How to alleviate headaches caused by ED medication?
There are various methods to ease headaches caused by ED medication, including taking over-the-counter pain medication, using hot or cold compresses, staying hydrated, eating before taking medication, using a lower dose, or trying a different medication.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
What is sildenafil 20mg used for?
Sildenafil 20mg is a medication that can be used to address erectile dysfunction and pulmonary arterial hypertension. It is classified as a phosphodiesterase 5 (PDE5) inhibitor, which can help to regulate blood flow in the body.
Latest treatments for erectile dysfunction.
There are various options for treating erectile dysfunction, including oral medications and therapies like melanocortin activators and shockwave therapy. It's crucial to have a discussion with a healthcare provider to determine the best course of action for each individual case. Further research is needed to establish the safety and effectiveness of these treatments.
How to overcome performance anxiety and erectile dysfunction?
Performance anxiety and erectile dysfunction can be managed through various techniques such as talking to a professional, practicing mindfulness, and completing an exercise routine. Seeking help early on can improve your ability to perform sexually and reduce stress levels.
Can clogged arteries cause erectile dysfunction?
Arteries blockage can lead to erectile dysfunction, which may indicate atherosclerosis. This condition can also cause heart attacks and strokes. Clogged arteries in the penis may also be a sign of heart disease.
What causes blue vision with viagra?
Viagra may cause blue-tinted vision in some individuals due to its effect on an enzyme involved in regulating color vision. This side effect is rare and usually mild and transient. In rare cases, the blue-tinted vision can last for several weeks.
Is there a daily viagra?
It's possible to take Viagra daily, but it's not always the best option. Your doctor may suggest a lower dose. Follow their instructions and only take Viagra as directed.
Does viagra cure impotence?
Viagra is a drug that helps with erectile dysfunction by increasing blood flow during sexual stimulation. It does not cure ED or increase sexual desire, and treatment options vary depending on the cause.
Can antihypertensive medications, specifically amlodipine, cause erectile dysfunction?
Some studies suggest that amlodipine, a blood pressure medication, may increase the risk of erectile dysfunction (ED) in hypertensive patients. However, it is generally considered to be a rare side effect and there is debate about its role in causing ED.
Who holds the patent for viagra and when did pfizer lose it?
This is what we know about the patent for Viagra: Pfizer filed a patent in 1994 for the use of sildenafil to treat erectile dysfunction. The patent expired in 2019, and Pfizer's patents outside the US expired in 2012. In the US, Pfizer settled litigation with Mylan and Teva, allowing them to introduce generics in 2017. In 2011, Pfizer won a patent infringement case against Teva in the US, but Teva was able to sell a generic version in Canada in 2012. Pfizer's patent protection for Viagra expired in the UK in 2013, and a US court ruled in 2020 that Pfizer's patent is valid until 2019.
Can erectile dysfunction make you hard?
Yes, individuals with erectile dysfunction (ED) may experience less frequent erections. ED is characterized by difficulty achieving and maintaining a firm erection for sexual activity. The frequency, strength, and duration of erections may gradually decrease with ED. Underlying conditions like diabetes or cardiovascular disease can contribute to ED. Other factors such as high blood pressure, heart disease, multiple sclerosis, kidney disease, hormonal issues, stress, anxiety, and relationship problems can also affect sexual function. ED affects approximately 30 million men. If ED occurs more than 25% of the time, it may be a concern. Psychological causes can be addressed through counseling or therapy, while physical causes may require medication, surgery, or lifestyle changes like quitting smoking, reducing alcohol intake, and weight loss. If experiencing ED, it is important to seek professional advice to address any potential underlying conditions.
Can flomax and cialis be taken together with tamsulosin?
According to research, combining Flomax (tamsulosin) and Cialis (tadalafil) has been found to effectively treat urinary symptoms and erectile dysfunction. Studies have shown that this combination is safe and can improve symptoms in men with benign prostatic hyperplasia (BPH). It is important to seek guidance from a healthcare provider before starting any medication.
Can tramadol help with lasting longer in bed?
Tramadol is a medication used for pain management. Some studies have indicated its potential to delay ejaculation in men with premature ejaculation. However, it is important to be aware of its addictive nature, potential for seizures, and side effects like sleep difficulties. Prior consultation with a healthcare professional is advised before considering tramadol for any condition.
Ingredients and safety of herbal viagra.
"Supplements marketed as Herbal Viagra aim to enhance erectile function and sexual desire. However, there is no scientific evidence supporting their effectiveness for treating erectile dysfunction. Some products may even contain undisclosed drugs or contaminants. It is crucial to verify health claims and assess the brand before purchasing any herbal supplements."
Duration of sildenafil and viagra effectiveness.
Sildenafil, the active ingredient in Viagra, is used for erectile dysfunction and pulmonary arterial hypertension. It takes 30-60 minutes to take effect and can last 4-8 hours. The duration may vary depending on the individual and dosage. Food, alcohol, and sexual stimulation can affect its effectiveness.
Can cialis or other pills restore erectile function after prostatectomy?
After prostatectomy, pills such as Cialis can aid in restoring erectile function. Early intervention with tadalafil or other inhibitors may help preserve penile length and improve erectile function recovery. While pills like Viagra or Cialis can boost confidence, results may vary. It's advised to seek professional guidance for the most suitable treatment.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to alleviate headaches caused by ED medication?
There are various methods to ease headaches caused by ED medication, including taking over-the-counter pain medication, using hot or cold compresses, staying hydrated, eating before taking medication, using a lower dose, or trying a different medication.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
What is sildenafil 20mg used for?
Sildenafil 20mg is a medication that can be used to address erectile dysfunction and pulmonary arterial hypertension. It is classified as a phosphodiesterase 5 (PDE5) inhibitor, which can help to regulate blood flow in the body.
Latest treatments for erectile dysfunction.
There are various options for treating erectile dysfunction, including oral medications and therapies like melanocortin activators and shockwave therapy. It's crucial to have a discussion with a healthcare provider to determine the best course of action for each individual case. Further research is needed to establish the safety and effectiveness of these treatments.
How to overcome performance anxiety and erectile dysfunction?
Performance anxiety and erectile dysfunction can be managed through various techniques such as talking to a professional, practicing mindfulness, and completing an exercise routine. Seeking help early on can improve your ability to perform sexually and reduce stress levels.
Can clogged arteries cause erectile dysfunction?
Arteries blockage can lead to erectile dysfunction, which may indicate atherosclerosis. This condition can also cause heart attacks and strokes. Clogged arteries in the penis may also be a sign of heart disease.
What causes blue vision with viagra?
Viagra may cause blue-tinted vision in some individuals due to its effect on an enzyme involved in regulating color vision. This side effect is rare and usually mild and transient. In rare cases, the blue-tinted vision can last for several weeks.
Is there a daily viagra?
It's possible to take Viagra daily, but it's not always the best option. Your doctor may suggest a lower dose. Follow their instructions and only take Viagra as directed.
Does viagra cure impotence?
Viagra is a drug that helps with erectile dysfunction by increasing blood flow during sexual stimulation. It does not cure ED or increase sexual desire, and treatment options vary depending on the cause.
Can antihypertensive medications, specifically amlodipine, cause erectile dysfunction?
Some studies suggest that amlodipine, a blood pressure medication, may increase the risk of erectile dysfunction (ED) in hypertensive patients. However, it is generally considered to be a rare side effect and there is debate about its role in causing ED.
Who holds the patent for viagra and when did pfizer lose it?
This is what we know about the patent for Viagra: Pfizer filed a patent in 1994 for the use of sildenafil to treat erectile dysfunction. The patent expired in 2019, and Pfizer's patents outside the US expired in 2012. In the US, Pfizer settled litigation with Mylan and Teva, allowing them to introduce generics in 2017. In 2011, Pfizer won a patent infringement case against Teva in the US, but Teva was able to sell a generic version in Canada in 2012. Pfizer's patent protection for Viagra expired in the UK in 2013, and a US court ruled in 2020 that Pfizer's patent is valid until 2019.
Can erectile dysfunction make you hard?
Yes, individuals with erectile dysfunction (ED) may experience less frequent erections. ED is characterized by difficulty achieving and maintaining a firm erection for sexual activity. The frequency, strength, and duration of erections may gradually decrease with ED. Underlying conditions like diabetes or cardiovascular disease can contribute to ED. Other factors such as high blood pressure, heart disease, multiple sclerosis, kidney disease, hormonal issues, stress, anxiety, and relationship problems can also affect sexual function. ED affects approximately 30 million men. If ED occurs more than 25% of the time, it may be a concern. Psychological causes can be addressed through counseling or therapy, while physical causes may require medication, surgery, or lifestyle changes like quitting smoking, reducing alcohol intake, and weight loss. If experiencing ED, it is important to seek professional advice to address any potential underlying conditions.
Can flomax and cialis be taken together with tamsulosin?
According to research, combining Flomax (tamsulosin) and Cialis (tadalafil) has been found to effectively treat urinary symptoms and erectile dysfunction. Studies have shown that this combination is safe and can improve symptoms in men with benign prostatic hyperplasia (BPH). It is important to seek guidance from a healthcare provider before starting any medication.
Can tramadol help with lasting longer in bed?
Tramadol is a medication used for pain management. Some studies have indicated its potential to delay ejaculation in men with premature ejaculation. However, it is important to be aware of its addictive nature, potential for seizures, and side effects like sleep difficulties. Prior consultation with a healthcare professional is advised before considering tramadol for any condition.
Ingredients and safety of herbal viagra.
"Supplements marketed as Herbal Viagra aim to enhance erectile function and sexual desire. However, there is no scientific evidence supporting their effectiveness for treating erectile dysfunction. Some products may even contain undisclosed drugs or contaminants. It is crucial to verify health claims and assess the brand before purchasing any herbal supplements."
Duration of sildenafil and viagra effectiveness.
Sildenafil, the active ingredient in Viagra, is used for erectile dysfunction and pulmonary arterial hypertension. It takes 30-60 minutes to take effect and can last 4-8 hours. The duration may vary depending on the individual and dosage. Food, alcohol, and sexual stimulation can affect its effectiveness.
Can cialis or other pills restore erectile function after prostatectomy?
After prostatectomy, pills such as Cialis can aid in restoring erectile function. Early intervention with tadalafil or other inhibitors may help preserve penile length and improve erectile function recovery. While pills like Viagra or Cialis can boost confidence, results may vary. It's advised to seek professional guidance for the most suitable treatment.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
How to buy Viagra online without a prescription?
It is illegal to purchase Viagra online without a prescription in the US and many other countries. Some websites may offer it without a prescription, but they may not be trustworthy. Viagra Connect is an alternative treatment that can be bought over the counter with a prescription. It's important to be cautious when taking any medication for erectile dysfunction.
|
About GreenLight: For men with bladder outflow obstruction due to an enlarged prostate, this technique allows genuine day case surgery with dramatic early results and minimal early side-effects. Most men can now be treated without a post-operative catheter. It is possible for prostates of all sizes to be treated. Even patients with retention of urine can go home the same day, sometimes with no catheter. Bleeding and recovery time are usually minimal. As the first team in the UK to use the GreenLight system, and having pioneered and developed the GreenLight prostate vaporisation system in Europe, we have now virtually given up other surgical methods of benign prostate surgery. GreenLight Patient Information How does it work? Information for GP's Training Courses for Surgeons
| |
|
Watch patient information video |
By clicking on the flash image you will be able to watch a video where patients share their experiences and an explanation is given of the techniques. You will need to have Flash player installed to watch it. To download our operation information (Adobe PDF) click here
If you prefer to read the information online then click here to go to our operation info page |
|
NHS Innovation Awards The adoption of this technique led to the NHS clinical excellence award for innovation being awarded to King's College Hospital.
| |
How does it work?
Although we had in TURP a very good and tested operation, there are side effects and costs associated with it. This led to many minimally invasive approaches over the last decade. Sadly most of these were abandoned due to or a high risk of pain or other side effects compared to TURP, or because they simply did not work!
Previous Attempts with Lasers
Many laser energies have been used in the prostate before now, but limitations on laser power have meant removal of significant amounts of prostate tissue (the real test) has been impossible or unfeasibly slow. The only two contenders for the TURP crown up until now have been prostate electrovaporisation (easy to learn but higher risk of infection, impotence and incontinence) and holmium laser prostate enucleation (as effective as TURP but extremely difficult to learn and associated with severe operative complications in all but the most expert hands).
The Greenlight HPS system from AMS addresses this problem by means of delivering a very powerful modulated laser beam which is absorbed by the haemoglobin pigment in tissue. This means that when the laser is applied to prostate tissue massive localised heating of the tissue occurs resulting in instantaneous vaporisation: due to the laser - characteristically bleeding is close to zero.
Our results show that prostates of any size can be treated, with most men seeing their symptoms improve by two or three fold in the first six weeks. Many men have continuing benefits developing up to nine months after surgery
The technique allowsrapid creation of a generous prostate cavity with almost no bleeding. More than 50% of men can leave hospital on the day of surgery without a catheter, with most others having a soft small catheter for around 18 hours at home (many men remove this themselves)Althoughwe placed catheters post operatively in our initial evaluation period, only a few men have had to have a catheter for more than 12 hours (these have usually been in urinary retention patients, and nearly all have voided extremely well on final catheter removal. Strikingly, very few patients report pain after the procedure: pain and burning on urinating have limited both laser techniques and TURP in the past. About one man in ten will get some burning which may need a fe weeks of simple painkillers to ease the discomfort. Sexual side effects are reduced compared to the standard technique. While very long term results are awaited, the figures after five years of follow up show improvements in symptoms and urological measurements comparable to historical TURP data (about one man in fifty requiring reintervention each year). In particular it appears the prostate tissue removal seen at the time of surgery is genuine when assessed by post-operative prostate ultrasound (between 40-60% of tissue reduction is seen).
Post operative bleeding and discomfort can occur, but aremuch less than with standard TURP, and many men have gone back to work or normal activities within a couple of days, with sport and other activities being possible within a week or two. Of course, some men do take longer to recover and those men with very overactive bladders or catheters pre-operatlively may take some time to settle afterwards.
Anticoagulation, large prostate size (>100g) and poor cardiac status are not contraindications to the procedure, even as a day case.
Our results have been presented at a number of international meetings including the European Association of Urology and the American Urological Association Meeting. In particular our data on large prostates and the absence of absorption of irrigating fluid has attracted much interest. Mr Muir isa founder member of the International GreenLIght Users' Group, which seeks to fine tune and improve further the results from this therapy.
IPSS Symptom scores changes following PVP to one year
The initial score of 23 on the IPSS system shows that most men were suffering severe symptoms which reduced by almost threefold within sixweeks.
Urine flow rates at the same stage and out to five years in our series showimprovements of more than 100%.
GreenLight Training Courses at King's College Hospital
(for urological surgeons wishing to learn the technique)
Course director: Gordon Muir, Consultant Urologist
The course will be in the format of small group teaching with a mixture of didactic presentations linked to live 2 way videoconferencing observing a number of prostate vaporisations in the operating theatre downstairs from our conference room.. There will be an opportunity to visit our state of the art integrated operating theatres during procedures to observe the set-up and logistical issues relating to prostate laser surgery.
The objectives of the course will be that at the end of the course participants will be able to:
-
Understand the indications and contraindications for GreenLight PVP
-
Explain the mechanism of action and efficacy of high power KTP-YAG laser energy
-
Control an operating theatre with a GreenLight laser installation
-
Apply their understanding of the GreenLight PVP procedure to their clinical practice
Topics covered in the course include:
GreenLight PVP results
Previous lasers: problems and successes
Why green light? Laser physics and safety
Live cases
Theatre and nursing issues
Discussion: how to startup, avoiding complications
Certificates of GreenLight laser training and CME credits will be awarded to those who have successfully completed the training course. CME accreditation has been applied for.
Refreshments and lunch are included in the course fee
Course dates at King's College Hospital
6th April 2009
11th May 2009
8th June 2009
6th July 2009
Training video (NB this is NOT a substitute for attending a properly run course and having mentoring for the surgical technique)
for further information on courses contact [email protected]
Copyright (c) 1999-2001 GH Muir. All rights reserved.
[email protected]