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