Dr. Samuel Lawindy: How Prostate Cancer Is Diagnosed

The prostate gland is the part of the male reproductive system that produces seminal fluid. Prostate cancer is the type of cancer that affects this organ. It is the most common cancer in men, with men over the age of 50 being at the greatest risk. It usually does not manifest symptoms in its initial stages. This is unfortunate because it means prostate cancer may not be detected until it is more advanced. Even when it does present symptoms, they might resemble other conditions such as an enlarged prostate. For this reason, before one concludes that they have prostate cancer, it is necessary that they first undergo the specific tests geared toward detecting it.

Diagnosing Prostate Cancer

There are two preliminary tests for prostate cancer. These are:

1. PSA Test. This tests for an antigen produced by and specific to the prostate. It is normal for the antigen to occur in small quantities. An unusually high level of PSA, however, may indicate the presence of prostate cancer or some other inflammation of the prostate.

Dr. Samuel Lawindy from Daytona Beach, FL2. Digital Rectal Exam. This is very commonly used in prostate screening exercises. The doctor inserts a finger into the rectum and physically examines the prostate. If the doctor detects something unusual in the shape, mass or texture of the prostate, then there may be further tests to determine what the problem is.

The two tests are not conclusive. They simply inform the urologist that something might be wrong and that the patient needs further examination. In order to test for cancer of the prostate specifically, the following procedures may be done after either of the initial tests.

A. A biopsy. A prostate cancer biopsy involves the use of a very fine needle inserted through the rectum to collect tissue from the prostate. The tissue is then tested for cancer.

B. Transrectal ultrasound. The doctor inserts a small probe in the rectum. The probe produces high frequency sounds that bounce off the prostate, producing an image of the prostate that can be projected on a screen and observed in greater detail.

C. MRI Fusion biopsy. This combines an MRI and the transrectal ultrasound to produce a clearer image of the prostate. It gives a better view of the part of the prostate that is affected. If a biopsy is to be performed later, it provides a picture of the precise area where tissue should be tested.

Early detection of prostate cancer improves the chances of successful treatment. It is important for men starting about age 50 to have regular screenings so that any cancer can be detected early. Seek out experienced and certified urologists, such as those on staff at the Advanced Urology Institute, to discuss any concerns and set up screening tests. Such examinations should be a regular part of a man’s health care.
For more information, visit the Advanced Urology Institute website.

What is MRI with Transrectal Ultrasound Fusion-Guided Prostate Biopsy

Prostate cancer has a new standard of care in MRI-guided fusion biopsy with transrectal ultrasound. While a prostate biopsy has been the only way to get a definitive diagnosis of prostate cancer, it has only been working if cancer cells are identified in the sample tissue. But in some cases, such as when the tumor occurs at the top surface of the prostate or other unusual locations, a biopsy may not give a correct diagnosis. For instance, the standard TRUS (transrectal ultrasound) guided biopsy in which tissue samples are collected from the prostate in a systematic pattern gives a negative result with tumors located in unusual areas of the prostate. About 15-20 percent of tumor locations can be missed by the biopsy needle.

What makes the MRI-ultrasound fusion biopsy more definitive?

The MRI-ultrasound fusion approach is an improvement on the traditional 12-core TRUS, which involved taking biopsies from twelve prostate areas where the cancer is considered more likely to occur. With the TRUS biopsy, about 70 percent of men who have a negative biopsy result are not essentially free of the cancer. The MRI-ultrasound fusion technology blends the superior imaging capability of the high-definition multi-parametric (mp) MRI with real-time ultrasound imaging. There is better visualization of the suspicious areas of the prostate where the cancer may occur that may not be visible on ultrasound alone. The fusion-guided biopsy detects almost twice as many prostate cancers in all stages as the standard TRUS biopsy.

The ability of MRI-ultrasound fusion-guided biopsy to create a three-dimensional (3D) map of the prostate ensures that doctors are able to see the targeted areas of the prostate better and perform more precise biopsies. The technology uses a machine known as UroNav developed by Invivo, which is supplied with sophisticated software to produce super-detailed MRI images and fuse them with the ultrasound images generated by a transrectal probe administered on the patient in an outpatient setting. The resulting images enable the examining physician to direct biopsy needles with pinpoint accuracy and to easily access any lesions or suspicious areas revealed by MRI. The technology allows the urologist to hit the target spot more accurately and improves cancer detection rate. In fact, it is primarily used for men who have an ongoing suspicion of prostate cancer, such as those with consistently elevated PSA, but whose TRUS biopsy results are repeatedly negative.

Fewer biopsies, more accurate detection

The fusion-guided biopsy is a very targeted approach in which biopsies are performed only in highly suspicious areas of the prostate appearing in the MRI image. As a result, significantly fewer biopsies are done with the MRI-ultrasound fusion than with the traditional TRUS technique, minimizing the adverse effects that often accompany repeat biopsies. Multiple prostate biopsies can lead to complications such as bleeding, infection, urinary retention problems, sepsis or even death.

In spite of fewer biopsies, the MRI fusion approach increases the rate of detection of aggressive prostate cancer. The extensive MRI images obtained before the biopsy helps highlight both high-risk and intermediate-risk cancers often missed by traditional TRUS biopsy. With MRI-ultrasound fusion, the likelihood of detecting cancer increases as the grade of the tumor increases. The use of MRI fusion biopsy helps to avoid metastatic disease by finding cancer before it spreads to other areas of the body.

Improved cancer differentiation

Through MRI fusion, doctors are able to more accurately differentiate cancers that require treatment from the ones that should undergo watchful waiting (active surveillance). Fusion technology is able to show higher-risk cancers and does not highlight the insignificant low-grade tumors, making it less likely for urologic oncologists to over-treat indolent and low-grade cancers. A number of prostate cancers are low-grade, non-aggressive and do not cause problems at all and treating them through chemotherapy, radiotherapy or surgery can impair the quality of life or even cause death. MRI fusion effectively saves patients from the adverse effects of treating low-grade tumors. Fusion technology eliminates up to 50 percent of prostate cancer treatments that are unnecessarily administered on low-grade cancers.

At Advanced Urology Institute, we have adopted the MRI-ultrasound fusion biopsy and changed the way we screen, evaluate and diagnose prostate cancer. It has become our standard for detecting prostate cancer and we believe in the next few years it will be the gold standard for detecting the cancer. We are proud that it offers a higher detection rate, superior accuracy and reduces the rate of repeat biopsies — making our practice one of the best places for detection and monitoring of the cancer. It helps us deliver the best treatment outcomes for our patients.

If you think you are at high risk of prostate cancer or already have started experiencing some symptoms, let us show you how the precision of our high-definition MRI fusion machine, the expertise of our skilled physicians in MRI fusion biopsy and the know-how of our radiologists proficient in multi-parametric MRI imaging can help you. For more information on the treatment and diagnosis of prostate cancer, visit the “Advanced Urology Institute” site.

Life Changing Treatment At Advanced Urology Institute

What I Do as a Physician Assistant – Lisa Cunningham

 

 

Driven by an unwavering commitment to excellence in urology, Advanced Urology Institute offers a complete range of innovative, specialized and high quality medical services for male and female urological conditions. We have assembled a multidisciplinary team of specialists who work together for you, including preoperative nurses, urologists, pathologists, radiation oncologists, dedicated robotic surgeons, postoperative recovery specialists and nurse navigators who coordinate urologic cancer care. Our board certified experts will work with you to identify the most effective treatment that meets your individual needs, ensuring a minimal disruption of your lifestyle.

Better Outcomes

At Advanced Urology Institute, we recognize that the most effective treatment for urologic conditions requires close collaboration between urologists, oncologists and other medical specialists. We have therefore created an environment in which the interactions between different specialists result in better patient care and improved outcomes. Our specialists work together managing each case jointly right from the start because we have removed all artificial boundaries between specialties, thus ensuring that transitions are seamless. In fact, we can deliver comprehensive treatment from one location by combining surgical expertise, on-site pathology and clinical laboratories, imaging services such as radiation therapy and CT scan, leading-edge robotic technology and synchronized care, resulting in unmatched personalized patient experience.

Comfort and Convenience

As experts on the conditions of the female and male urinary tract and the male reproductive system, we endeavor to help patients navigate sensitive health issues with a focus on their comfort and convenience. Every urologist at our center is open, friendly and willing to listen to the unique story of each patient in order to correctly recognize the symptoms and provide proper diagnosis. This extends to the use of the most recent diagnostic tools and the development of personalized treatment programs for conditions such as kidney cancer, bladder cancer, prostate cancer, male erectile dysfunction, renal pelvic obstructions, adrenal disease and female urologic disorders.

Are you looking for the highest quality urology services? Visit our site ‘Advanced Urology Institute‘ for more information.

The PSA Test, The Best Tool for Prostate Cancer Screening – Dr Matthew Merrell

Video: The PSA Test, The Best Tool for Prostate Cancer Screening – Dr Matthew Merrell


PSA exam is a blood test to determine the levels of prostate specific antigens. The tests measure the level of PSA in your body, which is then compared to the expected amount for your age. Contact a urologist now to know more about this procedure. [Read Full Article…]

Erectile Dysfunction, A Common, but Treatable Condition in Men – Dr Matthew Merrell

Video: Erectile Dysfunction, A Common, but Treatable Condition in Men – Dr Matthew Merrell


Erectile dysfunction (impotence) affects approximately 30 million men. This common problem can be a sign of a health condition that needs treatment such as poorly controlled diabetes or cardiovascular disease. Contact a urologist now and get treatment as soon as possible. [Read Full Article…]

What are the advantages of the Davinci Robotic System according to Dr Evan Fynes?

KEY TAKEAWAYS

  • The DaVinci Robotic System offers a minimally invasive approach, resulting in less blood loss, less pain, and faster recovery times.
  • Patients undergoing robotic-assisted surgery typically have a shorter hospital stay compared to those undergoing open procedures.
  • The advanced visualization capabilities of the DaVinci Robotic System allow for more precise dissections and better surgical outcomes.

Dr. Evan Fynes is a urologist in Port Orange, FL, specializing in the use of the DaVinci Robotic System for urological surgeries. This advanced technology offers a range of benefits over traditional open surgeries, including smaller incisions, faster recovery times, and better visualization of the surgical field. In this article, we will explore the advantages of the DaVinci Robotic System as described by Dr. Fynes, and how it has revolutionized urological surgery.

Minimally Invasive Approach

One of the primary benefits of the DaVinci Robotic System is its minimally invasive approach. With this system, Dr. Fynes can remove the prostate gland using very small incisions. This results in less blood loss and pain for patients compared to traditional open surgeries. Furthermore, it allows surgeons to preserve the nerves responsible for erectile function, providing a better overall outcome for men undergoing prostatectomies.

Shorter Hospital Stay

Dr. Fynes emphasizes that the use of the DaVinci Robotic System can significantly reduce the length of a patient’s hospital stay. Typically, patients undergoing robotic-assisted surgery are only in the hospital for about a day, compared to a longer stay required for open procedures. This shortened hospitalization not only reduces the risk of complications but also allows patients to return to their normal activities more quickly.

Enhanced Visualization

The DaVinci Robotic System offers superior visualization capabilities, allowing surgeons like Dr. Fynes to see structures in the pelvis with exceptional detail. This magnified view makes it easier to perform precise dissections and ensures a more accurate removal of the prostate gland. The improved visualization contributes to better surgical outcomes and faster recovery times for patients.

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. This institute is committed to providing the highest quality of care for their patients through the use of cutting-edge technology, such as the DaVinci Robotic System. By choosing the Advanced Urology Institute for your urological needs, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

TRANSCRIPTION:

Using the robotic system, we’re able to use very small incisions to take the prostate gland out.
A lot of times, we leave the nerves behind to help with, to preserve erectile function for men.
Hello, Dr. Evan Fynnes. I’m a urologist with Advanced Urology Institute.
Surgery itself takes a couple hours to do, depending on surgeon experience.
Usually, they’re only in the hospital for about a day or so.
The advantage of the robot is usually there’s less blood loss, a lot less pain.
And a big thing for the robot is it magnifies everything in the pelvis.
So it’s able to, things that sometimes you’d struggle seeing in an open procedure,
it’s there on this big screen that you’re able to see in fine detail the structures that are in the pelvis, and able to carefully dissect off the prostate and things like that.

REFERENCES:

Robotic Assisted Laparoscopic Prostatectomy, Surgical Advancement in Urology – Dr Matthew Merrell

Video: Robotic Assisted Laparoscopic Prostatectomy, Surgical Advancement in Urology – Dr Matthew Merrell


Robotic Assisted Laparoscopic Prostatectomy allows the surgeon greater visualization, enhanced dexterity, precision, control and superior ergonomics.[Read Full Article…]

Who uses the Davinci Robotic System for kidney cancer treatment? – Dr. Evan Fynes

KEY TAKEAWAYS:

  • Dr. Evan Fynes, a urologist in Port Orange, FL, uses the DaVinci Robotic System for kidney cancer treatment, performing both total and partial nephrectomies.
  • The DaVinci Robotic System provides enhanced visualization and precision during surgery, allowing for more accurate tumor removal and preservation of healthy kidney tissue.
  • Robotic-assisted kidney cancer surgery results in reduced pain and faster recovery times for patients compared to traditional open procedures.

The DaVinci Robotic System has revolutionized various fields of surgery, including urology. Dr. Evan Fynes, a urologist in Port Orange, FL, specializes in using this advanced technology for kidney cancer treatment. In this article, we will discuss how Dr. Fynes employs the DaVinci Robotic System for kidney cancer procedures, such as nephrectomies, and the benefits it offers patients.

Robotic Surgery for Kidney Cancer

In the past, kidney cancer surgeries required large incisions and lengthy hospital stays. However, with the introduction of the DaVinci Robotic System, patients can now experience quicker recovery times and reduced pain. Dr. Fynes uses the robotic system to perform both total and partial nephrectomies. Total nephrectomies involve the removal of the entire kidney, while partial nephrectomies allow for the removal of only the tumor, preserving the healthy kidney tissue.

Enhanced Visualization and Precision

One of the key benefits of the DaVinci Robotic System is the improved visualization it provides during surgery. The system magnifies the surgical field, allowing Dr. Fynes to perform precise dissections and remove tumors with greater accuracy. This enhanced visualization is particularly beneficial for partial nephrectomies, where it is crucial to separate the tumor from the healthy kidney tissue without causing damage.

Reduced Pain and Faster Recovery

Robotic-assisted surgery with the DaVinci Robotic System is significantly less painful for patients compared to traditional open procedures. The smaller incisions used in robotic surgery result in less blood loss, reduced pain, and faster healing. As a result, patients can return home and resume their normal activities much sooner. According to Dr. Fynes, patients who undergo robotic-assisted kidney cancer surgery are typically discharged from the hospital in just two or three days, compared to five to seven days for traditional open procedures.

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. This institute is committed to providing the highest quality of care for their patients through the use of cutting-edge technology, such as the DaVinci Robotic System. By choosing the Advanced Urology Institute for your kidney cancer treatment, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

TRANSCRIPTION:

Back in olden days, so to speak, we used to make a bigger incision, and the patient would
be in the hospital five to seven days, and now with the robot, a lot of people are home
in two or three days after removing a kidney.
Hello, Dr. Evan Fynes, I’m a urologist with Advanced UrologyInstitute.
So the robot is also being used extensively for kidney type, kidney surgery, whether it’s
removing the whole kidney for somebody with a presumed kidney cancer, or a lot of times
these days we’re doing something called partial nephrectomies with the robot, where you’re
able just to remove the tumor and leave the kidney behind.
In regards to robotic surgery with the kidney, it just magnifies everything.
You’re able to get fine movements to dissect the tumor off, remove the tumor, and close
the kidney back up.
It’s also a lot less painful for patients.

REFERENCES:

Is Dr. Evan Fynes reporting that kidney stones are more common in Florida?

KEY TAKEAWAYS:

  • Dr. Evan Fynes, a urologist in Port Orange, FL, has observed a higher prevalence of kidney stones in Florida due to the hot and humid climate causing chronic dehydration.
  • Conservative management, such as medications and increased fluid intake, is often the first approach to treating kidney stones.
  • Surgical treatments, such as ureteroscopy with laser lithotripsy and extracorporeal shock wave lithotripsy, may be necessary when conservative management is unsuccessful.

Dr. Evan Fynes, a urologist in Port Orange, FL, has observed that kidney stones seem to be more common in Florida compared to other regions, such as Ohio. He attributes this higher prevalence to the hot and humid climate in Florida, which can lead to chronic dehydration. In this article, we will explore Dr. Fynes’ observations and the ways kidney stones can be treated.

 

Prevalence of Kidney Stones in Florida

According to Dr. Fynes, kidney stones are a common issue for many patients in Florida. The hot and humid weather often results in increased sweating, which can lead to dehydration. Dehydration is one of the most common causes of kidney stones, as it can cause a buildup of minerals and salts in the urine, leading to stone formation. Many individuals in Florida visit emergency rooms with symptoms such as abdominal pain, side pain, and vomiting, which can be indicative of kidney stones.

 

Conservative Management of Kidney Stones

Dr. Fynes notes that there are several surgical ways to treat kidney stones, but often, a conservative approach is initially attempted. Depending on the size and location of the stone, patients may be given medications and encouraged to increase their fluid intake to help pass the stone naturally. This conservative management aims to avoid invasive procedures and reduce the risk of complications.

 

Surgical Treatment Options for Kidney Stones

When conservative management is unsuccessful, Dr. Fynes may recommend surgical intervention to treat kidney stones. Two common surgical methods include ureteroscopy with laser lithotripsy and extracorporeal shock wave lithotripsy (ESWL). In ureteroscopy, a small scope is inserted into the ureter, and a laser is used to break up the stone into smaller pieces, which can then be passed naturally. ESWL, on the other hand, involves using shock waves from outside the body to break up the stone, allowing the fragments to be expelled through the urinary tract.

 

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. The institute is committed to providing the highest quality of care for their patients through the use of cutting-edge technology and evidence-based treatment approaches. By choosing the Advanced Urology Institute for your urological needs, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

 

TRANSCRIPTION:

So coming from Ohio you know we saw a lot of kidney stones but then coming
down here for the year I’ve been down here so far it’s been stones everywhere
everybody’s just chronically dehydrated due to the sweating and the humidity and
that’s usually the most common cause of kidney stones is dehydration.
Hello Dr. Evan Fynes . I’m a urologist with Advanced Urology Institute. You’ll see a
lot of people commonly go into the emergency room with abdominal pain and
pain on their sides and throwing up and one of the first things they they want
to check out is if you have a kidney stone or not so down here this kidney
stones run rampant. Usually there’s there’s a lot of different surgical ways
of treating a stone but a lot of times these stones depending on kind of
patients clinical outlook we give them a chance to pass the stone if it’s
depending on where it’s at the kidney or it’s close to the bladder and then the
size of the stone so a lot of times we try to do conservative management with
medication to try to pass the stone otherwise a lot of times we have to go
up and get the stone and use a laser to break it up or sometimes we use shock
weight lithotripsy blasted with shock waves from outside the body.

REFERENCES:

Prostate Cancer, A Common and Treatable Cancer in Men – Dr Matthew Merrell

Video: Prostate Cancer, A Common and Treatable Cancer in Men – Dr Matthew Merrell



Prostate cancer is the most common cancer among men (excluding skin cancers). It accounts for 43 percent of all male cancers. Despite these startling facts, prostate cancer does not have to be life threatening. Contact a urologist now and get treatment for this condition as soon as possible. [Read Full Article…]

Why did Dr. Evan Fynes choose urology?

KEY TAKEAWAYS:

  • Dr. Evan Fynes, a urologist in Port Orange, FL, chose urology as his specialty due to the diversity of cases and the daily challenges it offers.
  • Patient interaction is one of Dr. Fynes’ favorite aspects of his work, as it allows him to build relationships and better understand his patients’ needs.
  • Dr. Fynes finds great fulfillment and reward in helping patients overcome their urological problems and improve their quality of life.

Dr. Evan Fynes, a urologist in Port Orange, FL, has a passion for his work and a deep appreciation for the variety and patient interaction that comes with practicing urology. In this article, we will explore the factors that led Dr. Fynes to choose urology as his specialty and how his work positively impacts patients’ lives.

The Path to Urology

Dr. Fynes grew up in Toledo, Ohio, and completed his undergraduate and medical education, as well as his six-year urologic residency, at the University of Toledo. Early on in his training, Dr. Fynes was encouraged by a friend who was a urology resident to explore the field of urology. He quickly found that he enjoyed the diversity of cases and the daily challenges that came with the specialty. From kidney stones and enlarged prostates to kidney cancer, every day brought something different to his work.

Patient Interaction

One of the aspects of urology that Dr. Fynes particularly enjoys is the patient interaction. He values the opportunity to develop relationships with his patients, often bonding over shared interests, such as football. This rapport allows him to better understand his patients’ concerns and provide tailored treatment plans to address their specific needs.

Making a Difference in Patients’ Lives

Dr. Fynes finds great fulfillment and reward in helping patients overcome their urological problems. Whether it’s removing a kidney stone or vaporizing prostate tissue to enable a patient to urinate without a catheter, he takes pride in the positive impact his work has on patients’ lives. Their gratitude and satisfaction make his efforts worthwhile and further solidify his passion for the field of urology.

Advanced Urology Institute

Dr. Evan Fynes is a part of the Advanced Urology Institute, the largest urology practice in Florida. The institute is dedicated to providing the highest quality of care for their patients through the use of state-of-the-art technology and evidence-based treatment approaches. By choosing the Advanced Urology Institute for your urological needs, you can trust that you are receiving the best possible care from highly skilled and experienced professionals.

TRANSCRIPTION:

I never met an unhappy urologist. They all seemed to really like what they did for a
living and were really enthusiastic about their job.
Hello, Dr. Evan Fynes. I’m a urologist with Advanced Urology Institute. I’ve been down
here in Florida about 15 months now. I came down from the great state of Ohio. I grew
up in northwest Ohio, Toledo, Ohio. I went to school at the, basically did all my training
in Toledo. Went to undergrad, med school, and then did a six-year urologic residency
at the University of Toledo. Urology really caught my interest early on in my training.
I had actually a good friend that was a urology resident, and he told me to kind of check
out urology. And so when I really looked into it, I mean, I really liked the diversity of
the cases. Every day you’re doing something different, whether it’s kidney stones, somebody
with a large prostate, to taking out or removing kidneys because of kidney cancer. You never
knew what you were going to do that day. It was a wide variety.
One of the favorite things I like about my work is just patient interaction. A lot of
times when I initially talk about a patient, they’ll walk in with a Pittsburgh Steelers
hat on, and the first 10 minutes of my conversation is talking about football. And so I really
enjoyed the patient interaction of getting to know somebody, developing that relationship
with somebody, and then trying to help them with their problem. From that, when you get
to help them with their problem and basically correct their situation, whether it’s removing
a kidney stone or they have a catheter in and you take away their, you know, vaporize
their prostate tissue and they’re able to pee on their own, they’re very satisfied with
having that catheter out. It does give you a sense of fulfillment and reward that
you’ve helped somebody, and they’re usually very grateful.

REFERENCES:

Being a Urologist, A Very Gratifying Medical Career – Dr Matthew Merrell

Video: Being a Urologist, A Very Gratifying Medical Career – Dr Matthew Merrell

Dr. Merrell is certified by the American Board of Urology and is a fellow of the American College of Surgeons. He is a member of the American Medical Association, the American Urological Association, the Florida Urologic Association and the Volusia County Medical Society. [Read Full Article…]

What are the benefits of Green Light Laser Therapy according to Dr. Evan Fynes?

KEY TAKEAWAYS:

  • Green Light Laser Therapy is a minimally invasive, outpatient procedure for treating enlarged prostates, offering an alternative to traditional surgical methods.
  • The therapy is particularly beneficial for patients on blood-thinning medications, as it helps stop bleeding while vaporizing the prostate.
  • Studies show that the outcomes of Green Light Laser Therapy are comparable to those of the classic TURP at five years, providing patients with similar symptom relief and fewer complications.

Green Light Laser Therapy is a minimally invasive, outpatient procedure that has revolutionized the treatment of enlarged prostates. Dr. Evan Fynes, a urologist in Port Orange, FL, highlights the advantages of this cutting-edge technology over traditional surgical methods, particularly for patients on blood-thinning medications.

 

The Green Light Laser Technology

Dr. Fynes explains that the Green Light Laser is a special laser designed to vaporize the prostate in men with enlarged prostates causing urinary symptoms such as frequent nighttime urination, weak urinary stream, or difficulty forcing urine out. Initially, patients are prescribed medications to alleviate symptoms, but if these fail to improve their quality of life, Green Light Laser Therapy may be considered as an alternative treatment option.

This third-generation laser technology enables the vaporization of prostatic tissue, offering a less invasive and more efficient treatment for enlarged prostates.

 

Benefits for Patients on Blood Thinners

One of the primary advantages of Green Light Laser Therapy is its suitability for patients who cannot discontinue blood-thinning medications due to heart disease, stroke, or other conditions. The laser treatment not only vaporizes the prostate but also helps stop bleeding, making it a safer option for these patients compared to traditional surgical methods.

 

Comparable Outcomes to Classic TURP

Dr. Fynes notes that studies have demonstrated the outcomes of Green Light Laser Therapy to be equivalent to those of the classic Transurethral Resection of the Prostate (TURP) at five years. This means that patients can experience the same benefits in terms of symptom relief, but with a less invasive procedure and fewer complications.

Advanced Urology Institute

Dr. Evan Fynes is a dedicated urologist at the Advanced Urology Institute, the largest urology practice in Florida. The institute is committed to providing state-of-the-art, evidence-based care for patients, ensuring that they have access to the latest advances in urological treatment. With a team of highly skilled professionals, the Advanced Urology Institute offers comprehensive care for a wide range of urological conditions.

TRANSCRIPTION:

Five, ten years ago, you’d have to do an open surgery to remove the prostate gland.
Now, the green light laser allows you to do an outpatient surgery on a really big prostate
and then they go home with a catheter usually for a day.
Hello, Dr. Evan Fynes , I’m a urologist with Advanced Urology Institute.
The green light laser, it’s a special laser we use to basically vaporize the prostate
for guys who have enlarged prostates that cause urinary symptoms, whether it’s getting
up a lot at night, if they have a weak stream, if they really have to force their urine out.
Usually we initially start them on medications, there’s several medications to start.
If they fail those medications and they’re still, the symptoms are affecting their quality
of life, then the option we choose is to basically resect their prostate by going through their urethra.
The green light’s a new technology, I think they’re on their third generation laser.
With this new generation laser, you’re able to vaporize the prostatic tissue.
The benefits of the laser really, these days, it’s meant for guys who are still on blood
thinner medication, who can’t come off those because of heart disease or stroke or things like that.
So the laser’s meant to actually vaporize the prostate while they’re on these blood
thinners because it helps stop the bleeding as you vaporize the prostate.
I feel like the outcomes are very similar to the classic TURP.
There’s been several studies out that show they’re basically equivalent at five years.

REFERENCES:

Being a Urologist: Why I Chose Urology – Dr. Evan Fynes

Video: Being a Urologist: Why I Chose Urology – Dr. Evan Fynes



Dr. Evan Fynes is a practicing urologist at Florida’s Advanced Urology Institute. The Advanced Urology Institute provides patient centered care with innovative and personalized treatments. For Dr Fynes, caring for his patients is one of the greatest joys of being a urologist. [Read Full Article…]