Episode 55: Optilume, a New Treatment Option for BPH
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- Опубліковано 18 сер 2023
- Dean Elterman, MD is discussing Optilume, a New Treatment Option for BPH. Optilume is positioned within the prostatic urethra, which is the part of the urethra that runs through the prostate gland. The balloon is then inflated to open up the narrowed or obstructed area and deliver the medication to the surrounding tissues. The medication helps to reduce the size of the prostate gland and alleviate the symptoms of BPH.
Optilume aims to provide relief from urinary symptoms caused by BPH while minimizing the risks and side effects associated with more invasive surgical treatments. However, it's important to note that medical procedures and devices can evolve over time, so it's always recommended to consult with a qualified healthcare professional for the most up-to-date and accurate information about specific treatments and technologies.
*The information provided in this video is for entertainment and educational purposes only, and does not constitute medical advice. Consult a medical professional or healthcare provider if you are seeking medical advice, diagnoses, or treatment.
#optilume #bph - Розваги
Brilliant informative video! Dean elterman is excellent explainng everything so well!
Very well explained thank you
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.
Great Podcast
What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?
Wondering if this procedure can treat an enlarged median lobe?
10 atmospheres inside the uretha! What of pain afterwards from a prostate torn asunder? That is very concerning.
does the procedure apply to cancer protoen therapy treated prostate
What sedation is used for patients?
How long do the treatment last ? Do you have to do again?
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.
~ I wonder what an antiandrogen injection directly to the prostate would do ... 🤔❓️
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?
Aloha
What is the success rate with optilume procedure
David
Can this be done with a Urolift?
I am in the San Francisco Bay area.
Is there a doctor in my area?
How can we contact Dr. John Lin? I would want him to help my husband.
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!
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?
How are you now?
I am voiding well and actually have less irritation. It has been at least 10 months and it is holding up thanks@@dogankara1229
What about PAE
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.
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?
Sir can mri detect utheral sticture bladder obstruction etc plz help
Seems that cystoscopy (camera through penis) and anal ultrasound, would be primary diagnostic tools/procedures, plus flow test.
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?
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.
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.
How are you now?
I'm so sorry for you
Can this process be done if you already have a urolift?
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
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
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.
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
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 ...
go to this website to find a provider near you: www.laborie.com/find-a-provider/?_gl=1*fuzb1e*_ga*MTI0OTcxODU5Ni4xNzE0NTY4MjEy*_up*MQ..
Thank you for the quick response. Got an appointment scheduled 🙂
What us the best treatment
Treatments options vary based on size and shape of the prostate.
Do you use ag or spinal or what and why
I am kidney transplant patients India Varanasi please suggest me where i get this treatment . I have utheral structure problem please help me
You can go to this link from the company to find a provider near you: www.laborie.com/find-a-provider/
Not working this link
Is this permanent cure for utheral sticture?
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.
Because doctors have no answer only interest to selling a product
Prostate Artery emobilization is the way to go. It's done by a radiologist so you won't hear a lot about it.
I am looking for a speaker on this option.
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
Why so figures confusing the viewers.
How do I contact you on Mobile
You can email me thru my website at UroNurse.com
Your term painless, lol painful is the word you should use
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!
We conservatives are censored all the time...Water off a Ducks Back... Let it go and continue to march...
Too much small talk....please to the point and give me fact. I must move on....
Optilume procedure is not for me, sounds like a patchwork.
Şimdi nasılsın?
@@dogankara1229 Anlamadım?
Did you have surgery? Did you say what treatment method?
@@dogankara6029 Henüz olmadım, doktor önce büyüklüğünü tayin etmek istedi. Benim UA-cam araştırmalarına göre Holep veya Aquablation usulü bana en iyi ameliyat gözüküyor.
@dogankara6029 I dıd not have surgery yet, my doctor wants to know the size of my bph first. Based on UA-cam presentation, Holep or Aquablation procedures are for me not requiring repeats?
What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?
What is the probability of recurrence of a 1.5 cm stenosis opened with the Optilume method?