Prostate - PSA after PVP

Author

PSA after PVP

Derek F

2005-12-10, 12:33 pm

In recent years with a 70+ gram prostate my PSA varied between 7.5 and 9.0.
On my first PSA since my PVP in July it now 5.1. Is this what one should
expect? I had expected the lack of prostate tissue to give lower reading.
Derek.

Spread_deMocracy

2005-12-10, 12:33 pm

Derek: how large is your prostate now? You indicate "lack of prostate
tissue", but maybe it is not that much that was removed? My uro who did my
PVP told me PVP takes out a lot less tissue than a TURP would have, but did
not give me any specifics. Maybe this statement will relate to your
situation? Just a wild guess. All the best to you.

"Derek F" <lordpilrig@NOXbtinternet.com> wrote in message
news:dnedl8$4dq$1@nwrdmz03.dmz.ncs.ea.ibs-infra.bt.com...
> In recent years with a 70+ gram prostate my PSA varied between 7.5 and
> 9.0. On my first PSA since my PVP in July it now 5.1. Is this what one
> should expect? I had expected the lack of prostate tissue to give lower
> reading.
> Derek.
>

Derek F

2005-12-10, 12:33 pm

I commented once before that you must have had "PVP Light" There is no
reason not to take as much tissue with a PVP than with a TURP. He did not
just bore a new channel for me, he took a lot of tissue as both lateral
lobes and the median lobe were pressing on my bladder.
Derek.
"Spread_deMocracy" <Spread_deMocracy@hotmail.com> wrote in message
news:D6Bmf.10363$kt5.940500@news20.bellglobal.com...
> Derek: how large is your prostate now? You indicate "lack of prostate
> tissue", but maybe it is not that much that was removed? My uro who did
> my PVP told me PVP takes out a lot less tissue than a TURP would have, but
> did not give me any specifics. Maybe this statement will relate to
> your situation? Just a wild guess. All the best to you.
>
> "Derek F" <lordpilrig@NOXbtinternet.com> wrote in message
> news:dnedl8$4dq$1@nwrdmz03.dmz.ncs.ea.ibs-infra.bt.com...
>
>

fgomsan@gmail.com

2005-12-11, 7:49 am

Derek, one should expect PSA to be 30% less after PVP. That is your
baseline PSA now, you should check now if there is progressive rise in
succesive determinations.
Tissue removal on PVP for a 70 gram prostate can be as much as with
TURP, it depends on the surgeon's technique and the time spent in the
procedure. Some surgeons think it is not necessary to remove more than
30% of the gland volume to get a good clinical result. I personally
think PVP can obtain exactly the same tissue removal as TURP, it just
takes a little bit longer. All the best.
http://drgomezsancha2.blogspot.com

Pat C via MedKB.com

2005-12-11, 6:01 pm

Derek, here is my data: my prostate was 100 gm before my August PVP and my
PSA history was 4-6 in past 6 years with 3 negative biopsies. I take no
medicine and my first PSA is 1.9 after PVP. Unfortunately, one of my good
friends got positive biopsy weeks ago after his recent PSA test of 5.2 ( his
last before this was 4.3). He is planning to have image-guided rediation
therapy (IGRT) soon. I have no idea of that.

fgomsan@gmail.com wrote:
>Derek, one should expect PSA to be 30% less after PVP.

--
Message posted via http://www.medkb.com

Derek F

2005-12-12, 11:00 am

<fgomsan@gmail.com> wrote in message
news:1134294143.798615.207200@o13g2000cwo.googlegroups.com...
> Derek, one should expect PSA to be 30% less after PVP. That is your
> baseline PSA now, you should check now if there is progressive rise in
> succesive determinations.
> Tissue removal on PVP for a 70 gram prostate can be as much as with
> TURP, it depends on the surgeon's technique and the time spent in the
> procedure. Some surgeons think it is not necessary to remove more than
> 30% of the gland volume to get a good clinical result. I personally
> think PVP can obtain exactly the same tissue removal as TURP, it just
> takes a little bit longer. All the best.
> http://drgomezsancha2.blogspot.com
>
The lasing time on my procedure was fifty seven minutes.
Derek.