Green Light Laser Treatment For Bph (Enlarged Prostate) And Sexual Dysfunction
Erectile dysfunction is a well recognized complication of the standard treatment for Benign Prostatic Hyperplasia (BPH), or the enlarged prostate. Approximately 10 per cent of patients who have a TURP are left with erectile dysfunction as a result of the procedure.
This is a considerable risk for patients. Although the majority of patients I see with BPH are 65 and above, I do see a number of patients in their fifties. These patients often decide against surgery – even if it means they have to live with symptoms of BPH – because they do not want to risk a complication which would have a major impact on their lives.
Equally, for some patients in the older age group, erectile dysfunction is very important.
At The Prostate Laser Centre, we discuss risks and complications very thoroughly with patients before the procedure. In some cases, patients may be focused on dealing with the symptoms and less concerned about complications pre-operatively. But post-op, once the patient starts to recover, complications can become a major source of anxiety.
This is one reason why Green Light Laser treatment is such an important development. The Green Light Laser provides a high powered, safe and precise means of destroying surplus tissue by vaporising selected areas. By contrast, during TURP, surplus prostate tissue is burnt by electrical currents.
The nerves which control erections are located just at the side of the prostate. During TURP, erection problem can possibly happen due to these nerves being damaged from the heat of the electrical current. The current can be fairly indiscriminating in terms of the areas it targets.
The Green Light Laser is far more targeted. Even though it is so powerful that surplus tissue is immediately vaporised, it does not penetrate deep into the tissue. Hence it is believed that it minimizes the risks of erectile dysfunction. In my experience, I have not yet seen erection problems developing after green light laser therapy.
Although Green Light Laser treatment is a relatively new development in the UK, it is well established in America and parts of Europe. A total of 200,000 procedures have been undertaken worldwide. A major study* showed there is a 1 per cent rate of erectile dysfunction following Green Light Laser treatment, compared with 10 per cent for TURP.
A very common side effect after TURP is known as retrograde ejaculation. This means during orgasm, semen passes into the bladder rather than out through the penis. The semen is then voided the next time urine is passed. Retrograde ejaculation is not harmful and for many men it is not problematic, although it does result in less sexual satisfaction and infertility. The risk of retrograde ejaculation following TURP is high, up to 90 per cent. The figures for retrograde ejaculation following Green Light Laser are much lower, at between 29 and 41 per cent.
In conclusion, Green Light Laser offers patients the same result as TURP – rapid relief from the symptoms of BPH. However, with Green Light Laser, this is achieved with much reduced side-effects and complications. These benefits for the patient must be recognised.
* Yakupoglu YK, Donmezer S, Mestci B, Saglam R, Simsek US. Successful treatment of BPH over 100 ml with KTP laser. J Urol 2006 May;175(4 suppl.):463 abstract 1522.
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All The Secrets About Amazing New Quit Smoking Pills
Big pharmaceutical companies from all over the world have entered a close race to find the wonder new quit smoking pill, that could make nicotine addiction as treatable as acid ulcer, high blood pressure or erectile dysfunctions.
Very popular and supposedly efficient quit smoking pills are some anti-depressives. Paradoxically, smokers suffering from depression who were taking Bupropion realized that while under medication they showed no desire to smoke. This is how the fame of Bupropion, also known as Zyban is made.
This new quit smoking pill is nicotine free, it gives no addiction, and its efficiency shows in the smoker's increased capacity of fighting cessation symptoms. Zyban acts on the brain to nullify your craving for nicotine. This mild anti-depressant works best in association with nicotine chewing gum and patches.
Zyban is a quit smoking pill that should be administered twice a day with or without food, and it should be taken whole, no crushing allowed since it diminishes its effect. It is not recommended to teenagers under eighteen or to people suffering from epilepsy.
Zyban is to be administrated only under doctor's observance. Though a very advanced new quit smoking pill, it still has some side effects, like headaches, stomachaches, dizziness and even increased blood pressure when used in association with nicotine patches.
Another very effective new quit smoking pill is Varenicline Tartrate, a drug that works differently from the other nicotine based quit smoking pills. It acts at the brain level directly on the nicotine receptors. Basically it competes with nicotine at the receptive site in the brain.
Veranicline has also the advantage of depriving the person of the smoking satisfaction. When under treatment with this new quit smoking pill, the smoker feels no pleasure in smoking. The condition to administrate Veranicline is to have been smoking for at least a year.
Another new quit smoking pill meant to disrupt the nicotine vicious circuit is Acomplia, produced by the French Pharmaceutical company Sanofi-Synthelabo. Nicotine addiction functions on the reward the body receives when the person lights up. Acomplia targets precisely the blockage of this reward system, which will make smoking dissatisfying.
The most probable of results is that doctors will keep inventing new quit smoking pills, but none will be able to cure nicotine addiction 100 percent. With the release of a new quit smoking pill there are always high expectations, and there are people who really quit, but this very much depends on personal effort as well.
No new quit smoking pill can cure the two sides of an addiction, the physical and the psychological. For psychological healing alternative therapies and counseling will offer the necessary support.
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