Acute and chronic prostatitis discussion. Arnon Krongrad, MD, moderator.
Dr. Krongrad, is there a difference in bi lateral nerve sparing with no cancer (ie prostatitis) and those who have cancer? What I mean is, can you leave a larger prostate facia behind when cancer is not a risk, meaning less heat damage to nerves as more space between cautery and nerves, ie less thermal transfer?
Please correct me if my question doesnt make sense.
I am one of the ones seriously thinking about this. I am in the middle of the 1st cycle of IVF at the moment (going to do 3 cycles if needed)with my partner so right now its out of the question (prostatitis has made my fertility very low). I have just lost my "sitting down" engineer job due to redundancy, so I am also weighing up looking for a new career which does not involve sitting for long periods-the worst thing for my symptoms.
I am working my way through any last treatments or lifestyle changes before deciding to do LRP. I do really believe its the only "one off cure" instead of paying for a lifetime of symptom reducing treatments, pain control, injections etc. I also believe that in the large majority of cases this is a prostate centered problem, not a pelvic floor muscular problem. This disease is a prison. It plays with your mind, destroys your social life, holidays, career, sleep pattern & ability to sit comfortably. Chances are at some time later in life this could lead to cancer anyway, so you will still end up doing LRP when your older and recovery is slower. Whats the first thing anyone says to you when you arrive for a business meeting or any kind of social function "TAKE A SEAT" or "PLEASE SIT DOWN" or "MAKE YOURSELF COMFORTABLE". After a few years of prostatitis I get fed up with hearing it.......!!!!!
Funny you mention that.
This week I operated on a man with a 6-year history of severe prostatitis. How severe? He wound up having spinal fusion and then a second operation to remove hardware that actually did nothing for him. He was unable to sit, including at the neurosurgeon's office. The only good news that since his LRP a few days ago he has been symptom free, able to sit and lie down comfortably off Percocet for the first time in years.