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Medical Forum / Diseases and Disorders / Prostate BPH / April 2006Holmium Vs. KTP
Any comments on the use of a Holmium laser vs. a KTP laser in an upcoming BPH surgery? Patient is 57 years old and, aside from BPH, is in excellent health. Prostate is 45g with mild lateral lobe enlargement and very prominent median lobe. Regards, Lee On 1/4/06 8:15 PM, in article S31vf.4917$M%4.526@newsread3.news.atl.earthlink.net, "Lee" <lee@nomail.com> wrote: > Any comments on the use of a Holmium laser vs. a KTP laser in an upcoming > BPH surgery? Patient is 57 years old and, aside from BPH, is in excellent [quoted text clipped - 3 lines] > Regards, > Lee Within my memory, KTP is a nonlinear optical crystal used for purposes like frequency doubling of a laser. It is not a laser itself. Let us know more about what your KTP is. Bill -- Ferme le Bush Lee, I would go for a Photoselective Vaporization of the Prostate with a KTP laser. (a KTP laser is a Nd-YAG laser that has a KTP crystal, and this effectively halves the wavelength of the Nd-YAG laser, obtaining a green light that vaporizes tissue effectively). With a Holmium laser you can try to vaporize the tissue, but vaporizing efficiency is much lower, so you can only use it in very small prostates. 45 grams is quite big for Holmium, in my opinion. Another way to use this laser is to try to enucleate the prostatic lobes, that fall inside the bladder, and later have to be chopped with a relatively dangerous instrument, the morcellator. This technique is very difficult to learn, and has been abandoned except for those surgeons who were able to master it after a very long learning curve. So I would choose a PVP for myself, rather than a Holmium laser prostatectomy. All the best, Fernando Gómez Sancha http://drgomezsancha2.blogspot.com Green Light is the way to go without question. PSA 3.7. My prostate was 70g. Retaining a litre of fluid. Constantly searching for restrooms. Flomax, Uroxatrol did little to relieve. Researched various procedures. TURP, microwave, even prostatectomy. Chose GreenLight. Overnight in the hospital and my life changed. No pain. No long recovery. Medicare and Blue Cross paid for all but $2,000. GreenLight is sure to become the gold standard for resolving BPH. bruferg@cox.net > Green Light is the way to go without question. PSA 3.7. My prostate > was 70g. Retaining a litre of fluid. Constantly searching for > restrooms. bruferg...If you were constantly searching for restrooms and retaining a litre, how much were you peeing out (eg just a few ounces). And if so you must have felt like you still had to go, or was the urge lessoned by just getting out what you could. I have asked this type of thing before and have not gotten any clear answers. In other words, after you void (because you have an urge I assume) do you still have the urge (only to a lesser degree) to void with the litre you have retained, or has your brain learned to accept the litre as normal (so to speak)...Pete Flomax, Uroxatrol did little to relieve. Researched various > procedures. TURP, microwave, even prostatectomy. Chose GreenLight. > Overnight in the hospital and my life changed. No pain. No long > recovery. Medicare and Blue Cross paid for all but $2,000. GreenLight > is sure to become the gold standard for resolving BPH. bruferg@cox.net >bruferg...If you were constantly searching for restrooms and retaining a >litre, how much were you peeing out (eg just a few ounces). And if so you [quoted text clipped - 6 lines] >have retained, or has your brain learned to accept the litre as normal (so >to speak)...Pete Pete, Not sure if you ever received an answer to this, but in my case (with similar symptoms), urinating relieves the pressure and the urge to go, even though there is significant retention in my bladder. However, in another 2-3 hours (or less), I generally feel an urge to void again. (I'm now scheduled for a PVP next week!) Ed K |
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