GreenLight PVP for Treatment of BPH (Enlarged Prostate)

Photoselective Vaporization of the Prostate,
for the Treatment of Benign Prostate Hyperplasia (Enlarged Prostate)

For patients with an enlarged prostate gland, Baptist physicians may perform a minimally invasive procedure to vaporize the prostate using laser energy. This procedure is designed to relieve the most common symptom of BPH-difficulty in urinating or the inability to urinate. Baptist physicians use the GreenLight PVP™ system to perform this procedure.

Because the prostate gland surrounds the urethra, an enlarged prostate-benign prostate hyperplasia (BPH)-puts pressure on the urethra, causing it to narrow or close completely. Typical symptoms include:

  • Difficulty urinating or the inability to urinate
  • Dribbling at end of urination
  • Sensation that the bladder is not empty after urination
  • Frequent urge to urinate, particularly at night

Using the GreenLight PVP™ system, physicians insert a thin fiber into the urethra through a cytoscope (a medical instrument for the visual examination of the urinary bladder and the passage of surgical instruments). The fiber delivers green laser energy that quickly vaporizes and precisely removes enlarged prostate tissue. The technology allows surgeons to safely view and control the treatment area while tailoring it to each patient's anatomy. Typically, urinary symptoms are relieved quickly-many patients notice a dramatic improvement in urine flow within 24 hours of the procedure.

After treatment, many patients do not need to wear a catheter. For patients who do, in most cases it is removed in less than 24 hours. Typically, patients are released from the hospital after an overnight stay.

The GreenLight PVP™ procedure may be used instead of a transurethral resection of the prostate (TURP), a surgical technique which has been the standard treatment for generations. As opposed to the GreenLight laser vaporization, following a TURP procedure, patients are required to wear a catheter during a hospital stay of usually two days. Patients only go home after there is no blood in their urine and they are able to urinate.

The GreenLight system offers an effective alternate to the TURP method with a quicker recovery. Most patients can resume normal, light activities-such as working at a desk job and driving a car-within a week. More strenuous activities, including lifting more than around 30 pounds, should be delayed for about 2 weeks following the procedure.

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