Taking Charge of Your Health

>>BPH is an acronym for
Benign Prostatic Hyperplasia and it’s a very common condition that affects virtually
all men as they get older. It’s an enlargement
of the prostate gland that is not associated
with cancer, but associated with significant
urinary symptoms and bother as men get older. In the area of pharmaceutical
interventions we’ve started to treat men primarily with
medications and then we double up their medications and
add a second medication until they fail these
medications and most men ultimately
will fail these medications and then require
surgical intervention. So, traditional surgery for prostate enlargement
is primarily with transurethral
resection of prostate or what we call the TURP or
a lot of guys refer to it as the roto-rooter surgery. This typically requires
a general anesthesia. There is a risk of
bleeding, risk of infection, and patients would have to
stay in the hospital for many or for one to three nights
with a Foley catheter and continues bladder
irrigation. With the new GreenLight
procedure we’re able to do the same– have the
same effective outcome, send these patients home the
same day and have a catheter for only a short 24-hour period. This is truly the most minimally
invasive form of surgery. There are no cuts that we need
to use or make for the surgery. A small laser fiber is
inserted through the cystoscope and a high power laser is able to actually vaporize
the redundant or overgrown prostate tissue without creating any
kind of bleeding. We brought the GreenLight
Laser to El Camino Hospital in November of 2010 shortly
after it was released. So, as part of the
Men’s Health Program, we thought it was
essential as a leading center for men’s health needs
that we employ the latest and best technology and
offer this to our patients. We have been chosen as one of the four procedure training
sites for other physicians for the GreenLight Laser
technology for three reasons. One is because of our
very good outcomes of using the laser technology,
our high volume of surgeries that we perform as a
single institution, and our early adoption
of this technology. As the Medical Director of
the Men’s Health Program and as a physician in El
Camino Hospital I’m very proud to offer this new technology to
my patients to be able to stay on the cutting edge
of technology here in Silicon Valley and to
offer my patients the latest and greatest in terms of
therapy for their BPH. The changes that
patients experience after GreenLight therapy
surgery is significantly greater than when they are
taking medications. In fact, the best data shows that objectively patients will
have a minimal improvement in their flow rate
or residual urine on maximal medication therapy, whereas after the
GreenLight Laser procedure, men will have significantly
higher improvements in their flow rates and significantly
lower residual urines than if they were
taking medications. At El Camino Hospital this
laser is on standby 24/7 in our Operating Room and
our physicians are able to use this technology
on last minute notice and in emergent cases
when necessary.

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