 at first psa test  -RP was not an option whatsoever.
Doc at hospital then offered me bilateral orchiectomy, and to continue with Eligard injections.
For various reasons I refused these options, but agreed on TUR-P to get rid of Foley Catheter.
During following 7 months I tried Prostasol and ProstaNat,but psa continue to rise to 116.
Then reading from,among others, these sources:
Dr.Fred Lee, J.Urol et al may 2003,PATCH study dr.Ruth Langley et al Imperial College London,
Ph.D.Richard Wassersug Prostate Conference 2007 Toronto, Dr.Premoli Argentina,
Dr.Robert Leibowitz California, I decided to try Estrogen.
This is not approved in my country, but got hold of a bottle of Estracyt 100 tabl. (Estramustine -
brand name in US Emcyt). This is a mix of Estrogen and Chemo.
67 tablets  in 32 days -psa down from 116 to 6.7.
Now it is uncertain wether Estrogen or Chemo are responsible for this ,or a combination of
both.
I have not taken any Aspirin or such, beeing in good overall condition, blood pressure 120/63,
vegetarian,weight same as 20 years old minus 10 kg, daily outdoor  exercises.
But had to stop taking Estracyt due to blood platelets count reduced from 160 before
Estracyt  to 120 after.
So - continue with Estradiol patches (Alcis100), one patch twice a week.
PATCH Study recommended two patches twice a week for maintaining nadir level.
 Blood test next week will tell me  wether I'm on the right track,or not!
I will also apply to Health dep. to get permission to use Estradiol patches, so as to
be able to take regular blood tests at my local doc's office.
 
Thanks
 
Bjorn

Bjorn
New Member


Date Joined Jan 2010
Total Posts : 15
   Posted 2/26/2011 6:17 AM (GMT -6)   
Update on my last - sorry -
I was offered to continue with Eligard injections, or having ORCH done.

Bjorn
Age 78 location Norway T3 N1 M0
psa 140 8/2007 psa 150 9/2008 psa 150 6/2009
zoladex inj.6/2009 10/2009 2/2010 psa below 5 at nadir 12/2009
then rising again to 100 7/2010 116 11/2010.Estracyt 4 weeks psa
down to 6.7. Now on Estradiol patches Alcis 100.
Due to urinary retention permanently wearing Foley catheter 19 months.
Had TUR-P done by Green Laser 1/2011 - bladder function now 100%

zufus
Veteran Member


Date Joined Dec 2008
Total Posts : 3149
   Posted 2/26/2011 6:33 AM (GMT -6)   
See how well the patch works for you, it may work nicely and it should help cancell side effects of Lupron, and Eligard is just another type of LHRH. Dr. Fred Lee (the ultra sonographer expert and inventor of cyro-therapy) is still living at age 80, treated for PCa 27 yrs., ago, found uncured 25 yrs. ago, his only drug therapy used was emcyt (fyi), in case you wondered.

David- I am surprised that if you read PCa books, read stuff at www.yananow.net , that you don't know about TURP (trans-urethral-resection-of-prostate) and other methods for treatments: TUNA, TUIP, TUMT, Indigo laser, Water-induced thermal therapy. Well atleast know of a few of them. Also info found at www.marinurology.com  (posted this many times)

Hope you do well going forward, side effects would be a concern even more so at your age. Other drug protocols to look into: www.hrpca.org   (I know a guy using Leukine still working and into year 4, he failed on Lupron 5 year+ ago.) Best to you.
 
Also you might search the on-line version of Newsletters at www.paactusa.org   (all about advanced PCa patients) Glad to see you are engaged in fighting and sharing information on PCa.

Post Edited (zufus) : 2/26/2011 5:37:58 AM (GMT-7)

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