madman
Super Moderator
Are you facing the challenges of BPH? You're not alone. An enlarged prostate can lead to various urinary issues, from a slowed stream to a distressing retention experience. The decision-making process can be daunting, with numerous medical treatments available for BPH.
In this episode, we sit down with Dr. Dan Gralnick, a leading urologist and director of the HOLUP program at the University of Wisconsin Health. Dr. Gralnick provides a deep dive into the HOLIP procedure – a groundbreaking treatment designed to alleviate an enlarged prostate's symptoms, enhancing men's urinary function. Discover the benefits, potential side effects, and how HOLIP stands out among procedures such as the simple prostatectomy, TURP, and green light laser. Join us for an informative conversation and arm yourself with the knowledge to confidently navigate BPH.
Chapters:
00:00 HoLEP for BPH with Dr. Dan Gralnek [EP 82]
00:13 You need a medical treatment. How do you choose?
04:46 It's BPH, or you know what, it's not BPH, let's try something else.
05:53 Most pills like Tamsulosin and some of the alpha blockers.. have a very short half-life
10:20 Holding a lot of urine in
10:53 People whose bladders don't function as well
11:30 People who are already on a catheter or have poor bladder function
13:49 Urodynamic Test
17:11 Would you like a pill or surgery?
19:48 True minimally invasive treatments
20:40 Remold the shape of the internal part of the prostate and it may help with urinary flow.
21:47 Explain HoLEP- how does the procedure work?
23:12 How do you open up the prostate with that approach?
26:46 Simple prostatectomy, um, and HoLEP are very similar.
31:19 Can you take some of the tissue and evaluated for prostate cancer?
33:02 In theory, you can actually really treat the prostate cancer and the BPH at the same time
37:08 HoLEP is one of the few things that's considered size independent.
38:06 Sexual problems
40:31 Sometimes we'll put in Botox
43:41 What are the side effects that can interfere with a patient's quality of life?
54:23 Procedure if you want to ejaculate, which is the one?
55:07 People assume that it's a hundred percent
