GreenLight laser surgery for an enlarged prostate

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prostate

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Consultant Urologist Alan Doherty of The Birmingham Prostate Clinic explains how GreenLight laser works as a treatment for men with an enlarged prostate (benign prostatic hyperplasia).

Patient 58-year-old Michael Priest describes his experience of this minimally invasive procedure and subsequent recovery. Mr Priest had his operation in February 2011.

Greenlight XPS 180W Prostate Laser Treatment of Male BPH (Benign Prostatic Hyperplasia)

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prostate

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The following video highlights the benefits and techniques of the newest generation 180W Greenlight XPS laser system for the management of male BPH (benign prostatic hyperplasia). Previously, TURP, a procedure in which an electrical loop is used to cut specimens of the prostate (with risks of 4-8% transfusions, electrolyte anomalies, and prolonged hospitalization of 2-3 days) however is limited to smaller prostates less than 100g and men who are not taking any anticoagulation medications. The Greenlight laser has the advantages of little to no bleeding, no electrolyte anomalies since normal saline is used for irrigation, and is performed as an outpatient surgery. The procedure can also be offered to men with large prostates (greater than 100g), men taking blood thinner medications and those with significant comorbidities. The 3rd generation of Greenlight XPS (AMS) offers the greatest strength laser power at 180W and significantly reduces 40-50% operative times. We are proud to offer our patients the surgical management of BPH care.

Prostate Gland Surgery: Radical Prostatectomy

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This 3D medical animation shows the laparascopic removal of a cancerous prostate gland and its surrounding tissues. A prostatectomy is a surgery to remove an enlarged prostate gland due to benign prostatic hyperplasia or prostate cancer. Simple or radical prostatectomy can be done using open or laparoscopic techniques.

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https://www.youtube.com/watch?v=cSjTowBBIsQ

Digital rectal examination

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By Karan Rangarajan

Edited by Khalil Begg

BPH Laser Treatment Options

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prostate

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What is BPH?

The gradual enlargement of the prostate is a non-cancerous disease common among aging men. The enlarged prostate can intrude into the urethra causing partial or complete obstruction of urine flow. This condition is referred to as benign prostatic hyperplasia, or BPH. While BPH is usually not life threatening, it can cause considerable discomfort, with complete obstruction leading to emergency surgery for resolution. Over half of all men over 50 have BPH symptoms, with the percentage growing to 80% of men over 80. Due to the overall aging of society, the number of men seeking treatment over the next 20 years is expected to increase.
Why Holmium?

Tissue Removal
The holmium laser is ideal for precisely and cleanly ablating without charring or overheating tissue. Since the holmium absorption depth is only .5 mm or less, tissue is ablated faster than heat is conducted into surrounding tissue. Holmium energy is delivered in a pulsed mode with each pulse containing enough energy to vaporize the tissue. The vaporized tissue is removed before it can conduct heat, which minimizes thermal damage. The resulting what-you-see-is-what-you-get effect contrasts to the coagulating effects of Nd:YAG and KTP lasers whose wavelengths penetrate deeper and extend below the visible tissue surface.

Hemostasis
Hemostasis with holmium is remarkably good. Its localized coagulation effect seals the tissue and provides hemostasis superior to electrocautery instruments without producing deeper thermal injury associated with Nd:YAG or KTP lasers. The holmium coagulating effect minimizes fluid absorption better than electrocautery.

The ablating and hemostasis features of holmium make it an excellent energy choice for BPH treatment. When stone fragmentation benefits are considered, the holmium laser is the best and most cost effective choice for treating both stone disease and BPH—two of the most common reasons patients visit the urologist.

Holmium Prostate Treatments
Since its introduction, holmium laser prostatectomy has undergone rigorous scientific studies that substantiate its surgical equivalence to the traditional electrocautery procedure (TURP) with fewer patient complications and faster patient return to normal activities. Whether performing holmium laser enucleation (HoLEP) or holmium laser ablation (HoLAP) of the prostate, the procedure can be done as a day case or in a 23-hour facility. HoLEP and HoLAP treatments offer many benefits including:

* Immediate removal of tissue and symptoms.
* Virtually bloodless and minimally invasive technique.
* Short catheterization time.
* Few complications.
* Short convalescence.
* Cost-effective solutions—hospitals gain unmatched economic benefits by utilizing the multipurpose holmium laser for stones, strictures, tumors AND BPH treatment.

For more information, please visit:
www.surgical.lumenis.com
www.yoururologyhealth.com

Enlarged Prostate Surgery for BPH Treatment With GreenLight Laser PVP from www.williamsurology.com

FOR THOSE TIMES WHEN YOU DON’T WANT TO GET UP TO GO TO THE BATHROOM JUST QUITE YET…

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ULTIMATE PROSTATE REMEDY THAT ALLOWS YOU TO ….
CLIMAX at FULL SURGING POWER
SLEEP through the night
and PEE like a BABY….

prostate

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Surgery for the treatment of an enlarged prostate (BPH) using the GreenLight laser for photoselective vaporization. Watch Dr. Daniel Williams, Associate Professor of Urology, University of Wisconsin School of Medicine and Public Health, perform a GreenLight Laser PVP to treat lower urinary tract symptoms due to the enlarged prostate. This minimally-invasive surgery is performed same-day as an outpatient or with a short, overnight hospital stay. Read more about the medical and surgical treatments of benign prostatic hyperplasia as well as other urological conditions at www.williamsurology.com.