1. Dr Charles Chabert Urinary Symptoms &GreenLight Laser Prostatectomy

2. Overview of The Prostate  Walnut sized gland at base of the male bladder  Surrounds the urethra  Produces fluid that transports sperm during ejaculation Charles Chabert

3. Prostate Conditions  Enlarged prostate (BPH/LUTS)  Prostatitis  Prostate cancer Each condition affects the prostate differently Charles Chabert

4. Aging and the Prostate  By age 60, half of all men have an enlarged prostate  Affects most men by age 80  Stress and diet are contributing to an increased presence of enlarged prostate in younger men Charles Chabert

5. What is BPH?  Benign Prostatic Hyperplasia (BPH)  Commonly known as enlarged prostate  Non-cancerous enlargement of the prostate gland  BPH is not an indication nor a predictor of cancer Normal Prostate Enlarged Prostate Charles Chabert

6. Symptoms of BPH  Obstructive symptoms  Weak urine flow  Straining  FOIBE  Starting or stopping during urination  Overactive Bladder symptoms  Frequency  Urgency  Nocturia Charles Chabert

7. How is an Enlarged Prostate Diagnosed?  Medical History  Physical Exam  MSU  Ultrasound  Cystoscopy  Symptoms – IPSS Symptom Score  Bothersome – how much of a bother is it to you In general, the size of the prostate does not correlate to severity of symptoms Charles Chabert

8. Treatment Options for Enlarged Prostate  Watchful waiting  Medication  Surgery  Advanced treatments Laser Therapy (GreenLight™) Charles Chabert

9. Advantages  No surgery  No drugs  No side effects Disadvantages  No improvement in symptoms  Risk that symptoms will worsen Treatment Option - Watchful Waiting Charles Chabert

10. Treatment Option - Medication Advantages  No surgery  Potential for symptom relief Disadvantages  Ongoing medication therapy  Potential side effects  Lowered sexual drive, erection problems, congestion and dizziness  Effectiveness may diminish  Many men don’t like taking medications Charles Chabert

11. Treatment Option – Surgery (TURP) (Transurethral resection of the prostate) Advantages  Proven approach Disadvantages  Invasive procedure  Hospitalization required  Significant side effects possible  Activities after surgery restricted for about 6 weeks Charles Chabert

12. GreenLight™ Laser Therapy  A safe and advanced BPH treatment  Provides long-lasting symptom relief  A single, definitive treatment  Done in an outpatient setting or single overnight stay  Fewer side effects than TURP Charles Chabert

13. GreenLight™ Laser Therapy  Typically no overnight stay or single night  A single treatment takes approximately 60 minutes  Most patients have only minimal discomfort  Symptom relief is typically immediate Charles Chabert

14. How GreenLight™ Laser Therapy Works:  Uses laser energy to remove excess prostate tissue  Laser energy is delivered through a small, flexible fiber inserted in the urethra  Procedure is performed through a cystoscope Charles Chabert

15. GreenLight™: Minimal Side Effects  Less than 1% of sexual side effects reported in the clinical trial  Minor, short term side effects  Generally go away quickly on their own  Does NOT affect your ability to take erectile dysfunction medications Charles Chabert

16. Post-Treatment Expectations  Able to leave outpatient facility within hours after treatment or next day  Avoid strenuous activities, intercourse & bike riding for a 3 weeks  Quick return to normal activities  Noticeable symptom improvement immediately Charles Chabert

17. Am I Eligible For This Treatment?  Of the BPH treatments available, GreenLight™ has the widest patient selection  Potential candidates may include men who are:  Not satisfied with medication therapy Loss of effectiveness, side effects Don’t want to take medications Want better symptom relief than with medications  In “watchful waiting”/ newly diagnosed Charles Chabert

18. Questions? www.prostates.com.au Charles Chabert