Episode 55: Optilume, a New Treatment Option for BPH

[@roger1uk676]

Brilliant informative video! Dean elterman is excellent explainng everything so well!

[@darrellginsberg1325]

Great talk. Looking forward to more data on flex cyst with non propofol sedation. I think Dr Lins point on the 3 pt IPSS drop wasn’t indicative of the data. The IPSS mean scores between sham and optiflow at 12 months was great! The goal here is that if you could easily treat patients in the clinic with a low risk procedure you could preserve the detruser. In Canada especially we don’t have the ORs/hospital beds to do the necessary large volumes of BPH procedures currently and especially in the future as the baby boomers further age.

[@swimfit57]

Great Podcast

[@dogankara1229]

What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?

[@mrofnocnon]

10 atmospheres inside the uretha! What of pain afterwards from a prostate torn asunder? That is very concerning.

[@ericward7499]

What about PAE

[@paulhartshorn8880]

I had a PAE done and was very disappointed. Initially, a dye study was done to determine arterial viability for the PAE. Once the PAE was completed I learned that the radiologist was only able to do the procedure unilaterally, rather than bilaterally - due to small arteries on the one side. I received no benefit from the procedure, and it seems to me that the size of the arteries should have been realized during the dye study. My current urologist said this is not uncommon, and that a unilateral PAE usually results in no BPH symptom improvement.

[@jamesdavis2284]

Wondering if this procedure can treat an enlarged median lobe?

[@davidquiogue1108]

Aloha What is the success rate with optilume procedure David

[@nisardar2652]

Very well explained thank you

[@serinodiaz4140]

How long do the treatment last ? Do you have to do again?

[@samkitty5894]

I don't see how this can work for more than a week. once the device is removed prostate will collapse back to its regular size. How about a permanent stent to keep urethra inside prostate open?

[@prfbif]

Can this be done with a Urolift?

[@silaslongshot941]

Have had the UroLift thing done twice, failed twice over time, now looking for FINAL fix. I'm betting this double bubble thing won't work with 10 to 12 leftover pins from the UroLIft procedure. What would your professional opinions be for this situation?

[@jamescalifornia2964]

~ I wonder what an antiandrogen injection directly to the prostate would do ... 🤔❓️

[@janetw9430]

How can we contact Dr. John Lin? I would want him to help my husband.

[@dominiccaruso4533]

I am in the San Francisco Bay area. Is there a doctor in my area?

[@hermannbuerger9748]

does the procedure apply to cancer protoen therapy treated prostate

[@Cedrus1952]

I am going to ask for this procedure. Today I failed at self-catherization...twice...which is something I had to do every five days after my urethrotomy six months ago. I guess the stricture is back. Hopefully Optilume will help me. I have frequency and am unable to sit. I have been in pelvic floor dysfunction therapy for months while I have been suffering from constant pelvic floor pain.

[@dogankara1229]

How are you now?

[@ElonMusk4FreeSpeech]

I'm so sorry for you

[@ajethomas711]

What us the best treatment

[@uronurse1]

Treatments options vary based on size and shape of the prostate.

[@ram_1776]

What sedation is used for patients?

[@user-DrJoe-Future]

The statistics are interesting regarding who is and is NOT getting treatment for BPH, vs Flomax and other medications, vs Minimally Invasive and Invasive Treatments. Only a small percentage are getting Invasive & Non-invasive treatments. Now I know why. I'm 72-years old with a 37-year-old wife, and I messaged two Urology Clinics & Doctors in Northern Virginia with questions about Rezum and Aquablation treatments, and received zero responses from either of them. I worked in Northern Virginia for 18 years and most of my doctors are from there, but now I live in the Philippines and must fly back for any procedures. I was looking for a doctor in Northern Virginia or Dayton, Ohio area to perform one of the two procedures on my 45-gram prostate that I have after over a decade of Flomax. I will keep trying but so far have failed to find help.

[@kenmurai8252]

I am concerned about the chemotherapy agent used (paclitaxel) - even though it's a small amount and the trials show no systemic absorption, very small amounts continue to exist in urine after several months. And a considerable amount the first week. So don't you have to be careful about getting some of that on your skin/hand etc and absorbing it that way?

[@uronurse1]

Men should abstain from sex or use barrier contraception (wear a condom) for 30 days post treatment to avoid exposure of sexual partner to paclitaxel. Paclitaxel may still be present in semen at low levels after 30 days. You are correct that there has been small amounts in the urine however I don't find any precautions specific to this exposure. *The expert's opinions in this communication are personal and not representative of any organization. They are for informational purposes only, not official guidance. Viewers are advised to use their judgment, seek additional advice, and take responsibility for any actions based on these opinions.

[@nickadame7837]

Can this process be done if you already have a urolift?

[@alroglin9295]

I live in Arizona and cannot find a single Urologist who performs the Optilume procedure. Does anyone in this forum know of an Arizona Urologist who does this? Input would be most appreciated ...

[@uronurse1]

go to this website to find a provider near you: www.laborie.com/find-a-provider/?_gl=1*fuzb1e*_ga*MTI0OTcxODU5Ni4xNzE0NTY4MjEy*_up*MQ..

[@alroglin9295]

Thank you for the quick response. Got an appointment scheduled 🙂

[@glenbearh9109]

I had a dilation of a bulbar stricture and so far a few months out, it is holding. I hope the urologist can use Optilume if it recurs. It may be a little longer then the max but hey why not try it? cost maybe?

[@dogankara1229]

How are you now?

[@glenbearh9109]

I am voiding well and actually have less irritation. It has been at least 10 months and it is holding up thanks@@dogankara1229

[@underwaterman7293]

Prostate Artery emobilization is the way to go. It's done by a radiologist so you won't hear a lot about it.

[@uronurse1]

I am looking for a speaker on this option.

[@paulhartshorn8880]

I had a PAE done and was very disappointed. Initially, a dye study was done to determine arterial viability for the PAE. Once the PAE was completed I learned that the radiologist was only able to do the procedure unilaterally, rather than bilaterally - due to small arteries on the one side. I received no benefit from the procedure, and it seems to me that the size of the arteries should have been realized during the dye study. My current urologist said this is not uncommon, and that a unilateral PAE usually results in no BPH symptom improvement. YMMV

[@rodrigosepulveda4559]

Great presentation: Two questions; 1) When and where could I have this done? (I live in Seattle) and I want to preserve my ejaculation; 2) can this new procedure treat a median lobe?

[@rahuljaiswal846]

I am kidney transplant patients India Varanasi please suggest me where i get this treatment . I have utheral structure problem please help me

[@uronurse1]

You can go to this link from the company to find a provider near you: www.laborie.com/find-a-provider/

[@rahuljaiswal846]

Not working this link

[@Unkownopytuio-vc6xn]

Sir can mri detect utheral sticture bladder obstruction etc plz help

[@nealklein3181]

Seems that cystoscopy (camera through penis) and anal ultrasound, would be primary diagnostic tools/procedures, plus flow test.

[@swimfit57]

I had the Holep done and a dilation and some cutting second procedure and finally the urethroplasty. My problem is strictures! Even after the last procedure I developed a stricture at the exit splinter or next the head of the penis! Low flow, spit stream and Frequent urination. Really don’t want any cutting there! Hopefully this procedure will take care of the problem!

[@jonrobbins6095]

I have a problem peeing 5 to 7 times a night and during the day I have took medication thay don't work what else can I do

[@uronurse1]

Thanks for checking out my show. These shows are targeted toward urology healthcare providers not patients. I do not give medical advise and would only recommend you see a urologist in your area.

[@skjain2257]

How do I contact you on Mobile

[@uronurse1]

You can email me thru my website at UroNurse.com

[@serinodiaz4140]

Do you use ag or spinal or what and why

[@decanterus8561]

1. Does the expansion of the prostrate push up agsisnt the bowels or lower intestines that could cause excessive pushing of bowel movements during recovery? 2. So this procedure does not shrink the prostrate.? 3. Can this work on a prostrate on a 200+ bph

[@hankfoto]

PAE I am 85 I live in New Mexico and the VA near me keeps talking Turp. I have had a few bad experiences with Genral Antanesha. So do you have a list of Urologist that I can contact in my state or Arizona, Colorado

[@Unkownopytuio-vc6xn]

Is this permanent cure for utheral sticture?

[@uronurse1]

Thanks for checking out my show. These shows are targeted toward urology healthcare providers not patients. I do not give medical advise and would only recommend you see a urologist in your area.

[@penetrate111]

Because doctors have no answer only interest to selling a product

[@1RedEarthProductions]

Why shouldn’t EVERY TURP be an ejaculatory sparing technique? What ever happened to “first, do no harm?” And while Dr. Lin may have perfected that technique, I am guessing that the majority of urologists who perform TURP do not have the skills or desire to perform an ejaculatory-sparing technique. Thoughts?

[@uronurse1]

In theory but the reality is all TURP procedures have a risk of causing retrograde ejaculation. *The information provided on the site is for educational purposes only, and does not substitute for professional medical advice. Consult a medical professional or healthcare provider if you are seeking medical advice, diagnoses, or treatment.

[@venkataswamyparagati9548]

Why so figures confusing the viewers.

[@ram_1776]

Your term painless, lol painful is the word you should use

[@serinodiaz4140]

Doctors should creat trust and be considered, the patient assurance and keep their sexual functions and not be gaslighted by the surgeon. They all care about their sexual functions. Would have it done on you? Doctors love money!

[@YobazlarDevri]

Optilume procedure is not for me, sounds like a patchwork.

[@dogankara1229]

Şimdi nasılsın?

[@YobazlarDevri]

@@dogankara1229 Anlamadım?

[@dogankara6029]

Did you have surgery? Did you say what treatment method?

[@YobazlarDevri]

@@dogankara6029 Henüz olmadım, doktor önce büyüklüğünü tayin etmek istedi. Benim KZbin araştırmalarına göre Holep veya Aquablation usulü bana en iyi ameliyat gözüküyor.

[@YobazlarDevri]

​@dogankara6029 I dıd not have surgery yet, my doctor wants to know the size of my bph first. Based on KZbin presentation, Holep or Aquablation procedures are for me not requiring repeats?

[@jacquesbeliveau8531]

Too much small talk....please to the point and give me fact. I must move on....

[@Aviation_Professional]

We conservatives are censored all the time...Water off a Ducks Back... Let it go and continue to march...

[@dogankara1229]

What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?

[@dogankara1229]

What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?