Minimally invasive prostate enlargement treatment vs. more minimally invasive treatment. GreenLight Laser vs. Rezum.


The GreenLight uses laser energy to vaporize prostate tissue. The obstructing prostate tissue is destroyed or removed at the time of the procedure.

Rezum uses radio frequency generated steam injected into the prostate tissue to bring about changes that will over time shrink the prostate tissue away from the channel men urinate through.

The effect of the GreenLight procedure is for the most part immediate. The effect of the Rezum occurs over time.

The Rezum is “more” minimally invasive because it takes less time to perform, nothing is cut or destroyed and essentially very little risk of bleeding. There is usually 2-4 nine second treatments with Rezum and the steam is injected through a small catheter by way of puncturing the prostate.

So…who should choose which?

You can do the GreenLight with good results on most any obstructive prostate. However is a patient has been in retention (can not urinate at all and has a catheter) or is having  significant obstructive urinary symptoms and is near retention…then the Rezum is not an ideal treatment. In this scenario the patient needs relief of the obstructing tissue now and not a slow resolution over time.

For that patient who would be a poor candidate for anesthesia, is having moderate prostrate enlargement symptoms, the prostate is moderately sized, and likes the option of an in office procedure, then the Rezum fits the bill. In other words if there is some time necessary for the steam to affect and open the channel then a patient with impending retention needs a procedure that the effect is immediate i.e. destruction of tissue at the time of the procedure. With the GreenLight no evolution of the prostate tissue is necessary.

The patient’s voiding history and the findings of cystoscopy will dictate the procedure best suited for the patient and the one recommended by the urologist.

Northeast Georgia Urological Associates offers both of the above forms of treatment as well as the traditional  prostate procedures. If you are having voiding symptoms due to prostate enlargement, you can contact us 24/7 using the form below. Include your phone number and we will call you with a time for your consultation.



Restoring flow to bring rapid relief

The alternative to traditional treatments of benign prostatic enlargement.

urologyFrom the age of about 40, men will start to develop changes associated with an enlarging prostate and may suffer from symptoms such as frequent urination, difficulty starting and a weak urine flow, urgency and incomplete bladder emptying.

An enlarged prostate, known as a benign prostatic hyperplasia (or BPH), is a condition in which the prostate changes shape and size and narrows, blocking the urethra (the tube that carries urine from the bladder through the prostate).

Urologist Dr Shane La Bianca from Perth Urology Clinic says symptoms associated with BPH can be difficult to ignore and can interfere with living a regular, healthy life.

“Frequent urination can disrupt your sleep, as well as your partner’s, and lead to tiredness and irritability,” Dr La Bianca says.

“In older patients, it can also increase their risk of falls during the night as they get up to find the toilet.”

“Having a constant need to urinate and then not being able to pass urine properly during the day can really affect a…

View original post 207 more words

What is the verumontanum and why is it important during GreenLight Laser procedure?

The verumontanum is an important anatomical landmark for the urologist doing any operative procedure on the prostate. It represents the stopping point of resection or laser treatment in prevention of post operative incontinence.

Northeast Georgia Urological Associates

There are four features of the prostatic urethra seen immediately below. Furthest from view is the median lobe of the prostate which is positioned horizontally. Proximal to this is the bladder which cannot be seen due to the obstructive components of the prostate. Closer to the viewer are the median lobes of the prostate which come in to the channel of the prostate on the left and right and in addition to the median lobe cause the obstruction of urine flow. Then in the foreground is the verumonatum which is raised area in the prostate and where the seminal vesicles empty fluid from the seminal vesicles and testicles.

The significance of veru is that this represents the point of the prostate where the urologist stops the resection or laser treatment. Beyond the veru is the external sphincter and if this is resected or damaged then there is a risk of…

View original post 63 more words

Tomatoes and prostates? A tomato a day will keep the urologist away.

Saw Palmetto and tomatoes (lycopene) not a bad combo for prostate enlargement in the male with voiding symptoms.

Northeast Georgia Urological Associates

The apple ain’t got nothing on the tomato!


Article Reviewed: Lycopene Inhibits Disease Progression in Patients With Benign Prostate Hyperplasia. Schwarz S, Obermuller-Jevic UC, et al: J Nutr; 2008; 138 (January): 49-53.

Lycopene Inhibits Disease Progression in Patients With Benign Prostate Hyperplasia.

Schwarz S, Obermuller-Jevic UC, et al:
J Nutr; 2008; 138 (January): 49-53

Background: Lycopene is a carotenoid found in a variety of healthy foods such as tomatoes, watermelon, and pink grapefruit. It has garnered interest in the area of prostate cancer prevention, but has yet to receive adequate attention in the area of benign prostate hyperplasia (BPH). Objective: To determine the serologic, tissue, and clinical impact of higher plasma lycopene levels in patients with histologically proven BPH. Design/Methods: This was a randomized trial of 40 patients who received 15 mg per day of lycopene from a dietary supplement or a placebo for 6 consecutive months. Patients…

View original post 319 more words