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.
Vegetable Intake May Reduce BPH
Urology – November 15, 2007 – Vol. 23 – No. 07
A diversity of plant-based foods are heart healthy and prostate healthy.
Article Reviewed: Fruit and Vegetable Consumption, Intake of Micronutrients, and Benign Prostatic Hyperplasia in US Men. Rohrmann S, Giovannucci E, et al: Am J Clin Nutr; 2007; 85 (February): 523-529.
Fruit and Vegetable Consumption, Intake of Micronutrients, and Benign Prostatic Hyperplasia in US Men.
Rohrmann S, Giovannucci E, et al:
Am J Clin Nutr; 2007; 85 (February): 523-529
Background: Heart disease and various urologic conditions are both based partially on a chronic inflammatory process. Nutrients in healthy foods may not only be heart healthy but also prostate healthy. Objective: To evaluate the impact of fruit, vegetable, and nutrient consumption on the risk of benign prostatic hyperplasia (BPH). Design/Methods: One of the largest prospective epidemiologic studies in the world is the Health Professionals Follow-Up Study (HPFS). The average age of the men was 52.54 years, and every 2 years, the health status of the participants was determined by questionnaires and medical records for a period of >14 years. BPH cases were men who reported having surgery or who had an American Urologic Association symptom index (AUASI) of 15 to 35 (n=6092). Men without BPH (controls) had an AUASI score of >7 (n=18,373). Men with an AUASI of 8 to 14 were not included in this study (n=7800). Results: Intake of vegetables were significantly (P =0.03) and inversely correlated with BPH, with the highest consumption being associated with 11% reduction in risk. However, fruit intake was not associated with the risk of BPH. The most significant reduction in the risk of BPH was found for increasing vitamin C intake from food (P =0.009). Vitamin E intake from foods was not associated with the risk of BPH. Conclusions: A diet high in vegetable intake may lower the risk of BPH. Reviewer’s Comments: The highest intake of fruits and vegetables was almost 10 servings a day in this study! However, I find it most interesting that men with the highest intake of healthy foods also were less likely to smoke, more likely to drink in moderation, more physically active, and had the highest intake of dietary fiber per day.
In other words, this study sends two very important messages: (1) the sum of what one does in moderation provides a bigger benefit than one or two healthy behavioral changes in extreme, and (2) life is not about pomegranate versus tomato juice but a diversity of fruits and vegetables is the best behavioral method. The patient should pick what they like in terms of fruits and vegetables, and not what just looks good on the nightly news (Reviewer–Mark Moyad, MD, MPH).
Key statement- TURP treatment declines.
It has been several years since Dr. McHugh has performed a TURP. It is an antiquated procedure considering the benefits of the GreenLight. He will elucidate further on the next post.
The GreenLight Laser Procedure is commonly performed in our urological ambulatory surgery center. Prostate surgery is recommended if a patient is not responding to prostate medicines or if there are unwanted side effects. Contact us 24/7 and will get back to you for an appointment.
Click Image for PDF of GreenLight Laser Patient Brochure