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A & C Hackett - 16 Dec 2003 15:53 GMT

Is there any any information available that compares the green-light laser
to the indigo laser regarding their relative effectivness in treating BPH.
Would the results and procedures be similar? Thanks. Art

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bnd777 - 16 Dec 2003 18:18 GMT

> Is there any any information available that compares the green-light laser
> to the indigo laser regarding their relative effectivness in treating BPH.
> Would the results and procedures be similar? Thanks. Art

As I understand it Green Light laser is easier to operate theres way less
risk of any damage etc

Wheras other laser systems are harder to master and even the slightest
operator error could be disastrous for the patient

Go with PVP

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Dan - 16 Dec 2003 23:32 GMT

> > Is there any any information available that compares the green-light laser
> > to the indigo laser regarding their relative effectivness in treating BPH.
[quoted text clipped - 7 lines]
>
> Go with PVP

There are other good options. See my ealier post on HOLeP (Holmium
Laser Enucleation of the Prostate) surgery. This surgery uses a
holmium laser which has been around for some time. The laser is used
to cut out the prostate lobes into three whole pieces. Then the lobes
are removed(ground up)using a mechanical morcellator. The surgery is
an overnight(23 hour)procedure with few complications. I had a great
outcome. Dan

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MB - 16 Dec 2003 18:20 GMT

You might want to peruse some of the messages on this board for the past
12-18 months. There is a big difference.

Mel

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David - 17 Dec 2003 06:43 GMT

Heres the way I understand it.

The Indio Laser reduces an area of the prostate. Excess tissue is
naturally absorbed by the body. As the excess tissue is absorbed, the
material that was blocking the urethra goes away and it is easier to
pee. The operation causes the prostate to swell so a catheter is need
for a week As the swelling subsides, the prostate shrinks and the
urethra returns to its normal shape. This takes 3 or 4 weeks for the
improvement of symptoms. There is less risk or maybe no risk of retro
because the uro has not worked the area of the muscles. There is less
risk of incontinence compared to a regular TURP but maybe this doesn't
ever happen with PVP.

With the PVP laser, the uro blasts away the material in the opening.
Releif is immediate and a catheter is need for only a day. There is
the risk of retro because the area of the muscles has been worked.

PVP compared to Indigo: the relief is more immediate, the flow rates
are better, there is the risk of retro

>Is there any any information available that compares the green-light laser
>to the indigo laser regarding their relative effectivness in treating BPH.
>Would the results and procedures be similar? Thanks. Art

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Derry Argue - 17 Dec 2003 08:26 GMT

> With the PVP laser, the uro blasts away the material in the
> opening. Releif is immediate and a catheter is need for
> only a day. There is the risk of retro because the area of
> the muscles has been worked.

If you register your concern over retro with the surgeon before
the operation, as I did, he can avoid the muscles you refer to
at the bladder neck. Muir came through post surgery and told me
what he had done and that, as a result, he did not cauterize
some blood vessels in that area and I might experience some
bleeding.

Haven't yet tested whether this was effective in my case (still
only 14 days since PVP) but the surgical notes handed to my
doctor included information that this was done.

I think there is also some reference to the advisability of
mentioning your concerns to the surgeon before the operation in
the PVP brochure published by Laserscope.

Derry

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