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Repeated laser surgery of the prostate: Does it cause fusion of the lateral lobes of the prostate?

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After my second laser surgery of the prostate, I went through the healing process by following my physicians’ orders: drink water and no strenuous exercise. Also, he said to take additional medication if needed for pain and return to his office for a check-up.
In retrospect, I should have gotten a second opinion before I allowed this doctor to operate a second time for the same reason- BPH (enlarged prostate). Sometimes doctors do not know the reason that surgeries fail using the latest techniques. Why? Because the techniques were recently learned by the doctors and they do not have the experience with difficult cases. My doctor said that I was a prime candidate for laser surgery of the prostate. At the time I did not know that this surgical odyssey would last from December 29, 2005 until February 22, 2007 and include four surgical procedures dealing with my prostate and my bladder neck. The surgical dates were as follows: December 29, 2005(laser surgery); April 25, 2006(laser surgery); July 5, 2006(TURP); and February 22, 2007(cystoscopy/bladder neck contraction). In addition, the aforementioned procedures required more than twenty days of wearing a catheter (often called the bag).
About two months after the second laser surgery of the prostate my urine flow was becoming restricted and it was difficult to completely empty my bladder. I returned to the doctors' office for another examination. This was sometime in June 2006. The nurse attempted to insert a catheter, but was unable to do so. The doctor tried and he was also unable to place the catheter. However, at this time I could still urinate on my own. The doctor suggested that we wait and see if further surgical intervention was needed. I was instructed to drink plenty of water and to call if my situation worsens.
I left the office feeling that I had chosen the wrong doctor. But to get a second opinion would require going through the same test and waiting several weeks to get a follow-up report. I decided that I would listen to this young doctor (35-40 years of age).
On July 5, 2006 was a day that I will remember for the rest of my life. I a woke to find that I could not urinate at all. The tissue had completely fused together! I was in a panic and my bladder was getting extended. Immediately, I returned to the doctors' office without an appointment. Naturally, he was not there. The nurses indicated that he was operating all day at the hospital. Bladder pain started as I drove to the hospital. I did not tell my wife because she was taking care of my granddaughter (2 years old). I arrived at the hospital and checked myself in. I called my wife to let her know that I had a problem.
The hospital staff tried unsuccessfully to insert a catheter to relieve the pressure on my bladder. They failed all three times because of the fused tissue. The pain was so great that I ordered them to stop. Finally, my doctor was called, but he was currently in surgery, hence I had to wait several hours with an extended bladder. Thoughts of a second opinion and a lawsuit did enter my mind as I waited on the torture rack.
My doctor arrived several hours later and he did not attempt to catheterize me, because he wanted to operate for the third time on my prostate. He explained to me that he would have to get special permission from the hospital to operate. I did not argue because I only wanted relief. Do not take for granite the ability to urine.
My doctor received permission from the hospital, but I had to wait six more hours for the TURP (Transurethral Resection of Prostate) surgery. You are probably wondering about the surgical procedure. The bottom line is that I had a negative reaction to the laser and the laser (heat) inflamed the prostate tissue. Whether this was caused by poor surgical procedure, the laser, or reaction to latex still remains unexplained to this day. What follows is the actually surgical report from the surgeon:
“Description of Procedure: The patient was brought to the operative suite and identified by his patient bracelet. He was given IV antibiotics and general anesthesia and placed in the relaxed dorsal lithotomic position and prepped and draped in the usual sterile fashion.
Under endoscopic guidance, the bladder neck obstruction is dilated to allow placement of a resectoscope. The inflammatory tissue that has caused fusion of his lateral lobes of the prostate is resected using a classic Oglesias Resectoscope, resecting tissue down to the prostatic capsule, taking care not to cause any undue electrical injury to the lumen of the bladder or to the urethra distal to the prostate. At the conclusion of the procedure, the chips from the prostatic resection were irrigated out of the bladder and all bleeding points were cauterized with the resectscope Bovie cautery, and there was excellent hemostasis. A #20 French, 30-cc Foley was placed into the bladder and the balloon inflated to 30cc and the catheter placed to straight drainage with clear efflux.
The patient was taken to the recovery room in good, stable condition having tolerated the procedure well.
DD: 07/05/2006 19:25:00”
I spent a noisy night at the hospital so that I could be watched for bleeding. The next day the doctor removed the Foley catheter much to my surprise and delight. I was sent home and given recovery information the same as the last two surgeries of my prostate.
These questions can to mind, “Would the tissue fuse together again?” “Would there be another laser surgery?” “Should I seek a legal opinion for malpractice?” “Was I allergic to latex?” and “Why was the prostate tissue inflamed?”
On reflection, I decided that I needed a second opinion of a more experienced urologist. I searched the internet for several days and found Dr. David I. Lee, Assistant Professor of Surgery, Chief of Urology-Penn Presbyterian, Department of Surgery, Division of Urology. Information on Dr. Lee indicated that he was one of the top men in the field of urology and that he specialized in robotic surgery of the prostate.
Was this the end of the prostate surgery nightmare? Do not miss my last dance with laser vaporization of the prostate surgery.

Article Source: http://depositarticles.com/

Dr. Clarence A. Grasty For more information about this important topic for men, please click on the link below: www.laservaporizationofprostate.com

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