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Urinary Symptoms &GreenLight Laser Prostatectomy Dr Charles Chabert Overview of The Prostate Walnut sized gland at base of the male bladder Surrounds the urethra Produces fluid that transports sperm during ejaculation Charles Chabert Prostate Conditions Enlarged prostate (BPH/LUTS) Prostatitis Prostate cancer Each condition affects the prostate differently Charles Chabert Aging and the Prostate By age 60, half of all men have an enlarged prostate Affects most men by age 80 Stress and diet are contributing to an increased presence of enlarged prostate in younger men Charles Chabert What is BPH? Benign Prostatic Hyperplasia (BPH) Commonly known as enlarged prostate Non-cancerous enlargement of the prostate gland Normal Prostate BPH Enlarged Prostate is not an indication nor a predictor of cancer Charles Chabert Symptoms of BPH Obstructive symptoms Overactive Bladder symptoms Weak urine flow Straining FOIBE Starting or stopping during urination Frequency Urgency Nocturia Charles Chabert How is an Enlarged Prostate Diagnosed? Medical History Physical Exam MSU Ultrasound Cystoscopy Symptoms – IPSS Symptom Score Bothersome – how much of a bother is it to you In general, the size of the prostate does not correlate to severity of symptoms Charles Chabert Treatment Options for Enlarged Prostate Watchful waiting Medication Surgery Advanced treatments Laser Therapy (GreenLight™) Charles Chabert Treatment Option - Watchful Waiting Disadvantages Advantages No surgery No drugs No side effects Charles Chabert No improvement in symptoms Risk that symptoms will worsen Treatment Option - Medication Advantages No surgery Potential for symptom relief Disadvantages Ongoing medication therapy Potential side effects Lowered sexual drive, erection problems, congestion and dizziness Effectiveness may diminish Charles Chabert Many men don’t like taking medications Treatment Option – Surgery (TURP) (Transurethral resection of the prostate) Advantages Proven approach Charles Chabert Disadvantages Invasive procedure Hospitalization required Significant side effects possible Activities after surgery restricted for about 6 weeks GreenLight™ Laser Therapy A safe and advanced BPH treatment Provides long-lasting symptom relief A single, definitive treatment Done in an outpatient setting or single overnight stay Fewer side effects than TURP Charles Chabert GreenLight™ Laser Therapy Typically no overnight stay or single night A single treatment takes approximately 60 minutes Most patients have only minimal discomfort Symptom relief is typically immediate Charles Chabert How GreenLight™ Laser Therapy Works: Uses laser energy to remove excess prostate tissue Laser energy is delivered through a small, flexible fiber inserted in the urethra Procedure is performed through a cystoscope Charles Chabert GreenLight™: Minimal Side Effects Less than 1% of sexual side effects reported in the clinical trial Minor, short term side effects Generally go away quickly on their own Does NOT affect your ability to take erectile dysfunction medications Charles Chabert Post-Treatment Expectations Able to leave outpatient facility within hours after treatment or next day Avoid strenuous activities, intercourse & bike riding for a 3 weeks Quick return to normal activities Noticeable symptom improvement immediately Charles Chabert Am I Eligible For This Treatment? Of the BPH treatments available, GreenLight™ has the widest patient selection Potential candidates may include men who are: Not satisfied with medication therapy Loss of effectiveness, side effects Don’t want to take medications Want better symptom relief than with medications In “watchful waiting”/ newly diagnosed Charles Chabert Questions? www.prostates.com.au Charles Chabert