Dr Charles Chabert

1. Urinary Symptoms &GreenLight Laser Prostatectomy Dr Charles Chabert

2. Overview of The Prostate • Walnut sized gland at base of the male bladder • Surrounds the urethra • Produces fluid that transports sperm during ejaculation Charles Chabert

3. Prostate Conditions • Enlarged prostate (BPH/LUTS) • Prostatitis • Prostate cancer Each condition affects the prostate differently Charles Chabert

4. Aging and the Prostate • By age 60, half of all men have an enlarged prostate • Affects most men by age 80 • Stress and diet are contributing to an increased presence of enlarged prostate in younger men Charles Chabert

5. Normal Prostate Enlarged Prostate What is BPH? • Benign Prostatic Hyperplasia (BPH) • Commonly known as enlarged prostate • Non-cancerous enlargement of the prostate gland • BPH is not an indication nor a predictor of cancer Charles Chabert

6. Symptoms of BPH • Obstructive symptoms • Weak urine flow • Straining • FOIBE • Starting or stopping during urination • Overactive Bladder symptoms • Frequency • Urgency • Nocturia Charles Chabert

7. How is an Enlarged Prostate Diagnosed? • Medical History • Physical Exam • MSU • Ultrasound • Cystoscopy • Symptoms – IPSS Symptom Score • Bothersome – how much of a bother is it to you In general, the size of the prostate does not correlate to severity of symptoms Charles Chabert

8. Treatment Options for Enlarged Prostate • Watchful waiting • Medication • Surgery • Advanced treatments Laser Therapy (GreenLight™) Charles Chabert

9. Treatment Option - Watchful Waiting Advantages • No surgery • No drugs • No side effects Disadvantages • No improvement in symptoms • Risk that symptoms will worsen Charles Chabert

10. Treatment Option - Medication Advantages • No surgery • Potential for symptom relief Disadvantages • Ongoing medication therapy • Potential side effects • Lowered sexual drive, erection problems, congestion and dizziness • Effectiveness may diminish • Many men don’t like taking medications Charles Chabert

11. Treatment Option – Surgery (TURP)(Transurethral resection of the prostate) Advantages • Proven approach Disadvantages • Invasive procedure • Hospitalization required • Significant side effects possible • Activities after surgery restricted for about 6 weeks Charles Chabert

12. GreenLight™ Laser Therapy • A safe and advanced BPH treatment • Provides long-lasting symptom relief • A single, definitive treatment • Done in an outpatient setting or single overnight stay • Fewer side effects than TURP Charles Chabert

13. GreenLight™ Laser Therapy • Typically no overnight stay or single night • A single treatment takes approximately 60 minutes • Most patients have only minimal discomfort • Symptom relief is typically immediate Charles Chabert

14. How GreenLight™ Laser Therapy Works: • Uses laser energy to remove excess prostate tissue • Laser energy is delivered through a small, flexible fiber inserted in the urethra • Procedure is performed through a cystoscope Charles Chabert

15. GreenLight™: Minimal Side Effects • Less than 1% of sexual side effects reported in the clinical trial • Minor, short term side effects • Generally go away quickly on their own • Does NOT affect your ability to take erectile dysfunction medications Charles Chabert

16. Post-Treatment Expectations • Able to leave outpatient facility within hours after treatment or next day • Avoid strenuous activities, intercourse & bike riding for a 3 weeks • Quick return to normal activities • Noticeable symptom improvement immediately Charles Chabert

17. Am I Eligible For This Treatment? • Of the BPH treatments available, GreenLight™ has the widest patient selection • Potential candidates may include men who are: • Not satisfied with medication therapy • Loss of effectiveness, side effects • Don’t want to take medications • Want better symptom relief than with medications • In “watchful waiting”/ newly diagnosed Charles Chabert

18. Questions? www.prostates.com.au Charles Chabert