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.
CHECK OUT OUR SPONSOR
Boston Scientific GreenLight Laser Therapy
https://www.bostonscientific.com/gree...
SHOW NOTES
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 preoperative 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 postoperative medications and the decision to discharge or admit for overnight observation.
RESOURCES
GreenLight Laser Therapy:
https://www.bostonscientific.com/enE...
The BackTable Urology Podcast is a resource for practicing urologists to learn tips, techniques, and practical advice from their peers in the field. Listen on BackTable.com/Urology or on the streaming platform of your choice.
Get notified when new episodes drop! Subscribe to the BackTable Urology Podcast on your goto podcast platform, and follow us on your social media platform of choice for regular updates.
Apple ► https://podcasts.apple.com/us/podcast...
Spotify ► https://open.spotify.com/show/32LoLeG...
YouTube ► / @_backtableuro
LinkedIn ► / backtableurology
Twitter ► / _backtableuro
Instagram ► / _backtableuro
Newsletter ► https://www.backtable.com/shows/urolo...