Life's Roller Coaster

If I'm missing, or not taking messages sorry – I'm more angry about letting my friends down than YOU will ever be at being let down! Unfortunately that is sometimes a side effect of Cancer! Mea Culpa: may I blame being short fused & grumpy on it too! My first symptoms presented in Nov-1998 – Follow The Trail on >DIARY of CANCER< Immediately Below!

NHS Approves Steam Treatment For Enlarged Prostates …

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NHS Approves Steam Treatment For Enlarged Prostates …
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Posted by:
Greg Lance – Watkins
Greg_L-W

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Hi,

Steam treatment for big prostates approved on NHS

PROSTATE 06
Image copyright Getty Images

The NHS can start offering a new steam treatment for benign prostate enlargement, says the regulator, the National Institute for Health and Care Excellence.

The procedure is minimally invasive and can be done under local anaesthetic without an overnight hospital stay.

It involves passing a small probe up the urethra to inject a puff of steam into the troublesome area.

The steam kills off some of the enlarged tissue to ease symptoms.

The dead cells are reabsorbed by the body.

An enlarged prostate is common – affecting one in three men over the age of 50 – and forces the urethra (urine tube) to narrow, causing a variety of problems, including difficulty emptying the bladder.

Drugs or an operation can help but NICE says men should now be offered another treatment option.

The steam treatment, called Rezum, is an alternative to invasive surgery and is said to have fewer side-effects, such as impotence and incontinence.

PROSTATE 07_steam_treatment_01

Patients may have to take antibiotics and have a urinary catheter for some days after the procedure. Some activities, including sexual intercourse, should be avoided for up to one month.

It is the latest of several minimally invasive procedures for the treatment of benign prostatic hyperplasia (BPH).

What is BPH?

  • It is the medical term for an enlarged prostate gland – the gland located in the pelvis between the penis and the bladder
  • It is not a cancer and it isn’t usually a serious threat to health
  • The cause is unclear but it is more common in older men
  • Symptoms may be mild and not need treatment but for others they can be troublesome

Prof Richard Hindley, a consultant urologist at Hampshire Hospitals, has been providing the treatment to some of his patients, with “very good results”.

“The treatment involves a tiny water droplet being heated to 103C and then injected via the urethra into the prostate,” he said.

“It can be performed quickly, with each procedure taking less than 20 minutes.

“The number of injections required is titrated according to the size of the gland.”

Prof Kevin Harris from NICE, said: “Approving this procedure gives men the chance to talk to their clinician about which is right for them.”

To view the original article CLICK HERE

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Regards,
     Greg_L-W
Greg Lance-Watkins
.
 Please Be Sure To
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To Spread The Facts World Wide To Give Others HOPE
I Have Been Fighting Cancer since 1997 & I’M STILL HERE!
I Have Cancer, Cancer Does NOT Have Me
I just want to say sorry for copping out at times and leaving my wife Lee and friends to cope!
Any help and support YOU can give her will be hugely welcome.
I do make a lousy patient!

.

If YOU want to follow my fight against Cancer from when it started and I first presented with symptoms in 1998 see The TAB at the Header of this Blog. called >DIARY of Cancer ….< just click and it will give you a long list of the main events in chronological order, many linked to specific blog postings. . Later in the sequence of my experiences with cancer you will note that I introduce some results and events most probably linked with cancer such as enlarged & damaged Prostate and a consequential Heart Attack leaving me with no right coronary artery! . I have also included numerous articles and anecdotes regarding health – primarily related to cancer, prostate and heart conditions – FYI! . Thoughts, articles and comments will be in chronological order in the main blog and can be tracked in the >ARCHIVE< in the Left Sidebar. . You may find the TABS >MEDICAL LINKS< and also >CANCER LINKS< of help, also many of the links in articles and >HOT LINKS< in the Sidebar.
.
YOU are welcome to call me, minded that I am NOT medically trained, if you believe I can help you in ANY way. .

Regards,
Greg_L-W.

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Posted by: Greg Lance-Watkins
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Enlarged Prostate Treatment Without Surgery …

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Enlarged Prostate Treatment Without Surgery …
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Posted by:
Greg Lance – Watkins
Greg_L-W

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Hi,

having had my VERY enlarged Prostate [Benign Prostatic Hyperplasia (BPH)] operated on on Tuesday I was waiting to be TWOCed (Trial Without Catheter) on Wednesday morning in a hospital bed when the hospital paper trolley came round and the front page headline was:

Prostate therapy without surgery: Thousands of men to benefit from new technique that uses plastic beads to block blood supply and shrink the enlarged gland 

  • Successful trial in Portugal being followed up in UK with results due this year
  • If it is successful the technique could be rolled out for routine use on the NHS 
  • Researchers expect it to largely replace surgery as the standard treatment

Tens of thousands of men could benefit from a breakthrough prostate treatment announced today.

The technique uses tiny plastic beads to block the blood supply and shrink the enlarged gland – all without an operation.

A successful trial in Portugal is being followed up in Britain, with results due back later this year. If successful it could be rolled out for routine use on the NHS.

Half of all men over 50 suffer from an enlarged prostate and every year 45,000 have risky surgery to remove part of it.

As well as being painful and invasive, the operation can cause loss of sexual function and even incontinence. The technique uses tiny plastic beads to block the blood supply and shrink the enlarged gland – all without an operation

The technique uses tiny plastic beads to block the blood supply and shrink the enlarged gland – all without an operation

Last night, researchers said they expected the new technique – prostate artery embolisation – to largely replace surgery as the standard treatment.

An enlarged prostate presses on the bladder, while also blocking the urethra. This means sufferers need to make repeated night-time trips to the toilet, often to find they cannot urinate at all.

This can lead to a build-up of toxins that cause severe kidney problems. The bead technique has been tested on 1,000 middle-aged men in Portugal.

Joao Martins Pisco, who led the study at St Louis Hospital in Lisbon, said: ‘Within five years I think this will replace surgery as the standard treatment.

‘Prostate artery embolisation gives men a treatment option that is less invasive than other therapies and allows them to return to their normal lives sooner. 

Time and time again, I see patients who are relieved to find out about prostate artery embolisation because they are not able to tolerate medications due to their side effects.

‘These men also don’t want traditional surgery because it involves greater risks, has possible sexual side effects, and has a recovery time that is relatively long compared to prostate artery embolisation, which is generally performed under local anaesthesia and on an outpatient basis.’

The Portuguese team, which will present its findings at the Society of Interventional Radiology in Washington DC today, concluded the procedure is as effective as surgery and the benefits may last as long. 

Half of all men over 50 suffer from an enlarged prostate and every year 45,000 have risky surgery to remove part of it

Half of all men over 50 suffer from an enlarged prostate and every year 45,000 have risky surgery to remove part of it

Only two patients in the seven-year trial had clinical side effects.

Performed under local anaesthetic, the procedure involves injecting hundreds of 0.2mm plastic beads into an artery in the groin. 

The beads are directed with a thin tube into the blood vessels that flow to the prostate, blocking blood supply to the enlarged gland so that it shrinks.

Dr Pisco added: ‘I have had nine babies born to men who were able to continue their sex lives after having the treatment.’ 

His team saw a 89 per cent success rate six months after surgery, 82 per cent success up to three years, and 78 per cent beyond three years.

Two hundred patients in Southampton General, Guy’s Hospital in London and 16 other clinics are involved in the British trial, which is part-funded by the clinical watchdog NICE.

Dr Nigel Hacking, who is leading the study, said: ‘It is very encouraging. I am always cautious about new techniques but this procedure seems to be showing promise and it seems to be safe.’

Louise de Winter of the Urology Foundation said: ‘This research is very exciting.

‘As the population ages these problems are going to get even more acute.’

An estimated 45,000 men undergo surgery for enlarged prostates every year in the UK.

Dr Pisco claims most of these could be replaced by prostate artery embolisation – although others say the less invasive procedure is not be suitable for all men, and many will have to continue to have surgery.

Two hundred patients in Southampton General (pictured) Guy’s Hospital in London and 16 other clinics are involved in the British trial

Two hundred patients in Southampton General (pictured) Guy’s Hospital in London and 16 other clinics are involved in the British trial

Dr Hacking said that in his own experience, roughly 40 per cent of patients who have embolisation later have to undergo operations.

But having initial embolisation may enable them to delay that operation while retaining sexual function, and this usually means that when they do come to have an operation it is less invasive and there is a lower risk of side effects.

‘Even if they do need to go back and have surgery it’s a smaller operation,’ he said.

Dr Hacking said it was unlikely the procedure will completely replace surgery, because it requires a highly trained interventional radiologist.

‘It is a fiddly procedure and it would be potentially dangerous for someone without the skills to do it,’ he said.

‘But I think it may give men another option alongside surgery.’

Surgery, conducted either with a hot wire or lasers, have a high success rate – but they come with side effects which can include loss of sexual function, bleeding and incontinence.

The symptoms of enlarged prostate include a frequent need to urinate, but also difficulty starting to urinate and difficulty fully emptying a bladder. 

These symptoms, however, also might be a sign of prostate cancer, so anyone in this way should be seen by a urologist.

To view the original article CLICK HERE

 For another take on the same issue but in a different paper, minded this was added 2 days later & is largely a lift from the first article:

Bead treatment can save men from prostate surgery

About 45,000 men are offered surgery to relieve the symptoms of an enlarged prostate every yearJEFF PACHOUD/Getty Images

Doctors have welcomed an “exciting” technique that could spare tens of thousands of men surgery for an uncomfortable prostate problem.

The NHS treatments adviser is studying closely a procedure that injects tiny plastic beads into arteries to block blood flow to the prostate after research found it safe and effective.

About half of older men have an enlarged prostate. Although it is not a serious health threat, sufferers have problems urinating and their nights are disrupted by frequent lavatory visits.

Medication is often used and an estimated 45,000 men a year are offered surgery to cut away part of the prostate and relieve the pressure of the gland against the urethra.

This requires at least a night in hospital. It also often requires several weeks of recuperation and carries the risk of complications.

Now a trial of 1,000 men has found that the less invasive method of starving the prostate appears to be as good as surgery.

Success rates were 89 per cent after six months, 82 per cent after more than a year and 78 per cent after more than three years, researchers told the Society of Interventional Radiology in Washington yesterday. Only two patients suffered side-effects such as pain.

João Martins Pisco, who led the study at St Louis Hospital in Lisbon, told the Daily Mail: “Within five years I think this will replace surgery as the standard treatment. Prostate artery embolisation gives men a treatment option that is less invasive than other therapies and allows them to return to their normal lives sooner.

“Time and time again, I see patients who are relieved to find out about prostate artery embolisation because they are not able to tolerate medications due to their side-effects.

“These men also don’t want traditional surgery because it involves greater risks, has possible sexual side effects, and has a recovery time that is relatively long compared to prostate artery embolisation, which is generally performed under local anaesthesia and on an outpatient basis.”

A British trial is under way with help from the National Institute for Health and Care Excellence (Nice), which will look at whether the method should be routine on the NHS. Nigel Hacking, of University Hospitals Southampton, who is leading the British research, said: “It is very encouraging. I am always cautious about new techniques but this procedure seems to be showing promise and it seems to be safe.”

Louise de Winter, of the Urology Foundation, said: ‘This research is very exciting. As the population ages these problems are going to get even more acute.”

Last year Nice approved a laser treatment for enlarged prostates to destroy excess tissue, achieving the same results as surgery but allowing men to spend a third less time in hospital.

To view the original article CLICK HERE

Regards,
Greg_L-W.

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Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
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NB:
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  9. I Regret due to BT in this area I have a rubbish Broadband connection
  10. I AM opposed to British membership of The EU
  11. I AM opposed to Welsh, Scottish or English Independence within an interdependent UK
  12. I am NOT a WARMIST
  13. I do NOT believe the IPCC Climate Propaganda re Anthropogenic Global Warming
  14. I AM strongly opposed to the subsidy or use of failed technologies eg. WIND TURBINES
  15. I AM IN FAVOUR of rapid research & development of NEW NUCLEAR technologies
  16. I see no evidence to trust POLITICIANS at any level or of any persuasion
  17. I do NOT believe in GODS singular or plural, Bronze Age or Modern
  18. I value the NHS as a HEALTH SERVICE NOT a Lifestyle support
  19. I believe in a DEATH PENALTY for serial or GBH rape.
  20. I believe in a DEATH PENALTY for serial, terrorist, mass or for pleasure murder.
  21. I believe in a DEATH PENALTY for serial gross child abuse including sexual.
  22. I do NOT trust or believe in armed police
  23. I do NOT believe in prolonging human life beyond reasonable expectation of sentient participatory intellectual existence
  24. I believe in EUTHENASIA under clearly defined & legal terms
  25. I try to make every effort to NOT infringe copyrights in any commercial way & make all corrections of fact brought to my attention by an identifiable individual

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A TURP op. (PROSTATE) Royal Gwent Urology Dept. Day Unit 07-Mar-2017 …

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A TURP op. (PROSTATE) Royal Gwent Urology Dept. Day Unit 07-Mar-2017 …
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Posted by:
Greg Lance – Watkins
Greg_L-W

eMail: Greg_L-W@BTconnect.com

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Hi,

a TURP (Trans Urithral Resection of the Prostate)

prostate-03-turp-trans-urithral-resection-of-prostate

Yesterday afternoon I received a phonecall from Steff, in the Gwent Urology Unit, offering me the chance of bringing forward my appointment, due on 23-Mar-2017, for my TURP (Trans Urethral Resection of the Prostate) to tomorrow morning!

Steff suggested that I came into the Urology Day Unit by 10am, having nothing to eat or drink after midnight, so that I could be ready for anaesthetic in the morning if there was any delay or drop out by another patient – meanwhile assuring me that Adam Carter (my consultant urology surgeon) and the consultant anaethetist he had wanted for my op. would deffinitely have an alocated time for me in the afternoon if there was no morning cancellation.

As it turned out my op. was done just before lunch using an epidural anaesthetic – that is the one administered by an injection into the lower back, the downside of this form of anaesthetic, which deadens the nerves roughly below the point of the injection, is that it can, when the patient is taking anti-coagulants as I am, that if ANY mistake is made it can lead to bleeding into the spinal column which in turn CAN lead to long term paralysis!

The advantage, on the other hand is that it does not lead to unconciousness, as with a GA (General Anaesthetic) thus not only does it not leave anaesthetic in the system for a prolongued period after the operation, but it also meant, which I have alwaqys favoured, that I would be fully conscious and able to watch the operation being done on the screen.

Watching the surgeon slice away your own prostate from inside the bladder, whilst chatting about what he is doing, is a VERY strange experience!

The operation went well and just over an hour after the injection in the spine it was finished and after Adam had shown me the glass jar containing all the little bits he had cut away, which was quite a lot, I was transfered from the operating table onto the trolley and wheeled off to recovery where it took quite a while to get my temperature back up!

During the operation there is a constant flow of saline from the stand via the tube, into the bladder and out, sluicing the debris and clearing the blood so that the surgeon can see exactly what he is doing. During the operation I counted around 19 x 2L square plastic bottles of fluid so around 40Ls of relatively cold fluid, which drops the body temperature during the hour of the operation.

Then with a guage 22 three way catheter in place it was off to Ward D5East for a couple of days until the bleeding had slowed down a bit! Eventually, although I was still bleeding quite heavily and still had a 3 way catheter in, Adam Carter responded to my pleas to go home, where I could recover in greater comfort and with much better food! 3 days later the bleeding had reduced dramatically and I went back into the Gwent where despite no allocated ‘slot’ Steff fitted me in between other patients and and removed my catheter so that I could be TWOCed (Trial With Out Catheter), which once I had proved I could safely pass urine I was able to go home.

That is not to say that the bleeding has stopped! Minded that the operation was on the 8th. and it is now the 31st. there is still a small amount of bleeding – I guess mowing the lawn today didn’t help!

That said there seems no doubt that the operation would seem to have been a great success and at least I am not having to get up 3, 4 or 5 times a night to go to the toilet, which was the outcome of having a greatly enlarged prostate! The other great result of the operation was a letter from Adam Carter, the day before yesterday, to tell me that all the tissue he removed from my prostate (the jar!) had been biopsied and had been found to be perfectly normal prostate tissue free of any signs or traces of cancer.

A very reassuring outcome – I can recommend this operation to anyone with Benign prostate enlargement (BPE), also known as benign prostatic hyperplasia (BPH), a condition that affects older men (yep that’s me at 71!). Several friends of mine have had the op. with great outcomes and at the moment a friend of mine in his mid 50s is in The Royal Gloucester hospital with an enlarged prostate, which has inhibitted voiding of the bladder that has led to a severe UTI (Urinary Tract Infection), which in turn led to blocking of the urethra last Sunday night, leading to a blue lit ride in an ambulance, in extreme pain, in the early hours of Monday and now in the early hours of Saturday they finally removed his catheter but are still battling to control the infection and get his temperature down!

I expect that a TURP is very much on the cards for him, once the infection is cleared and his regular urologist can get him a bed in the Royal Gwent for the operation.

In my case – thanks to Adam Carter, Steff and the rest of the team who looked after me in the Gwent.

Regards,
Greg_L-W.

~~~~~~~~~~#########~~~~~~~~~~
Posted by: Greg Lance-Watkins
tel: 44 (0)1594 – 528 337
Calls from ‘Number Withheld’ phones Are Blocked

All unanswered messages are recorded.
Leave your name & a UK land line number & I will return your call.

‘e’Mail Address: Greg_L-W@BTconnect.com

DO MAKE USE of LINKS,
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&
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Also:

ABOUT ME, Details & Links: CLICK HERE
Accuracy & Copyright Statement: CLICK HERE
UKIP Its ASSOCIATES & DETAILS: CLICK HERE
Summary & archive, facts & comments on Ukip: http://Ukip-vs-EUkip.com
General ‘Stuff’: http://GL-W.com
Leave-The-EU Referendum & BreXit Process CLICK HERE
Documents, Essays & Treaties: CLICK HERE
The Hamlet of Stroat: CLICK HERE
Data & The Study of a Wind Turbine Application: CLICK HERE
Health Blog.: CLICK HERE
Chepstow Chat: CLICK HERE
Christopher Story: CLICK HERE
Des Watkins DFC; CdeG: CLICK HERE/
Hollie Greig etc.: CLICK HERE
Psycheocracy: CLICK HERE
The McCann Case: CLICK HERE
The Speculative Society of Edinburgh: CLICK HERE
Stolen Kids, Dunblane: CLICK HERE
Stolen Kids, Bloggers: CLICK HERE
Views I respect & almost Totally Share: CLICK HERE
A Concept of Governance Worthy of Developement: CLICK HERE

Skype: GregL-W

TWITTER: @Greg_LW

Stolen Kids Blogs with links:
http://StolenKids-Bloggers.Blogspot.com
Stolen Oyster with links:
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Stolen Trust with links:
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NB:
  1. I NEVER post anonymously on the internet
  2. ALL MY BLOGS & WEB SITES are clearly sourced to me
  3. I do NOT use an obfuscated eMail address to hide behind
  4. I do NOT use or bother reading FaceBook
  5. I DO have a Voice Mail Message System
  6. I ONLY GUARANTEE to answer identifiable eMails
  7. I ONLY GUARANTEE to phone back identifiable UK Land Line Messages
  8. I do NOT accept phone calls from witheld numbers
  9. I Regret due to BT in this area I have a rubbish Broadband connection
  10. I AM opposed to British membership of The EU
  11. I AM opposed to Welsh, Scottish or English Independence within an interdependent UK
  12. I am NOT a WARMIST
  13. I do NOT believe the IPCC Climate Propaganda re Anthropogenic Global Warming
  14. I AM strongly opposed to the subsidy or use of failed technologies eg. WIND TURBINES
  15. I AM IN FAVOUR of rapid research & development of NEW NUCLEAR technologies
  16. I see no evidence to trust POLITICIANS at any level or of any persuasion
  17. I do NOT believe in GODS singular or plural, Bronze Age or Modern
  18. I value the NHS as a HEALTH SERVICE NOT a Lifestyle support
  19. I believe in a DEATH PENALTY for serial or GBH rape.
  20. I believe in a DEATH PENALTY for serial, terrorist, mass or for pleasure murder.
  21. I believe in a DEATH PENALTY for serial gross child abuse including sexual.
  22. I do NOT trust or believe in armed police
  23. I do NOT believe in prolonging human life beyond reasonable expectation of sentient participatory intellectual existence
  24. I believe in EUTHENASIA under clearly defined & legal terms
  25. I try to make every effort to NOT infringe copyrights in any commercial way & make all corrections of fact brought to my attention by an identifiable individual

Please Be Sure To
.Follow Greg_LW on Twitter.

Re-TWEET my Twitterings

& Publicise My Blogs
To Spread The Facts World Wide
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