PVP GreenLight Laser Treatment

Bill wrote:

Green light laser surgery performed 1/24/12....no other way gentleman.....out of hospital next day....

Hugh wrote:

Is there any one who had green light laser and retro grade ejaculation and in time has normal ejaculation ante grade. I am 1month 10 days post greenlight and I have anegrade ejaculation dry orgasm no evidence in the urine.
I had a big concern about this before the surgery and went to the Mayo clinic to have the surgery performed. My doctor was fully aware of my concern and stated that he stayed away from my bladderneck and the fibers over it.
I do not now if the laser damaged the ejaculation ducts.
If some one has had a procedure like mine (avoided of the bladder neck)
had retro grade at first and then in time had the luck to have antegrade/normal
ejaculation .....do share. I am trying find a rough estimate of time if this can heal in time or if it is a permanent situation/condition.
I need to hear a success story. From all the research I have been doing there isn't anything to reverse the condition. I'm hoping I will heal healthy and not have this condition. thanks for any help and I wish you all good health. H

Lou from Florida wrote:

TURP vs PVP
I’ve been reading this site for 3 yrs and thank everyone for sharing their experiences. I’m 56 and have had BPH for 10 yrs. I had indigo laser 5 yrs ago. It helped a bit but not for long. My symptoms continued to worsen to where urinating became very difficult and the urgency extreme. Flomax and Avodart did not provide sufficient relief. I knew surgery was inevitable but held off as long as I could.
In addition to extensive online research I visited 3 different urologists. I also had all the usual tests. The first uro recommended a TURP but was cavalier re. retrograde ejaculation (100% certain with either procedure and “so what”). The second also said TURP but didn’t do PVP. So I set out to find a doctor with extensive experience in both.
That was Nicolas Muruve of the Cleveland Clinic in Weston. He said he’d do whichever procedure I wished but also favored TURP. However, he went into considerable detail on the pros and cons of each: With TURP, patients get immediate relief whereas most PVP patients experience burning and urgency for 2 months or so. He believes that, at the hands of a competent surgeon, risks of TURP and PVP are comparable. Retrograde is a likely outcome of either procedure when tissue is removed near the bladder neck. This was consistent with my own research. The only sure way to reduce the likelihood of RE is to work on the lower lateral lobes of the prostate only. For most patients this may not provide sufficient or longlasting relief. Since my problem was an enlarged median lobe obstructing the bladder neck, RE was highly likely with either procedure.
So, after years of swearing I’d never have a TURP, that’s what I chose. My procedure was done 8 days ago. I checked into the hospital at 1 p.m. on a Thursday and had surgery at 5. I had a spinal block so I was awake during the entire procedure which lasted only about 20 minutes. I spent one night in the hospital with a catheter that was removed at 10 the next morning. I had no pain whatsoever, even after the spinal wore off. After ascertaining that I could urinate on my own, the hospital released me at 1 p.m. on Friday.decision.

Dennis wrote:

"I am 52yrs, had the procedure 5 months ago.
I had the PVP done because I was getting up at night up to 6 to 7 times. During the day, I always needed to know where a restroom was. My enlarged prostate was also affecting my sex life. I am very sexually active, so I was very apprehensive about the procedure. But since it was affecting that part of my life also, I had it done. So this is my 5 month update.
The first month after, I had blood in my urine, and a strange sensation at the tip of my penis after urinating. The first time I ejaculated, it came out forcefully, but with blood in the semen. That was the last time I had external semen ejaculation "retrograde ejaculation!" Up until about one month ago, I hated the "RE". But I am now use to it, the sensation almost feels the same now. But after an orgasm I will have a strong urge to urinate about 3 time within 10 minutes. I believe this is due to semen in the urethra. My wife actually likes the RE, "no fuss, no muss!!!" I have read that RE can reverse itself within a year as the prostate reforms.
As far as urinating, I now piss like a race horse! Even as a teenager, I never had so much volume. I may now only get up once, or at the most twice at night now. I still have to stand at the urinal longer than I use to, to make sure it is all out though. I hope this can help a few people that have just had PVP done, or are thinking about it. I will post another update at the year mark."
Ok the above post was my post back in March 2011. It has now been one year post PVP. So as promised I will post my results after one year.
i. I still piss like a race horse :), so the main objective of the surgery has worked.
2. My doctor also told me that retrograde ejaculation was about 100%. And I have little reason to doubt him, but!
I have noticed my orgasms feel completely normal now. Before at the completion of the orgasm, I would get a strange sensation that I believe was the seamen going backwards. This sensation would diminish the pleasure of the orgasm. Now that I believe my prostate is starting to reform, I get about 1 to 2 drops of seamen ejaculating out. So I believe it is now starting to push the seamen in the right direction, hence the normal orgasm sensation. "Thank God!"
3. I get up about once at night to urinate.
4. No extreme urges to urinate during the day.
5. I think my bladder empties out almost completely, no way to really tell.
6. I am happy I got the procedure, I am just hoping my ejaculations will become as close to normal as possible in the near future.
I realize every one is different. So my results may not be your results. But it always seems like most people that post are either the individuals that have had complications, those that are looking for information about PVP, or those that just had it done and are worried.
I thought it would be good to post, "what I think is a positive result so far" post op one year.

NJRetiree wrote:

Dennis,
I am 65 and scheduled for the PVP in 13 days. I had the TUMT almost 2 years ago after a complete retention and catherization of 1400cc's of urine at the ER. I learned to catherize myself and have had to do so about a half dozen times in the last 2 years. I have been on flomax for a few months again this time and it again has gotten less effective. My PVR is about 200cc and a cat scan measured my prostate as slightly larger than a regulation baseball,(somewhere around 150 grams?). About 1/4 of the prostate is encroaching on my bladder. I am going for the PVP in 13 days and will be under spinal rather than general anesthesia. Presently I have a weak stream and am up anywhere from once to 5 or 6 times at night. Sometimes I experience a transitory retention in the early morning. It seems certain foods (spicy, Italian, hard cheeses, red wine) aggravate my bladder making the nocturia worse, but it's inconsistent.
I'll keep my fingers crossed I have as good an experience as you did. Thanks for posting and giving me some hope.
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Dwight wrote:

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PVP was a breeze for me when I had it on Nov 15, 2011. I left the hospital, catheter-free, 5 hours after surgery.