Aquablation for BPH

madman

Super Moderator

In The Dr. Geo Podcast, Dr. Geo introduces Dr. Christopher Kelly from NYU Langone Health. They discuss male urinary health, focusing on Benign Prostatic Hyperplasia (BPH) and its differentiation from other conditions. They highlight the Eurodynamic test as a crucial tool for diagnosis. Dr. Kelly shares various treatment options, with Aquablation being a notable cutting-edge approach for BPH.




00:00 Aquablation for an Enlarged Prostate (BPH) with Chris Kelly, MD
04:51 Is it prostatitis? Is it an overactive bladder? Or is it BPH?
05:31 What are irritated symptoms?
06:23 Diagnosis for between BPH and Overactive Bladder.
08:34 Urodynamics is a great test
09:25 How much urine do you have in your bladder...What's a good number
10:46 Feeling of incomplete emptying
11:41 Underactive Bladder
14:25 Benefit from a Urodynamic
15:10 This medication is called an Alpha Blocker
16:07 What's Urodynamic... What happens to the patient?
22:05 What happens with BPH and large prostate
24:03 A bladder that's compromised
24:59 Bladder is completely shot
26:11 Having obstructive urinary problems likely from the prostate?
28:52 Treatments for BPH
30:02 I want to preserve my, Orgasmic function as best as possible.
30:31 How about urinary continence?
34:59 Transurethral resection of the prostate called the TURP.
35:45 Photo vaporization of the prostate.
38:25 Simple robotic prostatectomy
40:43 Some procedures increase the likelihood of urinary incontinence
41:53 Aquablation
47:41 Water jet can open up the prostate
49:53 The recurrence of BPH
53:00 Who is not a good candidate for Aquablation therapy?
 

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Scientific Reference

Lakshman KM, Kaplan B, Travison TG, Basaria S, Knapp PE, Singh AB, LaValley MP, Mazer NA, Bhasin S. The effects of injected testosterone dose and age on the conversion of testosterone to estradiol and dihydrotestosterone in young and older men. J Clin Endocrinol Metab. 2010 Aug;95(8):3955-64.

DOI: 10.1210/jc.2010-0102 | PMID: 20534765 | PMCID: PMC2913038

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