Comments
1 - 10 of 10 Comments Last updated Jul 10, 2014
DCA

Wallkill, NY

#1 Apr 12, 2012
My 84 year old father has advanced BPH and his regular urologist wanted to do a TURP.
I did some research and found out about GL XPS ( http://www.amsgreenlight.com/XPS_product_info... ) which he was hesitant about performing. I don't know if he just hasn't done many or what his reasons are.
We decided to try a doc in NYC per a recommendation. All was set until Dad had to have a Pulmonary Function Test since it was to be done at a surgical center instead of a hospital. He didn't pass due to a lung lobectomy done 60ish years ago. Now more time has passed and he's had a catheter almost 4 months now. He scheduled a surgi center since he is a partner in it and makes more money. Grrr!! I don't trust his motives anymore and the 1.5 hour trip each way was tough on Dad anyway.
Now looking for a *third* urologist closer to home. One well reviewed doc and group uses Evolve Laser. It's 180 watts just like the GL xps. Found this old thread from 2008: http://www.topix.com/forum/health/prostate-ca...
Any thoughts?
Jayp

Palm Bay, FL

#2 Apr 23, 2012
Hope I'm not too late. I went to an avante garde urologist because he was trained in the EVOLVE LASER system. He told me he had performed a dozen surgeries with the EVOLVE LASER system,and had so many complications he totally dropped the procedure. He switched to another new technique called button plasma TURP. He's performed 76 surgeries using this procedure and had very few complications. I had it done Jan 16 and I was fully recovered w/o any problems within a month.
DCA

Wallkill, NY

#3 Apr 23, 2012
Thank you for your reply!! Actually we're going to see the urologist in half an hour!! I'll be sure to ask him. Thanks again!!
Jayp wrote:
Hope I'm not too late. I went to an avante garde urologist because he was trained in the EVOLVE LASER system. He told me he had performed a dozen surgeries with the EVOLVE LASER system,and had so many complications he totally dropped the procedure. He switched to another new technique called button plasma TURP. He's performed 76 surgeries using this procedure and had very few complications. I had it done Jan 16 and I was fully recovered w/o any problems within a month.
Thomas

Houston, TX

#4 Feb 5, 2013
Its probably too late as the surgery most likely has taken place. The Green light XPS or any version of the GL is 10X surperior to the Evolve laser. The Evolve laser is a 980nm diode laser that vaporizes tissue like the Green light but it works by boiling the water molecule as that is its chromophore. This has a thermal penetration that exceeds 3mm after tissue is vaporized. This in turn causes swelling of prostatic tissue and subsequent longer catheterization.
The Green Light on the other hand is a 532nm Lithium Tri Boride laser that runs at 180 watts peak power and targets hemoglobin (red blood cells) as its chromophore. The thermal penetration is less than 1mm and as a result almost no catheter needed after surgery. The fact it targets red blood cells means it vacuums the blood as it is vaporizing the gland, therefore having surperior hemostasis.(coagulation of blood loss) A patient will feel next to nothing or just mild dusuria (burning urination) after surgery is complete.The Evolve laser has much more pain afterwards with tissue being left charred black and the blood in the urine after is seem more than other lasers. I spent my career researching prostate lasers and invested my entire into the AMS Green Light with 800 surgeries under my belt and even the famous Dr Michael DeBakey from Baylor had his prostate done with the GL.
NJRetiree

Lakewood, NJ

#5 Feb 5, 2013
Sounds good doc, and maybe it is for many, but read the more than 1000 posts in the Greenlight Laser Surgery Complications thread. Many are like me. I had had more than 8 weeks of very painful recovery, and return to dribbling output and cathing in just 7 months.
Thomas wrote:
Its probably too late as the surgery most likely has taken place. The Green light XPS or any version of the GL is 10X surperior to the Evolve laser. The Evolve laser is a 980nm diode laser that vaporizes tissue like the Green light but it works by boiling the water molecule as that is its chromophore. This has a thermal penetration that exceeds 3mm after tissue is vaporized. This in turn causes swelling of prostatic tissue and subsequent longer catheterization.
The Green Light on the other hand is a 532nm Lithium Tri Boride laser that runs at 180 watts peak power and targets hemoglobin (red blood cells) as its chromophore. The thermal penetration is less than 1mm and as a result almost no catheter needed after surgery. The fact it targets red blood cells means it vacuums the blood as it is vaporizing the gland, therefore having surperior hemostasis.(coagulation of blood loss) A patient will feel next to nothing or just mild dusuria (burning urination) after surgery is complete.The Evolve laser has much more pain afterwards with tissue being left charred black and the blood in the urine after is seem more than other lasers. I spent my career researching prostate lasers and invested my entire into the AMS Green Light with 800 surgeries under my belt and even the famous Dr Michael DeBakey from Baylor had his prostate done with the GL.
Laser Guy

Lansdowne, PA

#6 Apr 1, 2013
I was a Greenlight Physician trainer for 5+ years, as well as trained Doctors on the Evolve laser. I have been working with medical lasers for almost 15 years in the operating room setting. I am personally trained on close to 30 laser myself, to basically work on every aspect of the human body. In my "personal" opinion both GL and Evolve are good lasers. They both have their good and bad qualities. Depending on your current symptoms, and truly what you hope as an end result should play a major decision in one technology over another. I am a younger guy less than 40, and if I had to have it done tomorrow I would choose Evolve. They science behind it makes more sense. I have assisted in more than 1000 GL procedures, and at least 700 Evolve procedures over the years. So there is basically nothing you can tell me about either laser that I do not already know. GL is only attracted to hemoglobin which is blood. So the first 15 minutes of a GL surgery you feel as though you are clearing a lot of benign tissue. Once the hemoglobin is basically gone, the laser does more coagulation as apposed to vaporization and that is what you do not want. That is were a lot of these post operative symptoms come into play, where guys are complaining months after surgery. Now what you guys may not know is that Evolve has a brand new laser on the market which is pretty cool. It is a dual wavelength laser. It has a 980 wavelength, and a 1470 wavelength. The 980 wavelength is absorbed by water and hemoglobin, and the 1470 wavelength is primarily absorbed by water and is pretty close to the holep wavelength. Now the combination of these 2 wavelengths are basically like having the best of both worlds. High ablation rate, and shallow depth of penetration. Depth of penetration is key! GL depth of penetration is in the 3-4 mm range, and Evolve's new laser is less than 1mm. The prostate is encapsulated by nerves, and depending on how much tissue is vaporized these nerves can be damaged causing guys to not be able to achieve and erection. When it comes to having to have the surgery done a second time, we see way more GL redo's than evolve. I know I only want it done once if I have to have it done! If you have any other questions email me at LaserGuy007@gmail.com and I will do my best to answer you. Good luck, and god bless!
BPH 70

Garnerville, NY

#7 Jun 22, 2014
Read the posts and am thinking of having the Evolve procedure. In my research, I read about the Plasma Button procedure and that it seems to be less invasive than the Evolve with less morbidity. Can Laser Guy and others offer their comments/suggestions? Tyvm
NJRetiree

Lakewood, NJ

#8 Jun 22, 2014
I haven't seen any long term studies on the Evolve. Bear in mind that any procedure will work for nearly everyone for the first 6 months or so. Also some people will experience a period of painful recuperation that can last up to two months. Most problems, when they occur, are from 6 months to a year out. People with smaller prostates fare better than those with large ones. People with large median lobes fare worse than people with small median lobes. Many people who have problems after a turp need a bladder neck resection. You haven't said anything about your prostate size, PVR, and symptoms. It's hard to give advice.
Kayer

Blacktown, Australia

#9 Jun 28, 2014
Thomas wrote:
Its probably too late as the surgery most likely has taken place. The Green light XPS or any version of the GL is 10X surperior to the Evolve laser. The Evolve laser is a 980nm diode laser that vaporizes tissue like the Green light but it works by boiling the water molecule as that is its chromophore. This has a thermal penetration that exceeds 3mm after tissue is vaporized. This in turn causes swelling of prostatic tissue and subsequent longer catheterization.
The Green Light on the other hand is a 532nm Lithium Tri Boride laser that runs at 180 watts peak power and targets hemoglobin (red blood cells) as its chromophore. The thermal penetration is less than 1mm and as a result almost no catheter needed after surgery. The fact it targets red blood cells means it vacuums the blood as it is vaporizing the gland, therefore having surperior hemostasis.(coagulation of blood loss) A patient will feel next to nothing or just mild dusuria (burning urination) after surgery is complete.The Evolve laser has much more pain afterwards with tissue being left charred black and the blood in the urine after is seem more than other lasers. I spent my career researching prostate lasers and invested my entire into the AMS Green Light with 800 surgeries under my belt and even the famous Dr Michael DeBakey from Baylor had his prostate done with the GL.
. Please study the Evolve laser wavelength more carefully, the wattage and depth of tissue. All quoted here are wrong and the Evolve is far superior to Greenlight.
DjL55

Dundas, Canada

#10 Jul 10, 2014
Im about to have the Greenlight laser therapy July 17th , I keep reading pros and cons , now Im really confused.

Tell me when this thread is updated: (Registration is not required)

Add to my Tracker Send me an email

Add your comments below

Characters left: 4000

Please note by submitting this form you acknowledge that you have read the Terms of Service and the comment you are posting is in compliance with such terms. Be polite. Inappropriate posts may be removed by the moderator. Send us your feedback.

Prostate Cancer Discussions

Title Updated Last By Comments
GreenLight Laser Surgery Complications (May '07) Fri Jim 1,326
An unequal burden: prostate cancer in black men... Fri Rock 3
Florida Prostate Cancer Specialist Challenges R... Fri Another Victim 1
Hair-Loss Drug Impedes Prostate Cancer Detectio... (Feb '07) Aug 21 David Robertson 13
prostate pain at night? (Jan '11) Aug 18 Ya blab 25
PVP GreenLight Laser Treatment (Jan '07) Aug 11 NJRetiree 695
Plasma button surgery for BPH (Dec '11) Aug 6 Captain92 179
•••
Enter and win $5000
•••

Prostate Cancer People Search

Addresses and phone numbers for FREE

•••