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Medical Forum / Diseases and Disorders / Prostate BPH / June 2004

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pvp = torch

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Liz - 15 Jun 2004 03:56 GMT
Please correct me if I am wrong, but by looking at some
of the information about PVP and other Laser methods I
came to the conclusion that with all of these methods
the physician is using the apparatus as a torch to burn
away tissue. The PVP is a different wavelength and it
may be more focused that the others and it may penetrate
less deeply, but still in the end it is just another
torch and the skill of the physician is the most important
factor then in how they use one of these to fix the problem
presented to them. You will get a better result from a
better physician that uses a older laser technology than
from a not so good physician using the most modern one.

Similar for microwave technologies.

Comments?
TAP - 15 Jun 2004 14:37 GMT
Liz,
Your decription of PVP is incorrect.  At the 532 nm wavelength tissue is
vaporized not burnt.  Take a look at www.laserscope.com for a complete
description.
Patrick

> Please correct me if I am wrong, but by looking at some
> of the information about PVP and other Laser methods I
[quoted text clipped - 12 lines]
>
> Comments?
Jack - 16 Jun 2004 22:41 GMT
> Please correct me if I am wrong, but by looking at some
> of the information about PVP and other Laser methods I
[quoted text clipped - 12 lines]
>
> Comments?

You sure are correct when you said the skill of the physician
(surgeon) is a very important factor.  I'm not certian about the
better with older (different) lasers than a fair with the 532mn laser,
which is just a Nd Yag laser with a KTP crystal splitter to half the
wavelength.  But that is very important, because the 532 nm wavelength
is only adsorbed by hemoglobin, and not water.  So the only "burning"
is the cauterization of the blood vessels and not the tissue which is
90% or so water.  The heat from the 532 nm wavelength is what causes
the water to boil, but not burn.

Jack
nambucca - 16 Jun 2004 22:55 GMT
> Please correct me if I am wrong, but by looking at some
> of the information about PVP and other Laser methods I
[quoted text clipped - 14 lines]
>
> Sorry but you are ill informed
The older laser technologies have basically been abandoned by good Uros
because of the bad effects of them

PVP uses greenlight laser which is highly selective and only affects the red
cells in the prostate and not the muscle cells at the sphincter hence less
damage

Gordon Muir at Kings College Hosp London has experience of most lasers in
the past along with TURP ..........as he says if he or any member of his
family needed prostate op then PVP would be the only choice to make
.......he has abandoned TURP and the hospital ward is no longer bed blocked
by elderly men with retention instead they are quickly and effectively
treated with PVP and virtually no time spent in the hospital
 
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