The Advantage of the GreenLight Laser.

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  • Usually takes about 30 mins depending on the size of the prostate
  • Can be performed in our surgery center without having to go to the hospital
  • The need for a catheter after the procedure is usually 1-2 days
  • The majority of the time no or little bleeding
  • The results are similar to the traditional TURP
-R.S. in Tiger, GA | Nov 03, 2017
I had the Green Light Laser Therapy for BPH about a year ago and it was been very successful. My quality of life has greatly improved as I no longer feel I have to be within dashing distance of a bathroom. Dr. McHugh and his entire staff are very professional and explained the entire process to me as we went along. I would highly recommend.
Dr. McHugh is one of Georgia’s most experienced urologists in performing the GreenLight Laser procedure for enlarged prostate. Contact us for a consultation 24-7 using the form below and we’ll schedule a visit. 

The prostatic urethra. The reason men have more trouble voiding after the age of 50.

 

“A man spends his first fifty years trying to make a living…the second fifty years trying to make water.”

As you watch the video the  camera progresses in a fashion similar to the flow of urine: That being from the bladder, over the bladder neck, through the prostatic urethra and then out the urethra. (To grandmother’s house we go!)

You’ll note how the prostate lobes close in on the channel and all you see is lobe touching lobe. This usually begins after the age of fifty in men and is responsible for a slowing of the stream and then the things that accompany this such as frequency, urgency and getting up at night.

Medicines for this condition either relax the prostate to open this blockage (Flomax) or shrink the prostate to enlarge the channel (Proscar). If this is unsuccessful, i.e. the gland is too big for the medicine, then surgical options are done to remove the tissue to open the channel. (GreenLight Page.)

What is the most common question we hear about surgery of the prostate?

“Doc, If you are going to cut out the prostate what happens to the urethra? Do you destroy that too?”

Yes the urethra does line the lobes of the prostate and yes it is destroyed and removed. But much like how your hand heals with a cut, the tissue grows back over it-reepithelialization.

Urology Care Foundation – Below the Belt: Pain Men Shouldn’t Ignore

Mans legs in jeans and boots leaning on a white wall

Gentlemen, pain below the belt should never be ignored. Here are a few things you should keep in mind if you experience pain in the pelvic or groin area.

Source: Urology Care Foundation – Below the Belt: Pain Men Shouldn’t Ignore

Tricks to help you empty your bladder better!

Urologists often use ultrasound to perform a bladder post void residual. This is commonly done on patients who have a history of bladder infections, incontinence or a history of a poor stream with the feeling of incomplete emptying. If this value is high, it should be less than 50ccs (about an once and a half), then something needs to be done to correct that. There are surgeries for men, and meds for both the male and female howvever the technique of double voiding is a conservative way to improve how the bladder empties. The rationale and technique is nicely explained in this article from Medical News Today.

From Medical News Today

Double voiding: A guide to bladder-emptying techniques

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Happy Valentines Day…From Mr. Prostate?

Dr. Fabrizio Dal Moro is an assistant professor of urology  in Padova, Italy. He is a connection of mine on Linkedin. He creates interesting anatomic drawings that pertain to the particular surgery  he may doing that day. Below is today’s submission by him. You can visit his website and see other drawings by him. Happy Valentines day from your little friend…the prostate!

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Tomatoes and prostates? A tomato a day will keep the urologist away.

The apple ain’t got nothing on the tomato!

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Article Reviewed: Lycopene Inhibits Disease Progression in Patients With Benign Prostate Hyperplasia. Schwarz S, Obermuller-Jevic UC, et al: J Nutr; 2008; 138 (January): 49-53.

Lycopene Inhibits Disease Progression in Patients With Benign Prostate Hyperplasia.

Schwarz S, Obermuller-Jevic UC, et al:
J Nutr; 2008; 138 (January): 49-53

Background: Lycopene is a carotenoid found in a variety of healthy foods such as tomatoes, watermelon, and pink grapefruit. It has garnered interest in the area of prostate cancer prevention, but has yet to receive adequate attention in the area of benign prostate hyperplasia (BPH). Objective: To determine the serologic, tissue, and clinical impact of higher plasma lycopene levels in patients with histologically proven BPH. Design/Methods: This was a randomized trial of 40 patients who received 15 mg per day of lycopene from a dietary supplement or a placebo for 6 consecutive months. Patients completed 4 visits at the medical practice during the 6-month period at baseline, after 1 month, after 3 months, and after 6 months. The primary end point was the reduction of increased PSA levels. Results: The mean patient age was 67 years and body mass index was 26 (slightly overweight). PSA levels decreased significantly in the lycopene group after 6 months from 6.6 mcg/L to 5.8 mcg/L, and there was no PSA change in the placebo group. Progression of prostate enlargement did not occur in the lycopene group compared to placebo as assessed by transrectal ultrasonography (TRUS) and digital rectal examination (DRE). Disease symptoms according to the International Prostate Symptom Score questionnaire significantly improved in both groups, but to a greater degree with lycopene. However, the placebo group experienced significantly greater reductions in LDL cholesterol compared to the lycopene group.

Conclusions: Lycopene at a dose of 15 mg/day may inhibit the progression of BPH.

Reviewer’s Comments: Lycopene from diet and supplements has not experienced impressive data as of late in the area of prostate cancer research. Perhaps the earlier use of lycopene in healthy patients with BPH was a more ideal opportunity to test the impact of this supplement. The most impressive finding was not the reduction of PSA by lycopene, but that both groups reduced their intake of overall calories to a large degree during the trial. In the Prostate Cancer Prevention Trial (PCPT), men in the placebo arm that reduced their caloric intake also reduced their PSA velocity. In other words, is the lycopene supplement responsible for the favorable impact in this study, or the fact that men reduced caloric intake, which may have also caused the LDL and PSA reductions? (Reviewer–Mark A. Moyad, MD, MPH).

Prostate problems? Visit Georgia GreenLight Laser for more information re: the laser treatment of prostate enlargement.

Or if you prefer enter your number below and we’ll contact you with an appointment.

 

What is the verumontanum and why is it important during GreenLight Laser procedure?

 

There are four features of the prostatic urethra seen immediately below. Furthest from view is the median lobe of the prostate which is positioned horizontally. Proximal to this is the bladder which cannot be seen due to the obstructive components of the prostate. Closer to the viewer are the median lobes of the prostate which come in to the channel of the prostate on the left and right and in addition to the median lobe cause the obstruction of urine flow. Then in the foreground is the verumonatum which is raised area in the prostate and where the seminal vesicles empty fluid from the seminal vesicles and testicles.

The significance of veru is that this represents the point of the prostate where the urologist stops the resection or laser treatment. Beyond the veru is the external sphincter and if this is resected or damaged then there is a risk of incontinence.

If you look closely at the veru you can see the small opening from which the above mentioned fluid emanates.

 

At the end of this GreenLight performed by Dr. McHugh, you’ll see the opened channel for the prostate from the bladder to the veru and the veru intact which means that the resection did no proceed beyond the point of compromising incontinence.

 

What is the Rezum vapor treatment of prostate enlargement?

This form of prostate enlargement will soon be offered at Northeast Georgia Urological Associates. It can be performed in both the office setting and in our ambulatory surgery center. Steam is used to shrink the prostate away from the prostatic urethra (the tube through the prostate through which the male urinates) and improve voiding in the male with prostate enlargement. Even though it is a new modality the skills necessary to perform this procedure are used commonly by the practicing urologist.

Rezum Website

If you have questions about this new form of treatment or have an interest in a prostate enlargement treatment that can be done in an office setting please leave your number and we’ll call you with the appointment.

BPH 101-An animation

Our nurse practitioner Christie Woodruff found this info-cartoon and thought it would be a helpful in understanding prostate enlargement…in a fun way.

The urologists of Northeast Georgia Urological Associates treat BPH commonly and use both medical and minimally invasive surgical procedures to correct this male issue. You can contact us 24/7 by leaving your number and we’ll call with an appointment.

Top Tweets for Urology Care Foundation

Urology Care Foundation is funded by the American Urological Association. It is a very useful site both for urologists as well as urological patients. On this site a patient can download infographic posters and subscribe for free for the monthly magazine. Click on the image below to get a taste of the top 5 tweets by UCF for the year and then checkout this informative website-urologyhealth.org.

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