Houston Metro Urology

Tuesday, June 16, 2015

BPH and Greenlight Therapy

houston metro urology

Wow! That’s an awfully big prostate you got there! Have you given any thought to a treatment option yet? You might have already heard about TURP or (Transurethral Resection of the Prostate), but is there a better option; one that has fewer complications and would not require you to stay in the hospital for multiple days? Maybe it’s time to take a look at GreenLight Therapy.

GreenLight Therapy seems like something out of a Sci-fi movie. Greenlight Laser Therapy uses a laser to remove prostate tissue. The laser treatment is delivered through a thin, flexible fiber, which is inserted into the urethra through an instrument called a cystoscope.The fiber carries laser energy which quickly removes prostate tissue. The tissue removal will allow urine to pass through freely. Natural urine flow is rapidly restored and urinary symptoms are quickly relieved in most patients.

So how is the pain during and after the surgery? 

 Before the surgery, your doctor will discuss anesthesia requirements, as well as pain medication to ensure your comfort during and after the procedure. After the procedure, most patients experience mild discomfort such as slight burning during urination for a week or so. This can be managed with mild pain and anti-inflammatory medication.

How long will it be before I notice results?

 Most patients experience very rapid relief of symptoms and a dramatic improvements in urine flow. This typically occurs within 24hours of the procedure. However, medical history, your health condition, and other factors can influence treatment and recovery.

What are some complications I might experience and are there any sexual side effects?

The most common risk associated with GreenLight is: hematuria; short term dysuria; and urinary tract infection.  You should talk to your doctor about the benefits and risks before moving forward with any treatment.

As far as sexual side effects; you should be able to have normal sex experiences, including the same orgasm after the procedure. Some men may experience “retrograde ejaculation,” or “dry climax.” This does not affect erection or orgasm. So if you are sexually active, you don’t have to worry.

How is Greenlight different than TURP?

For starters, GreenLight Therapy uses a laser while TURP still uses an electrical instrument to surgically cut and remove excess prostate tissue. It must be done in a hospital and your stay can last up to 3 days. Side effects of TURP include: impotence, incontinence,  and bleeding. Recovery time is usually 4 to 6 weeks while Green Light Therapy only takes 2 weeks. The choice is yours.
GreenLight Therapy is generally appropriate for most symptomatic  BPH patients. You and your doctor will access your symptoms and desired outcomes together and determine the best course of treatment. Remember to ask your doctor if GreenLight is right for you.


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