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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.
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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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Synopsis
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.
Resources
GreenLight Laser Therapy:
https://www.bostonscientific.com/en-US/patients-caregivers/device-support/mens-health/greenlight-laser-therapy.html
Boston Scientific is a paid advertiser of BackTable, LLC and is not responsible for the content beyond this paid scripted advertising message or promotional material.
Prior to using Boston Scientific devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, and potential adverse events.
The Materials available on BackTable are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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