BackTable / Urology / Podcast / Episode #138
Hood-Sparing & Greenlight Laser Therapy in BPH Management
with Dr. Bilal Chughtai
In this episode of BackTable Urology, Dr. Jose Silva and Dr. Bilal Chughtai discuss their workup for benign prostate hyperplasia (BPH) and how they use GreenLight Laser therapy and pharmacologic interventions to treat this common condition.
BackTable, LLC (Producer). (2023, November 22). Ep. 138 – Hood-Sparing & Greenlight Laser Therapy in BPH Management [Audio podcast]. Retrieved from https://www.backtable.com
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Dr. Bilal Chughtai
Dr. Bilal Chughtai is an associate professor of urology at Weill Cornell Medicine in New York City.
Dr. Jose Silva
Dr. Jose Silva is a board certified urologist practicing in Central Florida.
First, the doctors discuss workup of BPH. Questionnaires, like the International Prostate Symptom Score (IPSS) are helpful when in the first clinic evaluation. They also discuss differential diagnoses of urinary obstructive symptoms.
Then, they discuss who is and isn’t a candidate for a GreenLight laser therapy. They also touch on the topic of pre-operative antibiotics. Dr. Chughtai then describes in detail the steps of the procedure to ensure an open channel and removal of the correct prostate lobes. Next, he discusses the possible risks and benefits of doing an ejaculatory hood sparing procedure. Additionally, they explore the hood technique and how it's used to preserve mucosa at the apex of the prostate.
They also consider the importance of having a discussion about ejaculation with patients before the GreenLight procedure. Additional technology or adjunctive medications, such as alpha blockers and PDE5 inhibitors may be necessary as well. Finally, Dr. Chughtai explains his post-operative medications and the decision to discharge or admit for overnight observation.
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