madman
Super Moderator
In this episode of the Back Table Urology Podcast, Dr. Bilal Chughtai discusses the management of benign prostatic hyperplasia (BPH) using Hood-Sparing & Greenlight Laser Therapy. He explains his approach to patient workup, surgical technique, post-operative care, and the considerations for ejaculation preservation. Dr. Chughtai also highlights the importance of bladder preservation and the impact of delayed intervention on BPH outcomes.
Key Takeaways:
*Dr. Chughtai focuses on understanding patient symptoms and goals for BPH management.
*A thorough workup includes uroflowmetry, cystoscopy, transrectal ultrasound, and urodynamics, tailored to each patient’s symptoms.
*He emphasizes the need for bladder preservation and discusses the impact of delayed intervention on patient outcomes.
*The Greenlight Laser technique involves a hybrid approach of enucleation and vaporization to remove prostatic tissue.
*Patients may benefit from overnight catheterization for observation, especially if they have a history of recurrent infections.
*Post-operatively, patients receive antibiotics, analgesics, and phenazopyridine, with a focus on patient comfort and recovery.
*For older patients in retention, a minimally invasive channel technique may be considered to facilitate urination.
*Dr. Chughtai discusses the considerations for ejaculatory preservation in BPH treatment, including the Hood-Sparing technique.
*He acknowledges the challenges of determining adequate resection and the importance of patient follow-up to assess outcomes.
*Dr. Chughtai highlights the benefits of Greenlight Laser therapy and shares insights into optimizing patient care for BPH management.
