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

popeye-the-sailor-bluto

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.

 

 

Causes and Statistics of BPH-Georgia GreenLight Laser

Causes and Statistics of BPH.

What are the causes and statistics?

Causes

Prostate enlargement occurs naturally as a man ages. No one knows exactly why the condition occurs, but it is one of the most common diseases among aging men.1

Statistics

BPH affects approximately 50% of men between the ages of 51 and 60 and up to 90% of men over the age of 80.2 BPH affects more than 27 million men over 50 each year in the United States3 Up to 95% of men with moderate symptoms are unhappy and don’t want to spend the rest of their life with these symptoms4 If left untreated, BPH can lead to complications including infection; renal failure; and urinary, bladder, or kidney stones.2,5


The evolution the laser for the treatment of prostate enlargement. Northeast Ga Urological Assoc.

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My dog Penelope has nothing to do with the laser of the prostate although dogs, males that is, have a prostate too. I just liked the “green” in the picture. She has just taken a swim to “get her stick” and is just “skakin it off.”

In regards to the evolution of the laser in the treatment of the prostate, the following article is very interesting and informative. It discusses PVP, which is the type of laser the GreenLight is, and other forms. In my thirty years of practicing urology, I have used about all of them. The GreenLight to me is by far the most beneficial in terms of ease of using, lack of bleeding, outpatient, and limited need for post operative catheter.

What’s on the horizon? Well there is now the Urolift and Rezum. One uses a device to pull the prostatic urethra apart and the other uses steam. I’ll talk more about them later.

The evolution of the laser in the treatment of BPH.

Moma was right! Eat your vegetables and help your prostate.

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).

 

FAQ GreenLight Laser for Prostate Enlargement-Northeast Ga. Urololgy

faq-green-light-laser

Frequently Asked Questions

Is BPH a type of cancer?
Do I have to stay in the hospital after a GreenLightTM procedure?
Where is the procedure performed?
Will the GreenLightTM Laser Therapy treatment affect my sexual function?
How long before my symptoms improve?
Will I continue to need BPH medications after the GreenLightTM Laser Therapy treatment?
How soon can I return to work and other normal activities?
How long do the results last?
Is GreenLight™ Therapy covered by insurance?
How many GreenLightTM procedures have been performed?
Will I need to wear a catheter?
Will I have discomfort after the procedure?
Can I have a GreenLightTM Laser procedure if I’ve had previous enlarged prostate treatments or surgery?
My doctor has recommended that I have a TURP. Can I still have the GreenLightTMprocedure?
How do I know if I am a candidate for GreenLightTM?

 Is BPH a type of cancer?

Benign Prostatic Hyperplasia (BPH) is not a type of cancer and it is not known to influence the risk of cancer.

The urologists of  Northeast Georgia Urological Associates commonly perform GreenLight Laser Prostatectomies in our accredited ambulatory surgery center.

Why? Because in most cases the procedure can be performed as an out patient, with minimal bleeding and limited need of a catheter.

If you hare having symptoms of BPH (prostate enlargement) leave your number below and we will call you with an appointment.