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Medical Forum / Diseases and Disorders / Prostate BPH / October 2005

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Holmium Laser vs PVP

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Mike Kapitan - 14 Oct 2005 23:50 GMT
A few weeks ago I posted a question re PVP vs other laser treatments for
BPH. At the time I couldn't remember exactly which laser system my uro
uses (I live in a rural area; the nearest uros who do PVP live hundreds
of miles away). With all the positive feedback here from those who've
had a PVP procedure, I'm sold. However, I'd like to know if anyone has
any feedback, negative or positive on the Holmium laser system as it
applies to BPH. My doc reiterated to me that the end result will be as
good as a green light PVP but of course he hasn't done any PVPs.

Comments?
bruferg@cox.net - 15 Oct 2005 01:55 GMT
> A few weeks ago I posted a question re PVP vs other laser treatments for
> BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 6 lines]
>
> Comments?
Michael Balarama - 15 Oct 2005 02:01 GMT
http://www.convergentlaser.com/odyssey.php
Look it up on google..a few sites..could not find anyone who did it.. sounds
like PVP..
Michael

> > A few weeks ago I posted a question re PVP vs other laser treatments for
> > BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 6 lines]
> >
> > Comments?
bruferg@cox.net - 15 Oct 2005 01:59 GMT
I am in the process of researching uro's and their preferred bph
procedures. I have read and been told by uro's in Little Rock and in
Harrison, AR that the Holmium laser is good for stones but not as good
as the greenlight for prostate. If your condition has reached the point
where you are prepared to go ahead with a procedure, everything I have
read and been told points to the greenlight as the preferred device. If
necessary go the extra distance to get the best.
Spread_deMocracy - 15 Oct 2005 03:34 GMT
I had the "Greenlight laser" PVP.   What is the difference between this and
other lasers?   Dunno.   I suspect the wavelength (frequency) is a
critically important to the prostate and therefore an essential part of a
successful outcome...I am only guessing that the greenlight has been proven
over time to allow better work on the prostate itself versus the bladder or
the muscles in the vicinity.  Here's a direct quote from LASERSCOPE.COM  :
"Older laser technologies attempt to treat enlarged prostate. These lasers
use heat to destroy but not remove tissue. The destroyed tissue is left in
the body and is expelled over time, causing urinary pain and discomfort for
several weeks. Only Laserscope's GreenLight laser system uses a patented
green light laser to vaporize and remove tissue, leaving a wide open channel
for urine to pass through. Results and relief are rapid. Recovery is quick
and comfortable..."   Best wishes to you and for a successful outcome.

"Mike Kapitan" <dontspam@nospam.net> wrote in message [SNIP]...I'd like to
know if anyone has  any feedback, negative or positive on the Holmium laser
system as it  applies to BPH. My doc reiterated to me that the end result
will be as good as a green light PVP but of course he hasn't done any PVPs.

> Comments?
Magna - 15 Oct 2005 06:44 GMT
This compares TUVP ( not the same as PVP of course) with TURP:

www.ncchta.org/fullmono/mon904.pdf
Rich256 - 15 Oct 2005 15:43 GMT
> A few weeks ago I posted a question re PVP vs other laser treatments for
> BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 6 lines]
>
> Comments?

Some information about lasers.  There is no date on it but I think it might
be sort of old:

http://www.shorelaser.com/AboutLasersMed.html

The manufactures of course say theirs is the best:

http://www.laserscope.com/surgical/professionals/holmium.html

http://touchbriefings.com/cdps/cditem.cfm?NID=1263&CID=5
redbeard419@msn.com - 17 Oct 2005 13:32 GMT
The holmium laser cuts while the PVP laser vaporizes. The "chunks" that
are removed by the holmium laser are flushed into the bladder and then,
for lack of another term, a blender is inserted through the catheter
into the bladder and the chunks are blended so that they can be
eliminated.

I had the holmium laser procedure a few years ago with an uneventful
rapid recovery. Years ago an MD told me that a patient should pick the
surgeon not the tool. There may be a hint of "the doctor knows best" in
this, but what I took from this is that the skill and experience of the
surgeon is more important than the tool he/she uses.

Fred
Mike Kapitan - 17 Oct 2005 18:15 GMT
> The holmium laser cuts while the PVP laser vaporizes. The "chunks" that
> are removed by the holmium laser are flushed into the bladder and then,
[quoted text clipped - 9 lines]
>
> Fred

Thanks Fred (and everyone else) for your replies. Very informative.

Mike
Derek F - 17 Oct 2005 23:12 GMT
>A few weeks ago I posted a question re PVP vs other laser treatments for
> BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 6 lines]
>
> Comments?
I could have had the rough and ready Holmium treatment last year but turned
it down and waited to get the precise PVP this year.
Derek.
Rich256 - 18 Oct 2005 02:49 GMT
> >A few weeks ago I posted a question re PVP vs other laser treatments for
> > BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 9 lines]
> it down and waited to get the precise PVP this year.
> Derek.

Hmm,  maybe that is what my first URO meant when in answer to my question if
their group did laser treatments said, "It is the same as TURP".  That is
when I went looking for a URO who does PVP.

I would even disagree with him saying that Holmium is the same as TURP.
Derek F - 19 Oct 2005 01:21 GMT
>> >A few weeks ago I posted a question re PVP vs other laser treatments for
>> > BPH. At the time I couldn't remember exactly which laser system my uro
[quoted text clipped - 17 lines]
>
> I would even disagree with him saying that Holmium is the same as TURP.

The Uro I was going to would hear of nothing but TURP, it is the Gold
Standard he always repeated. When I asked him about Laserscope PVP he said
that he had been to a demo of it but it is just another tool to bore a hole
with. He evidently could not distinguish the difference between Holmium and
PVP and referred me to a hospital that did Holmuim rather than PVP which
wasted a few more months.
Derek.
 
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