PVP or Turp
I am 46 (initially diagnosed with BPH in 08) and have been recently diagnosed with a high bladder neck that is causing a severe case of nocturia (4-7 times nightly, I can count the number of good nights I have slept). I have run the spectrum of meds (Flomax, Hytrin, Uroxatrol, Enablex) with very nominal success.
After a cysto and CMG, the realization of surgery became evident. I am much more in favor of a PVP (shorter recovery time, less blood) rather than TURP (much more extended recovery time, reading stories on web scares me). I understand that there are other procedures, but the effectiveness rate is in quetion and would not want to do another surgery at all costs
My uro was frank with me that he would rather do a TURP (he said it would be a combo of TURP and TUIP) instead of a PVP (green light laser) due to the number of nerves (bladder vs. prostate) where the blockage is occurring. He would agree to the PVP, but said I should get a second opinion (which I am in the process now).
As I am in process of second opinion, any help to my questions would be greatly appreciated:
1. Is TURP better than PVP for a high bladder neck?
2. Is there a recommendation as to top Urology practice/doctor (I am willing to travel to have the best chance of success/have access to TX, DC and Phila area and understand university hospitals would be the best)
3. Would you choose a uro that has fellowship specifically in BPH, as opposed to ED or other specialty
4. What is the specific recovery time for TURP, read up to a year? Also is scar/scab tissue always normal
5. If anyone has had PVP, have you had success?
Thanks in advance for your help, with continued thoughts and prayers for everyone!