Benign Prostatic Hyperplasia (BPH)

A non-cancerous enlargement of the prostate that can cause urinary symptoms identical to prostate cancer. Similar to prostate cancer, BPH is common in older men and can cause an elevated PSA (prostate specific antigen) level. BPH is not a cancer and cannot spread to other parts of the body

Assessing for BHP

Alternative Treatments for BHP

  • Watchful Waiting
  • Drug Therapy
  • Microwave Therapy
  • Turp
  • Green Light Laser

Green Light Laser Photovaporization of the Prostate

This uses a small fiber that delivers high powered laser energy which heats up the prostate tissue, causing the tissue to vaporize.

Advantages of Green Light Laser Therapy Treatment

  • Rapid urine flow improvement
  • Quick return to normal activities
  • Virtually bloodless procedure
  • Less than 1% reported cases of erectile dysfunction
  • Outpatient procedure

Risks of Greenlight Laser Therapy Treatment

  • Blood in urine
  • Urgency to void
  • Burning on voiding
  • Retrograde ejaculation

These issues are temporary in the post operative period

Potential Postoperative Expectations

  • Temporary need for catheter
  • Urgency to urinate
  • Blood in urine
  • Retrograde ejaculation

Postoperative

First 3 Weeks:

  • Urgency to void
  • Frequency to void
  • Slough of tissue
  • Blood in urine

"Feels like made wrong decision"

First 3 Months:

  • Urgency to void lessens
  • Frequency to void lessens
  • Slough of tissue lessens
  • Blood in urine lessens

"Feels like made right decision"

Recommended Followup

6 Months:

Uroflow and post void residual

12 Months and Yearly:

PSA, physical exam, AUA SCORE, PVR
(as needed if concerns arise)