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After having performed hundreds of PVP procedures, and based on the excellent clinical results and very high patient satisfaction,
I am firmly convinced that PVP is a major advancement in the surgical treatment of the enlarged prostate.
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| What is GreenLight? |
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| GreenLight Laser Therapy Creating A New Standard of Care |
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| The GreenLight™ Laser Therapy is a treatment that combines the effectiveness of the traditional surgical procedure known as "Trans Urethral Resection of the Prostate" (TURP) with fewer side effects. |
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| GreenLight is suitable for most patients with an enlarged prostate. With over 200,000 procedures performed worldwide, the GreenLight procedure is creating a new standard of care — a standard that offers freedom from enlarged prostate symptoms.
Most patients return home a few short hours after the PVP procedure and can return to normal, non-strenuous activities within days. 3, 4, 11 The GreenLight laser system delivers the ultimate benign prostatic hyperplasia (BPH) solution — free from urinary symptoms, free from compromise, free to go! |
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| The GreenLight™ Solution: |
- Rapid urine flow improvement 5
- Quick return to normal activities 3
- Virtually bloodless procedure4,10
- Less than 1% reported cases of erectile dysfunction8
- Short to sometimes no catheterization 4,10 (less than 24 hours in most cases)
- Outpatient procedure in otherwise healthy patients 3
- Long lasting symptom relief 4
- Over 200,000 procedures worldwide
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The GreenLight™ laser system used to perform Photoselective Vaporization of the Prostate (PVP) for the treatment of benign prostatic hyperplasia (BPH).It provides a definitive treatment solution that delivers the objective outcomes of TURP with the lowest rate of adverse events of any interventional BPH treatment.
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| Dramatic urine flow improvement, rapid symptom relief, minimal side-effects, preservation of sexual function and long lasting durability are the hallmarks of this breakthrough treatment and the reason Photoselective Vaporization of the Prostate using the GreenLight laser system is quickly becoming the new standard of care for BPH. |
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Dramatic urine flow improvement |
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171%-255% improvement at 12 months [2-4] |
No prolonged catheterization |
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catherization time 4-48 hours
2% rate of UTI [3] |
A definitive, long lasting treatment |
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2.2% re-operations after one year follow up
(BNC and stricture) [3] |
Less risk than TURP |
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No significant risk of TUR syndrome, fluid absorption
or blood transfusion [7] |
Low rate of sexual side-effects |
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0% reported cases of erectile dysfunction [2,3,4]
36% rate of retrograde ejaculation at 1 year [3] |
Widest patient selection |
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Patients in retention [4-5]
Wide range of gland size and morphology [2-7]
Patients on anti-coagulants [4,7] |
Mild and short-lived irritative symptoms |
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9% transient dysuria > 10 days [3]
9% mild to moderate transient hematuria > 10 days [3] |
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| Economics Benefits to the HealthCare System |
The GreenLight laser system reduces healthcare costs by delivering a virtually bloodless treatment with minimal to no catheterization, quick recovery times and minimal side effects. |
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| The Measure of Success |
There are many BPH treatments available, but only the PVP procedure using the GreenLight laser system achieves success by every measure. |
- Rapid and long-lasting symptom relief
- Exceptional clinical endpoints with low risk of side effects
- High level of safety and patient satisfaction
- Economic benefits to all healthcare systems
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| Side effects |
Post-operative side effects, if any, have been minimal and transient. Patients usually feel well within several days of the procedure, but full recovery can take several weeks(6-8). Some blood in the urine is common during the recovery process off and on.This is harmless, and rarely requires treatment. It is common to have decreased fluid with ejaculation after this or any prostate surgery and some cases ejaculation can be dry.Orgasm is however normal. Changes in ejaculation are less with PVP than with TURP. |
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| References |
[1] Stovsky MD, Laskin CR, Grif.ths RI, A clinical outcomes and cost analysis comparing photoselective vaporization of the prostate to alternative minimally invasive therapies & TURP for the treatment of benign prostatic hyperplasia. Poster presented at AUA Meeting 2005 based on abstract J Urol (Suppl) March 2004; #393.
[2] Malek RS, Kuntzman RS, Barrett DM, High-power potassium-titanylphosphate laser vaporization prostatectomy, J Urol. 2000;163:1730-1733. .
[3] Te AE, Malloy TR, Stein BS, et al., Photoselective laser vaporization of the prostate (PVP) for the treatment of benign prostatic hyperplasia (BPH): 12-month Results from the First United States Multi-center Prospective Trial. J Urol 2004;172:1404-1408.
[4] Reich O, Bachmann A, Siebels M, Hofstetter A, Stief CG and Sulser T, High Power (80W) Potassium-Titanyl-Phosphate (KTP) Laser Vaporization of the Prostate in 66 High Risk Patients, J Urol 2004;173:158-160.
[5] Bachmann A, Ruszat R, Seifert HH, Casella R, Wyler S, Sulser T. Photoselective Vaporization of the Prostate (PVP) in Men with Preoperative Catheterization Due to Chronic Urinary Retention., J Urol 2005 (Suppl);173:424, #1566.
[6] Sandhu JS, Ng C, Van der Brink BA, Egan C, Kaplan SA, Te AE, High-power potassium-titanyl-phosphate photoselective laser vaporization of the prostate for treatment of benign prostatic hyperplasia in men with large prostates, Urology. 2004;64:1155-1159.
[7] Malloy TR, Sandhu JS, Smith AL, Reddy B, Harryhill JF, Kaplan SA, Te AE, Photoselective Vaporization of the Prostate (PVP) in Anti-coagulated Patients: A Multi-Center Retrospective Evaluation of Feasibility, J Urol 2005 (Suppl), 173:423, #1562.
[8] Malek RS, Kuntzman RS. Photoselective vaporization of the
prostate: 5-year experience with high power KTP laser.
J Urol. (Suppl) 2003;169:390.
[9] Reiter RE in Outcomes similar to TURP, PVP found safe, efficacious in relieving LUTS, Edit. Mac Overmyer, Urology Times, April 2005. |
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