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February 28, 2020 Urology

Clarksville Urology Center now offers the Innovative Rezūm™ Water Vapor Therapy to Treat Benign Prostatic Hyperplasia (BPH), or Enlarged Prostate. The minimally invasive procedure provides lasting relief without surgery or medication.

Rezūm Therapy uses natural water vapor to reduce the size of the prostate and provide lasting symptom relief from BPH without invasive surgery or the potential side effects of prescription drugs.1 BPH is a condition in which a man’s prostate enlarges and squeezes the urethra, causing frustrating symptoms such as frequent or urgent urination, a weak or interrupted urine stream, and the need to get up several times a night to urinate. It affects about 50% of men by age 60, and 90% of men by age 85.2

“For years, the primary options for treating BPH were through behavior modifications, medications or invasive surgery,” said Dr. Dino Delaurentis. “However, medications may not work for everyone and may have undesirable side effects. With Rezūm Therapy, we’re able to provide relief of BPH for men who want to avoid invasive surgery and implants.”

During Rezūm Therapy, which takes place during one short office visit, natural water vapor is released throughout the targeted prostate tissue. When the steam contacts the tissue and turns back into water, it releases energy, killing the excess prostate cells that squeeze the urethra. Over time, the body’s natural healing response absorbs the dead cells and shrinks the prostate. With the extra tissue removed, the urethra opens, reducing BPH symptoms.

“As many men get older, their prostate gland enlarges, which may squeeze the urethra and obstruct the flow of urine,” said Dr. Delaurentis. “Some minimally invasive procedures may only treat BPH symptoms, not the underlying condition. What’s great about Rezūm Therapy is that it does not require general anesthesia, and helps most men see symptom improvement within a few weeks.3* Patients typically return to regular activities within a few days after treatment.3*”

Rezūm Therapy has undergone extensive clinical trials to evaluate the safety and efficacy of the treatment.1 It is now included in the American Urological Association’s BPH treatment guidelines and has four-year follow-up data showing its ability to treat prostates with hyperplasia of the central zone, lateral lobe and/or median lobe.3 Rezūm Therapy is currently being used in many leading urology practices throughout the United States and around the world. To date, more than 55,000 patients have been successfully treated with Rezūm Therapy.4

Click here to watch a short series of videos where Dr. Delaurentis goes into further details about Rezūm™.

Rezum device

Before and After

 

1McVary KT, Rogers T, Roehrborn CG. Rezūm water vapor thermal therapy for lower urinary tract symptoms associated with benign prostatic hyperplasia: 4-year results from randomized controlled study. Urology. 2019 Apr;126:171-9.

2What is BPH? Urology Care Foundation website. https://www.urologyhealth.org/urologic-conditions/benign-prostatic-hyperplasia-(bph).

3 McVary KT, Gange SN, Gittleman MC et al. Minimally invasive prostate convective water vapor energy (WAVE) ablation: A multicenter, randomized, controlled study for treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol.2016 May;195(5):1529-38.

4 Date on file with Boston Scientific.

*Dependent on individual clinical situation and healing response.

Results from case studies are not necessarily predictive of results in other cases. Results in other cases may vary.

IMPORTANT INFORMATION: These materials are intended to describe common clinical considerations and procedural steps for the use of referenced technologies but may not be appropriate for every patient or case. Decisions surrounding patient care depend on the physician’s professional judgment in consideration of all available information for the individual case.

Boston Scientific (BSC) does not promote or encourage the use of its devices outside their approved labeling. Case studies are not necessarily representative of clinical outcomes in all cases as individual results may vary.

Rezum.com is a website sponsored by Boston Scientific.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

All images are the property of Boston Scientific. All trademarks are the property of their respective owners.

© 2019 Boston Scientific Corporation or its affiliates. All rights reserved. URO-699203-AA DEC 2019



September 23, 2019 Urology
What is BPH?

Benign Prostatic Hyperplasia, or BPH, is a condition in which the prostate enlarges as men get older. BPH is a very common condition that affects over 40 million Americans and over 500 million aging men worldwide. Over 40% of men in their 50s and over 70% of men in their 60s have BPH1. While BPH is a benign condition and unrelated to prostate cancer, it can greatly affect a man’s quality of life.

As the prostate enlarges, it presses on and blocks the urethra, causing bothersome urinary symptoms such as:

  • Frequent need to urinate both day and night
  • Weak or slow urinary stream
  • A sense that you cannot completely empty your bladder
  • Difficulty or delay in starting urination
  • Urgent feeling of needing to urinate
  • A urinary stream that stops and starts

If you suffer from the above symptoms, you are not alone. BPH is the leading reason men visit a urologist.2You can measure the severity of your BPH symptoms by taking the International Prostate Symptom Score (IPSS) questionnaire.

Prostate Graphic

The UroLift® System Treatment

What is the UroLift System?

Treatment with the UroLift® System uses a minimally invasive approach that provides rapid relief and recovery of BPH symptoms.1 It is an earlier treatment option can get men off BPH medications and avoid major surgery. The goal of the UroLift System treatment is to relieve symptoms so you can get back to your life and resume your daily activities.The UroLift®System treatment has demonstrated a significant improvement in quality of life for patients compared to medications. 2,3

The UroLift®System is the only BPH procedure shown not to cause new and lasting erectile or ejaculatory dysfunction*, while being a safe and effective treatment of lower urinary tract symptoms due to BPH.1,3-6

Meet Mike

How Does The UroLift®System Work?

The UroLift® System uses a revolutionary approach to treating BPH that lifts and holds the enlarged prostate tissue so it no longer blocks the urethra. It is the only available BPH treatment performed by a urologist that does not require heating, cutting, or removal of the prostate tissue. The procedure is typically performed using local anesthesia in a physician’s office or ambulatory surgery center. Patients typically return home the same day without a catheter

Enlarged prostate

UroLift®System Animation

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Frequently Asked Questions

Who is a good candidate for the UroLift® System treatment?
You may be a good candidate if you are a male, 45 years of age or older, and have symptoms relating to BPH. Speak with your urologist to see if the UroLift®System treatment is right for you. If you have a known allergy to nickel, titanium or stainless steel, talk to your doctor about your allergy before getting a UroLift System treatment.

What should I expect during the treatment? Is it painful? How long does it take?
If you and your doctor decide that the UroLift® System treatment is right for you, your doctor will provide you with more detailed information relating to the treatment. In general, the UroLift System is a minimally invasive treatment that entails minimal downtime. Your doctor will use the UroLift Delivery Device to deploy permanent implants to relieve obstruction caused by the enlarged prostate that is pressing on your urethra. The procedure, which usually takes less than an hour, may be performed under local or general anesthesia and you may be given medication to feel comfortable during the treatment. This typically helps minimize discomfort during the procedure, though everyone’s definition for pain and discomfort varies greatly. Typically, no catheter and no overnight stay is required post-treatment.1

What happens post-treatment, during the recovery period? Are meds required?
After the treatment, patients typically go home the same day without a catheter. There is minimal downtime post-treatment and many patients experience symptom relief in as early as 2 weeks. Patients may experience some urinary discomfort during the recovery period. Most common side effects are mild to moderate and include pain or burning with urination, blood in the urine, pelvic pain, urgent need to urinate and/or the inabilityto control the urge. Most symptoms resolved within two to four weeks after the procedure.

Does the treatment affect my sexual function?
Clinical studies have shown the UroLift® System treatment does not cause new, sustained instances of erectile or ejaculatory dysfunction1. The same cannot always be said of other BPH therapies such as TURP, laser, and even medication.

Does my insurance cover the treatment?
The UroLift® System treatment is covered by Medicare and many private insurers. Contact your insurance provider for your specific coverage information.

More frequently asked questions.
1. Roehrborn, J Urology 2013 LIFT Study

Talking to Your Doctor about BPH

BPH is a very common condition and is one ofthe leading reasons men visit a urologist. Whether you have just started experiencing symptoms or if you’ve tried various medications or even surgery, there are a range of treatment options available.

Before you visit the doctor’s office, you can take this BPH Symptom Quiz, designed by the American Urological Association, to determine the severity of your symptoms. We will discuss your symptoms together to decide which treatment option is best for you. Schedule an appointment today to discuss your BPH symptoms with us. Please contact us at 931-291-9150.

 



July 2, 2019 Urology

Clarksville Urology Center is now offering Nitrous Oxide for improved patient comfort during office procedures.

The PRO-NOX™ is a pneumatically driven gas system designed to deliver a 50% oxygen and 50% nitrous oxide mixture to adult and pediatric patients for the relief of pain and anxiety in a medical setting. The PRO-NOX™ is patient-controlled inhaled analgesia for in-office use and takes effect in seconds, offering immediate relief of pain and anxiety.

Benefits of PRO-NOX™~ 50% O2/50% N2O Analgesia:

  • Proven effective & safe—used globally for decades.
  • Patient administered—empowers the patient to respond to their pain & anxiety when they need it.
  • Quick Onset—takes effect in seconds—immediate relief!
  • Short duration of effect—clears from body within minutes.
  • Can be used for the duration of any procedure where the patient has pain and anxiety.
  • Speeds patient recovery allowing them to drive to and from their procedure!
  • Non invasive—easy to administer and set-up.
  • Improved patient experience!

The 50/50 mix of Nitrous Oxide and Oxygen has been used around the world in labor and delivery for decades. Patients love the Pro-Nox because they control when to use the system, on a fully portable cart, allowing them to move between treatment rooms, while still getting the relief they need. The 50% N2O/50% O2 is an effective analgesic that provides quick pain relief and allows for quick recovery all while giving the patient a sense of control. Studies have shown that it is non-addictive for the patient for procedures, while delaying or decreasing the need for other pain medicine. From Aesthetics, Dermatology, Plastic Surgery, Vascular, OBGYN, Orthopedics, Pain Management, Regenerative Medicine, Urology. Pro-Nox is a great alternative for pain management. Pro-Nox can be used electively for any procedure to reduce pain and anxiety.

Many of our patients are choosing the self administration of PRO-NOX™ Nitrous Oxide System for many procedures including:

  • Cystoscopy
  • Cystoscopy with Biopsy
  • Stent removal
  • Vasectomy
  • Prostate Biopsy
  • Prostate surgery (Urolift, Rezum, Microwave Therapy)
  • Pelvic Trigger Point injections
  • Botox Bladder Injections
  • Interstim evaluation
  • Circumcision
  • Any procedure that causes pain or anxiety

For more information, please download the product brochure.



May 8, 2019 Urology

Clarksville Urology Center now offers InterStim® System for patients with bladder control issues.

Ready to regain control and get back to the activities you enjoy? Medtronic Bladder Control Therapy (Sacral Neuromodulation), delivered by the InterStim® System, has helped men and women worldwide find relief from bladder control problems – especially overactive bladder.

Bladder Control Therapy


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