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 not

correlate to severity of symptomsCharles Chabert

Treatment Options for Enlarged Prostate

Watchful waiting

Medication

Surgery

Advanced treatmentsLaser Therapy (GreenLight™)

Charles Chabert

Advantages

No surgery

No drugs

No side effects

Disadvantages

No improvement in symptoms

Risk that symptoms will worsen

Treatment Option - Watchful Waiting

Charles Chabert

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

Charles Chabert

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

Charles Chabert

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

Charles Chabert

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

Charles Chabert

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

Charles Chabert

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

Charles Chabert

Questions?

www.prostates.com.au

Charles Chabert