Paul-Palm Coast FL

Kissimmee, FL

#243 Jun 29, 2009
Joe Manster wrote:
I'm from Orlando, FL and thinking about it. I came across a Dr. Wen Lin in St. Augustine that seems to be extremely qualified and has done over 400 of these with the laser through the end of '06, so he's done even more by now. His web site says the new HPS laser could potentially perforate the bladder so experience is important.
I saw a You Tube video about this and it's more involved than just blasting away the tissue. It definitely looked like this was something that required required more than just run of the mill skill. I definitely would not want someone who wasn't doing these with some experience and frequency of doing this performing this procedure on me.
Hi Joe, I was wondering if you had your Greenlight Laser performed by Dr. Lin in St. Augustine. I am considering using him for my procedure, please let me know how everything worked out, thanks.
Hank in Northern Cal

Santa Clara, CA

#244 Jul 6, 2009
I am (was) scheduled for a Greenlight PVP surgery in a few weeks, but, after reading all the info here and elsewhere, I am chickening out and will postpone it until I am more desperate.

I have been taking Flowmax and Proscar for several years but not have much effect hence the scheduled surgery. My doctor (in Kaiser) has recently added Ditropan, which seems to be improving my situation drastically although it gives me other side effects. If Ditropan continue to improve my situation (frequency and urgency) I will cancel the surgery.

I did not see anyone mention taking Ditropan and I wonder why didn't my doctor prescribe it to me earlier if it works so well (other than the side effects). Can anyone here offer any comments on Ditropan?
Wayne

Dallas, TX

#245 Jul 8, 2009
I had the laser procedure in November 2007 because an enlarged prostate was causing urinary blockage at night.
The procedure yielded good results except I now have to get up four to six times at night to urinate.
During a cystourethroscopy procedure today the doctor discovered scar tissue that has reduced the size of the opening of the bladder to half of what it should be. He said it was his second case today.
So I am going for surgery to, in his words, "nick the scar tissue" and enlarge the opening.
balls

Elmont, NY

#246 Jul 11, 2009
had laser 2 years ago, idiot doctor never checked for cancer, since then had prostate surgery, radiation and hormone therapy, first doctor was idiot. get biopsy before laser
KenJr

Albuquerque, NM

#247 Jul 13, 2009
Had green light laser surgery in December of '07. Four months later I had to have scar tissue cut because urine flow dropped to near zero resulting in my having to self catheterize.

Now it appears the scar tissue is again becoming a problem so I'm self catheterizing each night before bedtime - otherwise I'm holding 450 to 550 ml in my bladder all the time. Beginning the night with an empty bladder results in a full night's sleep. The urologist is going to 'scope' me in a few days and I'm pretty sure the he'll recommend going in for more scar tissue cutting. My concern is, it would seem that the more often the urologist cuts the scar tissue, the more scar tissue will be formed.

I'm thinking that I'd rather self catheterize each night and have the rate of scar tissue growth decrease with time rather than continue to have further cutting resulting in even more scar tissue growth.

My question is, does scar tissue slow down in growth over time or does it continue to form at a constant rate?

P.S. Prior to surgery, with Flomax, I experienced retrograde ejaculation. Didn't like it. But since surgery it's still an issue. It's really not so bad once you get used to it. Still get the same sensations. The only real concern would materialize if I wanted to have more children.
Daughter of patient

Calgary, Canada

#248 Jul 15, 2009
My da had to wait 3 months for surgery, they catheterized him for that whole period. The surgery was done a month ago and did not work. The Dr rambles on that it is because he has diabetes( he is controlled and does not take insulin) and he is old so his bladder does not work. Funny thing is I have looked in every medical journal can cannot find any documenting proof.........sounds like a cover up to me. He has told dad that he will have a catheter for the rest of his life. I read having a catheter can cause bladder cancer.... some choice
Jim

Holland, OH

#249 Jul 17, 2009
Well, all of these posts have scared the daylights out of me. Two questions:
can anybody comment on Dr. Mark Wainstein in Toledo Ohio?

Also, this may be "too much information" But there seems to be a correlation between being constipated and how many times I get up a night---seems that maybe the stool pushes on the prostate and compounds the restriction.
Thanks in advance for any input
Blue Ray

Cleburne, TX

#250 Jul 21, 2009
Thank god I found this forum. I was all set to have the Greenlight procedure. My dog had me in a mindset that it was a little more than having a cavity filled. Fortunately I found this and read it voraciously. I have cancelled the surgery and am in the process of finding another urologist who can -- shall we say -- communicate better (or perhaps tell the WHOLE story.) Thanks forum!
Hank in Northern Cal

Santa Clara, CA

#251 Jul 27, 2009
Just an update.

Since my doctor prescribed Ditropan, my situation has drastically improved. I recently changed to Ditropan patch (also called Oxytrol)and the side effects are no longer a bother. For the past few weeks I have been going to the bathroom only once a night and a few nights I didn't have to go at all. The day time bathroom runs are about 2 to 4 or 5 hours in between. I have since cancelled all pre-surgery arrangements except for the surgery date as advised by the doctor just to make sure if Ditropan continues to be satisfactory. For information, everyday I take 2 Flowmax, 1 Finasteride, and wear the Ditropan/Oxytrol patch. Yes, thank goodness I found this site.
Don Skaggs

Garland, TX

#252 Jul 29, 2009
I had the green light laser surgery 7-20-09 for BPH by Dr. Pickens in Garland,Tx and so far it has been wonderful. For the first few days some bleeding but nothing bad. I would give you all the sordid details but there are none. No pain and peeing, if not like a race horse, like a pony. I had a TURP in 2006 and it did no good. I guess it all depends on the skill of the doctor and the success of the surgery.
Bill Scudder

United States

#253 Jul 31, 2009
I live in Dayton, Ohio and am scheduled for Greenlight surgary August tenth. I just called to talk to the doctor about his sucess ratio and he just left for vacation and won't be back until untill the day of the surgary. The doctors name is Scott Russell
After reading these comments, now im scared to death and don't know what to do. Any suggestions?
Thanks Bill Scudder-- Azusa755@sbcglobal.net
Bill Scudder

United States

#254 Jul 31, 2009
PS> I have to wear a cathator because I am totaly blocked.
Blue Ray

Mansfield, TX

#255 Aug 2, 2009
Don Skaggs wrote:
I had the green light laser surgery 7-20-09 for BPH by Dr. Pickens in Garland,Tx and so far it has been wonderful. For the first few days some bleeding but nothing bad. I would give you all the sordid details but there are none. No pain and peeing, if not like a race horse, like a pony. I had a TURP in 2006 and it did no good. I guess it all depends on the skill of the doctor and the success of the surgery.
Do you mind letting me know what hospital he used?
thanks
Blue Ray

Mansfield, TX

#256 Aug 2, 2009
Hank in Northern Cal wrote:
Just an update.
Since my doctor prescribed Ditropan, my situation has drastically improved. I recently changed to Ditropan patch (also called Oxytrol)and the side effects are no longer a bother. For the past few weeks I have been going to the bathroom only once a night and a few nights I didn't have to go at all. The day time bathroom runs are about 2 to 4 or 5 hours in between. I have since cancelled all pre-surgery arrangements except for the surgery date as advised by the doctor just to make sure if Ditropan continues to be satisfactory. For information, everyday I take 2 Flowmax, 1 Finasteride, and wear the Ditropan/Oxytrol patch. Yes, thank goodness I found this site.
Do you have side effects from Flomax? It caused me to have blurred vision. I am now taking Avodart (supposed to shrink the prostate) along with Saw Palmetto. I still get up two times during the night but it is better than the bad stuff I have read about the surgery. Also, I am looking for a new urologist.
Bill Scudder

United States

#257 Aug 2, 2009
How would I go about finding out the best and most experienced Greenlight laser Surgeon in my area? Thanks
Dayton, Ohio
Dave

Lutherville Timonium, MD

#258 Aug 2, 2009
Dear Friends,

I had the Greenlight Laser Surgery on April 24th, 2009. Very recently, things seem to have finally returned to what I once remembered as "normal".

Urgency is no longer a problem. Frequency is also no longer a problem. Night bed wetting is no loner a problem. Before the surgery (even with meds) urination was required almost every 30 to 45 minutes. At this time (Aug 2) urination is usually required every 2-3 hours (much better).

Before the surgery, I had been taking Uroxatrol, Bethanecol & Avodart. Of course, I stopped taking Avodart right after the surgery. My doctor advised me to continue with the remaining two meds. As of June 30th, I stopped taking all related meds.

It seems to have taken about 4 months for me to nearly recover. If I had been told this, rather than being told that I would see an immediate recovery, I would not have been angry. In my opinion, this is good and worthwhile surgery.

Unfortunately, this surgery is linked to some very dishonest marketing hype that bills this surgery as a quick and immediate fix. It apparently takes some time to recover.

Thank You...
Don Skaggs

Garland, TX

#259 Aug 3, 2009
Rick wrote:
my only problem is: I am considering having surgery. Has amyone had good results?
Rick, I had the Green Light Laser for BPH and it went wonderfully well. I left the hospital after about 4 hours with a catherer that I removed myself the next day. No pain and I am well pleased with the outcome. I can pee like I have not been able to do in years. Good luck.
Bill Scudder

United States

#260 Aug 3, 2009
Go to this sight www.greenlighthps.com and click on Physician and then "finder" and put in your zip code.

I talked to the American doctors association in Minnisota and they said this sight gives the doctors in your area that has the most experience in Greenlight laser surgery. Good luck
Dick B

Oconomowoc, WI

#261 Aug 4, 2009
I'm living in the Milwaukee area and seeing that you had your procedure done about 5 months ago here in Milwaukee, I was wondering how you feel about the procedure now. Also, I would like to know the name of the Urologist that performed the Green Light procedure as I am looking into it for myself at this time.
John Jones wrote:
I had green light laser Thursday, 3/19/09. No results so far but absolutely no problems either. No pain, only minor burning during urination, very little bleeding. I haven't even taken an aspirin. My procedure was done in the hospital under general anesthesia. My doctor has done hundreds of these. He said he has a complication rate of about 1%. I do not think I would do this in the doctors office though. Nocturia has not decreased as of yet but the doctor told me not to expect immediate results. Urgency and frequency would continue for a while. All in all, if the results come in a couple of weeks, I will be willing to give this procedure a two thumbs up.
Jerry

Fredericksburg, VA

#262 Aug 6, 2009
I had the green light laser procedure done on May 19, 2009. For the first 10 days everything was fine, normal recovery. Then I developed a pulmonary embolism (blood clot in the lungs). This should have been predictable, as I have a clotting tendency in my blood chemistry. However, this tendency was not discovered until after the green light procedure.
Recommendation: go to a hemotologist before any surgery, including green light, and have your blood checked for clotting factor.
In my case the blood thinner (Coumadin)probably retarded my recovery from the green light surgery, as I am how about ten weeks post procedure and my urgency/frequency is somewhat worse than before the procedure (but sexual function is normal). My surgeon was highly recommended. He says it could take up to nine months for the surgery site to heal completely.
I agree that other options should be seriously considered; and the "out-patient" nature of the surgery should not lull anyone into thinking that this is a low-risk procedure.

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