GreenLight Laser Surgery Complications
Bill Scudder Ohio

Wimberley, TX

#368 Dec 13, 2009
Retrograde ejaculation is the term given when sperm, at the time of ejaculation, goes backward (or retrograde ) into the bladder , rather than forward down the urethra, as usual. Retrograde ejaculations has nothing to do with the ability to get an erection or to have an orgasm. After a conventional TURP, the bladder neck could be considered damaged (electrocuted). It is in the fixed open position, static, and no longer opens and closes as it once did.(Remember in the opening of this section we described the prostate's function as being that of a switching station in a train yard? The prostate decides which "train" (sperm or urine) will come down the "track"( urethra). Well, after a TURP, this dynamic, active ability of the bladder neck is lost and the bladder neck is set to permanently direct only the urine down the urethra. As a result, the sperm, during an ejaculation, chooses going backwards (the path of least resistance) rather than forwards.

On the other hand, retrograde ejaculation, after a PVP , seems to have a different mechanism, and thus a different incidence, and course. The PVP is laser light which penetrates only 3mm and isnt conducted, so the incidence of scar tissue after PVP is extremely low.The bladder neck is unscarred and seems to retain its dynamic abilities post-op. The retrograde ejaculation that does occur post PVP seems instead to be due to the prostate's now being perfectly hollowed out. The hollowed out space within the prostate seems to dampen the velocity of the sperm coming into it from the sperm sacs. Sperm simply hits the open space, losing its forward momentum, and just sits there, rather than being forced forward or backward.(Normally, the mass or bulk of the prostate "herds" the sperm forward.) Some men's cavities seem to shrink quickly post-op, so they don't lose their forward ejaculation, while others, after PVP, have their cavity shrink over the next year, resulting in the 10 % return of forward ejaculation noted over time. This percentage may improve with longer follow-up. No matter what the mechanism, the risk of ejaculatory disturbance after PVP is much less than seen with TURP.

I am firmly convinced PVP is a major advancement in the surgical treatment of the enlarged prostate.

Peter J. Muench, M.D.

Address: H-50 Omega Dr. Newark, DE, 19713
Bill Scudder Ohio

United States

#369 Dec 13, 2009
Somehow I found a site that had a phone number of a doctors association in Minneapolis for info on Green light surgery. They gave me a website to go to that I could look for a surgeon in my area and these Physicians are listed based on their knowledge, training, and skill in treating these conditions, Sarmina was listed first so I went with that.

go to http://www.greenlighthps.com/consumers/fad/... (direct)|utmccn=(direct)|utmcm d=(none)&__utmv=-&__ut mk=41093538

Type in your zip code and it will locate your local surgeon. Physicians are listed based on their knowledge, training, and skill in treating these conditions,
bob

Oradell, NJ

#370 Dec 14, 2009
john wrote:
i had green light surgery sixty days ago.i have a lot of burning when i urinate.i have a urgency to urinate very often,cannot get much sleep because of constantly getting up at night. Although my bladder is emptying when I go. I would like to know if anyone else has had these experiences .
I would like to know what the S.T. MD Clinic in Miami and how to get in touch.j.b.k.
It sounds like you have an infection an need an antibiotic to clear it.
Bill Scudder Ohio

United States

#371 Dec 14, 2009
I had burning for three weeks because of having the catheter irritating my uretha for so long.
lawrence davis

Devon, Canada

#372 Dec 26, 2009
bernie wrote:
I had greenlight surgery on 11-30-07. The results were a complete disappointment. i am back to
square 1..The act of urination was an experience
in dread because of the pain that raised me on tip toe. i had two infections and months later
i was passing long black strings of dead tissue
and had to resort to self cathertizations.
I wet my pants often and did not fully empty my
bladder and was up 3-5 times per night.
now when i urinate, rather than one concentrated
stream it comes out like multi spouted garden
water can. my dr wants to examine me with a
cytoscope - scarring he says. I have resorted to flomax again, without which i can not funtion.
----------
I am 72 rs. old...had the greenlight surgery here in Calgary on October 6, 2009. Still having pain on urination, and constant feeling of pressure on the bladder. Frequency of urination is INCREASING, and four days ago I too expelled a long, black string of dead tissue. A day later, another black string. Since then, clear gelatenous strings and now smaller drops of clear, white jelley-like stuff. I hope this means it is now clearing up, but the mild pressure on the bladder and frequent urination continues. Am VERY SORRY I went through this painful operation...should have just stayed on Flomax. Has anyone else experienced the black string phenomenon??
Glen

Cordova, TN

#373 Dec 27, 2009
I had the procedure performed on me Nov 10, 2009. I was given an antibiotic and some pain medication, which made me sick to my stomach. I stopped the pain medication, as I had no severe pain. I am 70 years old and I have not yet reached the point of no urgency, but the burning has stopped. I have a good stream and empty quickly, but there is only about a cup of urine when I go. I get up only one a night. I had my procedure performed in Memphis, TN in the Conrad/Jamerison clinic. If I can get the urgency under control, I will be satisfied.
Ed Hagman

United States

#374 Dec 27, 2009
I'm an RN and had the surgery in July. After a few weeks I was elated to be able to pee over a fence and not on the fence. The only signifcant problem was retrograde ejaculation for which I wasn't prepared. Subsequently, all the previous symptomns that had compelled me to agree to the procedure have returned and are worse. Additionally I have dysuria, as a new friend. I'm very disappointed and dread confronting my urologist. My frustration and sometimes anger is reinforced 20-30 times a day as I pee on the fence once again.
Bill Scudder Ohio

Dayton, OH

#375 Dec 27, 2009
Im so sorry about all the problems that you guys are having after greenlight surgery. I don't understand it. And I don't understand why doctors don't give any explanation. why it worked for me I don't know?

I am 76 and had the surgery done Oct. 12, 2009 after going into retention and after three or four weeks I was back back to normal and so far so good.
lawrence davis

Devon, Canada

#376 Dec 27, 2009
Glen wrote:
I had the procedure performed on me Nov 10, 2009. I was given an antibiotic and some pain medication, which made me sick to my stomach. I stopped the pain medication, as I had no severe pain. I am 70 years old and I have not yet reached the point of no urgency, but the burning has stopped. I have a good stream and empty quickly, but there is only about a cup of urine when I go. I get up only one a night. I had my procedure performed in Memphis, TN in the Conrad/Jamerison clinic. If I can get the urgency under control, I will be satisfied.
----------
The "burning" on urination is in my case now quite mild and I have a good strong flow BUT, like you, I often produce a cup or less, even though the feeling of urgency tells me I'm going to fill a bathtub. Absolutely maddening!
poppy

Prestonsburg, KY

#377 Dec 27, 2009
I had the surgery, it helped me empty out better. But left me with retro ejaculation and nerve damage. When I had sex the first time after surgery I went back to the doctor madd as heck I thought I had been castrated. I have to take trimix to have sex now. I wouldnt have had the surgery for anything had I been told the side effects. My doctor led me to beleive i would be a new man. Its all about money.

My recomendation is take pills or something else.
Bill Scudder Ohio

United States

#378 Dec 28, 2009
Sorry Poppy. My surgeon said I would have no nerve damage and I did't although I had retrograde ejaculation which I knew going in. Retro ejaculation is kinda strange but that is all it is for me. Every thing else is the same if you know what I mean. Everyone will have that but only matters if you want more kids.

The more I read this board and research it seems to me that barring any other physical problems that the surgeon is the most important thing to consider before having this done. And that could be hard to judge.
Bill Scudder Ohio

Dayton, OH

#379 Dec 29, 2009
Here is an interesting article by a very experienced surgeon that does Greenlight Laser-PVP.

http://www.delawareurologic.com/bph/

I think the success of this prostate surgery depends mostly on the ability of the surgeon, in my opinion.
Glen

Cordova, TN

#380 Dec 29, 2009
I am just wondering how many of you that had the procedure and experienced negative results, did your surgeon give you an antibiotic before and after the procedure along with medication following the procedure to prevent pain and infection. I had all of those and I am beginning to feel near normal six week after the procedure. Good luck to all.
Rudy Puhalla

Sewickley, PA

#381 Dec 29, 2009
I have been taking oxybutynin to control my over active bladder after my green light surgery. It has helped for a while but now I am going back to being incontinent. One other thing the drug can really cause constipation to a severe degree. I have taken suppositories and stool softeners and am still having problems. I think I will have to use a catheter for my incontinence. My surgery has been a disaster and now I am so sorry and would never recommend it for anyone. The sad thing is that I was not incontinent before the surgery. Stay with flomax and forget greenlight surgery.
Glen

Cordova, TN

#382 Dec 30, 2009
Rudy Puhalla wrote:
I have been taking oxybutynin to control my over active bladder after my green light surgery. It has helped for a while but now I am going back to being incontinent. One other thing the drug can really cause constipation to a severe degree. I have taken suppositories and stool softeners and am still having problems. I think I will have to use a catheter for my incontinence. My surgery has been a disaster and now I am so sorry and would never recommend it for anyone. The sad thing is that I was not incontinent before the surgery. Stay with flomax and forget greenlight surgery.
I do not know if you have tried Vesicare and UTA (which my doctor calls a tidy bowl pill because it turn the urin blue. These two did wonder for me. I am not taking anything now. I still have a little urgency, but it is getting better. Sorry you are having so much trouble. Do not know how you feel about prayer, but I will keep you in mind. Good luck.

Since: Nov 09

Santa Ana, CA

#383 Dec 30, 2009
Has anyone had good results with Uroxatral vs flomax
Charles

United States

#384 Dec 30, 2009
Rudy Puhalla wrote:
I have been taking oxybutynin to control my over active bladder after my green light surgery. It has helped for a while but now I am going back to being incontinent. One other thing the drug can really cause constipation to a severe degree. I have taken suppositories and stool softeners and am still having problems. I think I will have to use a catheter for my incontinence. My surgery has been a disaster and now I am so sorry and would never recommend it for anyone. The sad thing is that I was not incontinent before the surgery. Stay with flomax and forget greenlight surgery.
Has your urine been checked for infection?
Bill Scudder Ohio

Springfield, OH

#385 Dec 30, 2009
For those with incontinence. Have you tried Kegel exercises?

http://www.kegel-exercises.com/
Alex

Washington, DC

#386 Jan 1, 2010
Paul wrote:
I had the surgery in the beginning of May and have had three urinary tract infections since than. I also really don't feel that much better than I did before the surgery. The doctor insists that I am better because I am emptying my bladder but even though I still seem to have constant urges. I met with the urologist today and he advised I may have adhesions and need a procedure again to remove the adhesions hase anyone had that done?
Dear people,
I have to tell you my happy end story that might help you if you choose it.
Because of my profession and some other reasons I developed professional illness- prostate adenoma. Up to that time I used to believe that American medicine is the best in the world. And probably it still is for the emergency care. But long term care is another story. I was surprised when I have discovered that doctors and pharmaceutical companies just doing their best feeding ill people with maintenance drugs. They don't know and they don't want to know how to make you healthy because it's not profitable for them. It's more beneficial for them to have a patient for life, and that is exactly what they are aimed to. So, my urologists were feeding me with maintenance drugs to help me to sleep better, but my prostate was continuing to grow. Finally, they convinced me that I need a surgery. I checked in to Grossmont Sharp hospital in San Diego, Ca area. After long preparations when they put me on operating table- the greenlight laser broke and the surgery didn't happen.(The hospital gave me back only half of the money I paid for their lousy service, and small claims court didn't help me).
I understood right away that it was a sign from God that I should break away from the traditional Western Medicine doctors and find natural treatment. And I was right- because as I have found the Earth has everything we need to get well. I quit my business, and I went to Europe. I've found what I was looking for- Russian alternative medicine doctor who had the medicine I was looking for. It took awhile, but now my prostate is decreased in size and become close to normal, and all other things associated with it went to normal. I'm not saying that alternative doctors overseas are better than American doctors. It's sad thing to say that American Alternative Medicine doctors just don't have a legal right to use, for example, natural medicine made out of poisonous roots and grass (like the one that got my prostate shrink. It also shrinks any inflammation, including cancerous). In the past, when I learned about this medicine, I wrote letters about it to all big pharmaceutical companies. None of them was interested. Because a)this medicine would be Not Patentable and b) nobody would need their maintenance drugs anymore.(continued)
Alex

Washington, DC

#387 Jan 1, 2010
(continued)That's why more of the anything American people need is overhaul of criminal laws and Food and Drug Administration's policies about alternative medicine practice. This measure would kill several birds with one stone:
a) It would create the real competition between traditional and alternative medicine. And Americans know better than anybody that only competition can lower prices, not the Government.
b) It would lower prices for a traditional chemical medicine made by Pharmaceutical companies- they would have to compete with powerful medicine made by non-traditional doctors. More of that- it would stop dangerous way they are working now- creating maintenance drugs that are slowly ruining patient's health.
c) Seeing that America has started to respect alternative medicine, talented Alternative medicine doctors from all over the world would start coming here, and more of them will be here- the better choices for patients and better for prices for medicine.
I'm sorry to say, but for now there is no other way to shrink your prostate or ANY inflammatory disease (Including cancer) without surgery other than go overseas to see Alternative medicine doctors who are 1) able to explain to you WHY you've got this illness, 2) giving you a strong natural medicine (which would be prohibited here in the US because pharmaceutical companies don't want it here) and 3)tell you what you need to change about yourself in order to get rid of the illness. And this matter relates to any illness. I'm saying it again- the Earth have the cure for ANY of our illnesses. It makes me uncomfortable to see how Western medicine doctors feeding patients with chemicals. But I can't help those people legally here in the United States. But what I can do legally- I can bring them to the one of oldest cities in Russia where the Alternative medicine doctor that have helped me will see you and will give you a natural medicine that will cure you. You will have a prescription which will protect your medicine from being withheld from you by Customs. In addition to that we are going to see attractions of the famous Russian city of Saint Petersburg, which they called "Venice of the North". The trip could be either individual or with the group. Will see you soon,
Alex
Washington, DC
alrockalex@gmail.com

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