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