GreenLight Laser Surgery Complications
NJRetiree

Lakewood, NJ

#901 Aug 9, 2012
Wonder if the pain could be caused by the thrush meds? I ate greek yogurt and took chewable acidopholos tabs for a few days after my last 14 day round of cipro, to replace the gut flora, and the burning went up dramatically, so I quit. Just got off my bp thiazide diuretic and burning is less than it was. Maybe a coincidence, maybe not. Spicy food (pizza, etc.) makes it burn more too. A real maze of conflicting info and symptoms. Two steps forward, one back for sure. Glad you are improving.

Bob
paul wrote:
Post week 7
flow is 20mil per sec. not too bad had a bit of pain come back, so got back on pannadol. Just a slight bit of burning. My thrush in my mouth has all but gone not sure about my gut. Got a few test to come back this is due to the antibiotics that seem to of kill off all my good bacteria , urgency is still there but not as bad I can hold it if I really need too. i Sleep all night so do not need to get up for a pee. I am feeling better. Can I just say about the thrush if you feel like your mouth is feeling a bit strange get in and see a doc. It is a pain to cure and it hurts, makes you feel like crap on top of all the other stuff going on.
NJRetiree

Lakewood, NJ

#902 Aug 9, 2012
Charles,

Did your doc use the greenlight for the cleanup?
Do you know how long it took?

I'd be grateful to know how your recovery is compared to the original procedure.

From what I have read, it seems most people go back for another procedure within 5 years. My big hope is that in a few years the options will be better/faster/easier than they are today.

My doc used the 180 watt xps greenlight which was the first one that could be used on a very large prostate in one session. He removed 70 grams in 70 minutes, by liquifying it.

If I have to go back in a few years, there is presently no other alternative that I would choose either.

Bob
Charles Kirkendall wrote:
I had the Green Light surgery in July of 2010. IO researched the surgical alternatives and this one, if promises proved true, was by far the less invasive and safest.
Avodart and Hytrim, were not working at this time, althought my blood pressure was excellent. My PSA was under 1.0. I was getting up on average, 4 times per night.
At the end of July, I started having trouble urinating, especially at night. I went in for the camera eheck on August 1st and scar tissue was obvious at the neck of my bladder to my urethea. Doctor said the healing from Greenlight was not good, that 8 1/2 oout of 10 patients have no problems with scar tissue. He said he would have to go in and clean it up. I did not scedule surgery at that time, but had to call him twice over the week-end with finally being added to his Monday surgery schedule. I had 101.3 degrees temp waiting for surgery, so they had to get fever down before surgery.
Finally, about 3;30PM, they wheeled me in for the urethea scar tissue clean out, a direct result of the Greenlight procedure.
Although I am not happy with having to go throught surgery two years later and wearing a cathether (which sucks to the max), I would still have the procedure, because the TURP and TUNA are far more dangerous.
Concerned guy

Lady Lake, FL

#903 Aug 10, 2012
How can you evaluate a doctor who may do PVC?
Jim Page

Paris, TX

#904 Aug 10, 2012
Now day 14 since operation. The need to pee all the time is a bit better in the morning but comes back in the afternoon. Saw the doctor for the first time since the operation yesterday. He told me all my symptoms are normal and that it could take eight weeks or longer for most of them to go away. I still have to get up at least three times a night and I thought that problem would go away, but it did not at least so far. I am still having a bit of delay at the beginning of the stream especially at night. Has anyone else had this problem? At this point, I can't make comment as to if I am satisfied with the surgery or not. I would like to talk to the person that resumed his normal activities in three days after surgery as the folks at Green Light claim!!
God Bless You All. Jim Page
NJRetiree

Lakewood, NJ

#905 Aug 10, 2012
After 7-1/2 week my frequency is no different than before the pvp. My urgency is much worse, but getting better very slowly. Times up at night is no better. But I leak a bit more at night afterwards.
Stream is very good when I have a large volume, in the early morning or later in the evening and all night. With a smaller volume in the afternoon and early evening I have a much weaker stream and sometimes a few seconds of hesitation with a very small volume. I produce most of my pee at night, usually 3/4 to 1-1/2 liters (I know because I use a one liter bedside urinal and often have to empty it during the night). It may have something to do with my kidneys working better when I am reclining. I seem to dry up during the day despite drinking a couple of liters or more a day.
With less volume I get a weaker stream. None of this matches up with the simple explanations given in the literature, at least not for me. Maybe it does for the guys who are back to normal in 3 days?
Jim Page wrote:
Now day 14 since operation. The need to pee all the time is a bit better in the morning but comes back in the afternoon. Saw the doctor for the first time since the operation yesterday. He told me all my symptoms are normal and that it could take eight weeks or longer for most of them to go away. I still have to get up at least three times a night and I thought that problem would go away, but it did not at least so far. I am still having a bit of delay at the beginning of the stream especially at night. Has anyone else had this problem? At this point, I can't make comment as to if I am satisfied with the surgery or not. I would like to talk to the person that resumed his normal activities in three days after surgery as the folks at Green Light claim!!
God Bless You All. Jim Page
NJRetiree

Lakewood, NJ

#906 Aug 10, 2012
I should add that what is working is that I am no longer experiencing retention. I was waking up twice a night in retention and the flomax stopped working. It's the only reason I had the procedure and had no choice other than a procedure or self catheterization. I haven't had it checked but the procedure also was supposed to reduce my pvr (post void residual) which was over 200ml. The higher pvr and retention was supposed to damage my bladder and kidneys. So no choice on both fronts. The frequency, urgency, and getting up at night are a bother but not as important, and are all things I have already adapted to.
PAUL

UK

#907 Aug 10, 2012
This time round it has taken me longer to feel better. By next wed I will be post week 8. I still get a bit of throbbing in on my prostate. The odd sharp pain on the inside of my left leg up in the groin area. Flow is ok. Still not as strong as my first few days. But I think the bladder was squizzing a lot harder then. They used a Holmium Laser on me so as to save tissue for the biopsy. I would not have green laser purely for the reason that all tissue is vaporized. Also I got all my test results back from my stall all good. All of thrush has gone in my mouth. I will post an update if I have any good or bad changes. I see my uro sep24 will post an update of that. As my GP said to me this is major surgery and it will take time to come good. I have stressed a lot with this opp so it can make everything worse.
NJRetiree

Lakewood, NJ

#908 Aug 19, 2012
At 8-1/2 weeks post GL I'm glad to report the burning is finally getting better.
About half the time there's no burning at all, and half the time burning is fairly mild. Went to my uro last week and he says he counts my case as a success. I tentatively do as well. Next visit is in 6 months. I'll probably request a PSA test at that time. Last night I only got up once, although 3 to 4 times a night is more the norm. I think it depends a lot on what I have eaten and drunk that day. Still, it's another positive sign. Am able to go an hour or more without needing a bathroom, and I can hold on for the few minutes it may take to get to a bathroom which is another positive sign. Have to say the procedure seems to be coming out well, but the recovery time on the brochures ought to say anywhere from 2-3 days for some, 2-3 months for most.
Jim Page

Paris, TX

#909 Aug 21, 2012
Just finished three weeks since surgery and I am glad to report that most if not all of the symptoms of the surgery are now gone. My life is now back to normal after 21 days and I am so glad i chose to have the green light surgery. I now feel like I did when I was in my 30's. It was the best health decision I have ever made and I hope all of you in time have a similar experience. This will be my last post. God bless you all.

Jim Page
NJRetiree

Lakewood, NJ

#910 Aug 21, 2012
Thanks for posting Jim. Very happy to hear of your success.

Bob
Johnny Greenbeans

Sandy Hook, CT

#911 Aug 27, 2012
Yeah,it's been a year now for me since my procedures..My biggest problem was my bladder wasn't emptying before.And when I had to go ,I had to go.Now my bladder empties,and I can hold it much better.But I'm still waking up twice a night.Not bad.And I got the retrograde.I'm the one who had a colonectomy on July 15,2011 and then the Greenlight done on August 1.Whew,that was rough but I'm glad I'm over and done with that.Saw the urologist and he thinks I'm doing good.
Bruce

Richland, WA

#912 Sep 6, 2012
I'm looking at having either a PVP or a TURP for BPH symptoms (including one instance of acute retention). I apparently have a median lobe that has grown into the bladder. Does anybody know anything about Dr. Martin Wall at Bellevue Urology in Bellevue, Washington? He's the one I'm scheduled to see. Thanks.
paul

Bennetts Green, Australia

#913 Sep 8, 2012
Just a quick up date, post week 14 I have a great flow. Retro ejaculation. I had thrush in my mouth that did take a long time to sort out 5 weeks. I can hold on but in the cold weather find it a bit hard too. Got a dribble of urine when I laughed the other day. Psa blood test results on the 25 Sep will have blood taken for the test on 20 Sep. Last reading was 5.2 should be right down well I hope so.
Jim Page

Paris, TX

#914 Sep 8, 2012
Well, one more post. Saw the doc this week [six week check up]. He released me and go back in Nov for a PSA test. Now I can get on with a back surgery that I have been waiting on. Glad that I had the green light before the back surgery. Maybe I can pee sooner after the surgery and avoid another catheter!!! Good luck to all. I would do it again.
God bless all of you and I hope you all get well soon.
Jim
NJRetiree

Huntington Station, NY

#915 Sep 8, 2012
Might as well add my update as well. Glad to see everyone is doing well. It's been 11-1/2 weeks post op and I am now satisfied with the results. The burning and urgency were gone by week 9. I have a very good stream and have not had any retention. I still get up 2 or 3 times a night, but get right back to sleep. Don't know how long all the improvements will last, but I'm enjoying them while they do. I'm scheduled to see the uro again in Feb. Will probably have a PSA test then. My last PSA was 6.3, but the uro thinks it will be lower next time. About the only thing different for me is that I get a good 20 seconds of dribbling at the end of peeing. It's like I can't tell when I'm done without looking (or hearing the drops in the bowl). So I just count slow to 20. Way better than taking 20 seconds to start! I'm back to all my regular activities, foods, drink, etc. If I had to do it again, I would as there's no other options at present that seem any better to me, and my uro delivered pretty much what he said he would. I'd just be prepared for 8 weeks of discomfort after the procedure, if and when there's a next time.
sdc

Galesburg, IL

#916 Sep 9, 2012
I'm thinking about having Greenlight done at Mayo Clinic which is about 6 hours from my residence, do you think this may be to far away based on your experiences with complications and needing followup care?
NJRetiree

Huntington Station, NY

#917 Sep 9, 2012
I think you need to have a plan in case there's a problem after the surgery. The most likely are a urinary tract infection from the surgery (a UTI), and the possibility of getting blocked up after the foley cath is removed. It's likely you will need pain meds and antibiotics after the procedure.

My procedure was at my doctors office surgical suite 10 minutes from my house. The anesthesiologist used an IV with "twilight anesthesia" and my doctor injected the prostate with lidocaine, so I didn't require general anesthesia or a spinal. Before the procedure I filled prescriptions for Vicodin and Cipro, and I wound up needing to use both. My wife drove me home about an hour after the procedure. I kept the foley catheter in for 4 days and removed it myself in the shower by cutting the short tube that drains the water balloon that anchors the cath in the bladder, then slowly pulling it out. I had my own single use catheters (having used them) in case I got blocked up. I didn't have to go back to my urologist for a few weeks until I developed a UTI. I had a 12 day round of cipro after the surgery, and a 14 day round of cipro for the UTI about the 3rd week.

There was a lot of bleeding for a couple of weeks (which is normal) and really bad pain and burning for 7 weeks, but I didn't contact the doctor for either.
sdc wrote:
I'm thinking about having Greenlight done at Mayo Clinic which is about 6 hours from my residence, do you think this may be to far away based on your experiences with complications and needing followup care?
refiman

Conshohocken, PA

#918 Sep 10, 2012
Bruce wrote:
I had the Green Light procedure 65 days ago and am continuing to deal with complications. The doctor says I am emptying my bladder, but I still have frequent trips to the bathroom. There is even less warning than before and the urgency is greater than before the procedure. The amount of urine is less than before the procedure. Also about six weeks after surgery I stopped ejaculating and my organism are less intense. The first six weeks were quite painful. Perhaps I amy the unfortunate case, but this was far more complex and risky than I was led to believe. I'd look at other options if I could go back.
I had the green light procedure about 4 years ago and also have many of the problems listed in the post. My real concern I have no release of sperm through the penis, it all goes into the bladder. This wasn't explained to me clearly enough, when you change mother nature in such a way it cannot be good. I have frequent bladder infections, very gut wrenching and painful that lasts for weeks. I would NEVER do this procedure again! Now I am stuck in a terrible place, it doesn't make sense that semen fluid would do a bladder good, does it?
refiman

Conshohocken, PA

#919 Sep 10, 2012
I was urinating about three times a night and after the green light laser treatment only once. Problems are worse now as bladder infections are frequent with gut wrenching pain and discomfort lasting weeks at a time. I feel I cannot empty my bladder fully and that the semen which now does not exit through my penis is sent to the bladder which I believe causes the infection in my bladder. I would never have this procedure done again, I did not use common sense and changing mother nature's ways is always a disaster. Don't do it!
Bill

Edison, NJ

#920 Sep 10, 2012
The experiences people have had with this procedure seem to vary widely. Fortunately, my experience has been positive.

I had Green Light Laser Surgery nine weeks ago. At the time, I was 49 (I have since turned 50) and was on prostate medications for approximately three years. During the first two weeks after the surgery I had an increased sense of urgency, burning upon urinating, and I was waking up frequently during the night. I was starting to think that the surgery did not work, but those symptoms started to improve over time.

My condition is pretty good now. I still wake up two or three times a night to go to the bathroom, but that may be caused (at least in part) by my increased fluid intake. Unlike before I had the surgery, when I wake up to go to the bathroom my flow is very good and I can go right back to sleep. There are still some days when I have to go to the bathroom more frequently and I still bleed after I go out for a long run. My doctor tells me those symptoms will also improve with time.

Overall, the surgery was a success and my condition has improved drastically from what it was pre-surgery. I just wish I had the surgery two years ago when my doctor first recommended it. I held off because I was concerned about the potential side effects. Fortunately, I have not had any side effects from the surgery such as retrograde ejaculation or incontinence or dripping.

The surgery was relatively painless and I was up and around shortly after the surgery. The worst part was that I had a catheter in for 24 hours (which is not a pleasant experience) and I experienced major caffeine withdrawal because I could not have coffee for three days.

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