If I Don’t Live In Nebraska Am I Still Able To Travel To Kearney Urology Center To Undergo Aquablation
Yes. Many men are seeking Aquablation as an option for their BPH. Kearney Urology Center PC is the only practice currently offering Aquablation in the 6-state region .
Kearney, NE is located on Interstate 80 and an approximate 2.5 hour drive from Omaha and 4.5 hour drive from Denver. Kearney also has daily flights from Denver and Chicago.
Typically, we would start with an initial in-office consultation to confirm that you are an appropriate candidate for Aquablation. Your consultation may entail testing including Cystoscopy and ultrasound of the prostate. We would then schedule your procedure at a later date which would require a second trip to Kearney. If you have already underwent the appropriate evaluation by your home Urologist – we may be able to schedule the procedure concurrently in the same trip and would obtain pre-authorization before you travel to Nebraska. Lastly, we typically will want to see you back in the clinic in approximately 4-6 weeks to follow up on the results of your procedure.
What Do Patients Say
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Steam Treatment Recommended For Men With An Enlarged Prostate
Minimally invasive procedure involves injecting steam to destroy excess prostate tissue
24 June 2020
Up to 10,000 men with an enlarged prostate could receive a new treatment which improves their quality of life and preserves their sexual function, under new guidance from NICE.
NICE has recommended the use of Rezum, a minimally invasive procedure that involves injecting steam to destroy excess prostate tissue.
Some current treatments use heat to destroy excess prostate tissue and this can have considerable side effects.
Benign prostatic hyperplasia is the medical term used to describe a noncancerous enlargement of the prostate. Symptoms like needing to pass urine more frequently, trouble starting to urinate and loss of bladder control affect more than a third of men over the age of 50.
Clinical evidence analysed by NICEs medical technology advisory committee shows that using the Rezum procedure relieves lower urinary tract symptoms caused by BPH in men with moderate to severe symptoms who have a moderately enlarged prostate.
Evidence also shows that using Rezum is associated with improved quality of life and a low risk of sexual dysfunction.
Rezum is cost saving compared with standard treatments such as transurethral resection of the prostate and holmium laser enucleation of the prostate by more than £550 per person over 4 years.
“The fact Rezum is unlikely to damage surrounding tissue and nerves means it has a low risk of causing sexual dysfunction.
They are:
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Follow The Diet Your Healthcare Provider Recommends
Depending on the type of ablation procedure youre having, you may need to follow a light diet or a low residue diet. Your healthcare provider will check the box below next to the diet you should follow. Start following it the morning of the day before your procedure.
- Light dietFollow a light diet, such as small sandwiches, eggs, toast, crackers, soup, or cereal. Limit the amount of dairy products and avoid fried foods and foods with a lot of seasoning.
- Low-residue dietFollow a low residue diet. This diet limits high-fiber foods, such as whole grain breads and cereals, nuts, seeds, and raw or dried fruits and vegetables. You should also limit the amount of dairy products you have.
How Turp Is Performed
TURP is carried out using a device called a resectoscope, which is a thin metal tube containing a light, camera and loop of wire. This is passed along your urethra until it reaches your prostate, which means no cuts need to be made in your skin.
The loop of wire is then heated with an electric current and used to cut away the section of your prostate causing your symptoms. A thin tube called a catheter is then inserted into your urethra to pump fluid into the bladder and flush away pieces of prostate that have been removed.
General or spinal anaesthesia is used during the procedure so you donât feel any pain while itâs carried out.
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Using Pads Or A Sheath
Absorbent pads and pants can be worn inside your underwear, or may replace your underwear altogether. These will soak up any leaks.
Urinary sheaths can also help with dribbling. They look like condoms with a tube coming out of the end. The tube connects to a bag that you can strap to your leg under your clothing.
Prostate Laser Ablation Side Effects
The only other thing I was drinking in the first 6 months after my diagnosis was green tea. I would drink about 4 glasses of green tea daily to go along with the increased water intake. I wasnt putting any other liquid into my body for the first 6 months. This was a big help in starting my road to recovery.
Once I started feeling better then I added organic soy milk to my diet as well. Soy milk isnt much like regular milk but once you get used to it then its not bad at all. To this day these are the only 3 liquids I have in my diet. To recap the 3 liquids I drink today are purified water,green tea,& organic soy milk. I put no other liquids into my body period.
Now, I want to chat a little more about meat & other aspects of a proper diet. As I said we dont need meat to live. I thought cutting or limiting meat in my diet would be to hard to accomplish. Well again my thinking was wrong. Was it easy? No! However, after a couple weeks then things were starting to get easier. I didnt cut all meats out of my diet but I did cut certain meats & eat moderate amounts of all others.
One meat that needs to be completely cut or at least very minimized is red meat . Too much Red meat consumption is not good for prostate health. I was eating a lot of fast food burgers & also red meat at home. I will say to at least cut red meat completely out of your diet until you get your prostate health back.
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There Are Two Key Steps To The Procedure:
Side view of prostate on ultrasound imaging during Aquablation therapy
In this video, the surgeon is creating a surgical map of the parts of the prostate to remove and the parts to avoid.
Step 1. Creating a surgical map
Every prostate is unique in size and shape, so it is important for a surgeon to customize the surgery to the patients specific anatomy.
Aquablation therapy is the only procedure that combines a camera with ultrasound imaging, giving the surgeon the ability to see the entire prostate in real time.
All other surgical procedures use only a camera, limiting the surgeons ability to see.
The addition of ultrasound imaging in Aquablation therapy allows the surgeon to map which parts of the prostate to remove and which parts to avoid.
The surgeon will work to map around the parts of the prostate that cause irreversible complications like erectile dysfunction, ejaculatory dysfunction, and incontinence.
Step 2. Removing the prostate tissue
With the surgical plan in place, a robotically-controlled, heat-free waterjet removes the prostate tissue that has been mapped out. This robotic technology minimizes human error in removing prostate tissue, and ensures the prostate tissue is removed precisely, consistently, and predictably.
It should be noted that some surgeons may choose to use a minimal amount of cautery following an Aquablation procedure to control bleeding.
Robotically controlled, heat free waterjet removes prostate tissue during Aquablation therapy
After You Leave The Hospital
- Follow your healthcare providers instructions for taking your antibiotics and tamsulosin .
- Dont shower for the first 24 hours after your procedure. After 24 hours, you can go back to showering as usual. Dont take a tub bath or submerge your lower body in water for 2 weeks after your procedure.
- Dont lift anything heavier than 20 pounds for at least 48 hours after your procedure. Your healthcare provider will tell you if you need to wait longer than 48 hours.
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How Does Aquablation Therapy Compare To Other Bph Treatment Options
Beyond medications, the two categories of treatments for BPH include:
- Minimally invasive surgical therapies , including prostatic urethral lift procedure, water vapor therapy and a temporarily implanted nitinol device
- Surgery, including aquablation, laser vaporization and laser enucleation therapies, as well as transurethral resection of the prostate and open prostatectomy
Because aquablation is performed in an operating room and requires an overnight hospital stay, it’s considered surgery.
MISTs, on the other hand, are the procedures that fit in the space between medications and surgeries they provide more benefit than medications, but they don’t require the hospital stay that comes with surgery.
“The MISTs are much quicker office-based procedures, but they provide less benefit than the surgical options like aquablation,” says Dr. Gonzalez. “Surgical intervention generally allows us to get more tissue out of the way, providing greater symptom relief.”
This means that aquablation therapy may be the better option for you if:
- Your BPH symptoms are moderate to severe
- Your medications are failing
- You can no longer urinate on your own and have to use a catheter
- Your prostate is very enlarged
- You’re experiencing other complications of BPH, including kidney failure, infections, bleeding and stones
Your urologist can help you understand your symptom severity and effectively weigh your options.
What Are The Risks
Rezm Water Vapor Therapy is a treatment for men 50 years or older to reduce prostate tissue and relieve urinary symptoms caused by an enlarged prostate, or BPH.
During the healing phase following the procedure, patients may experience continued or worsening BPH symptoms, which may require the use of a catheter for several days. It is important to talk with your doctor about the benefits and risks associated with Rezm Water Vapor Therapy.
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What Happens During The Aquablation Procedure
Aquablation therapy is performed in a hospital. You will be under anesthesia for the entire procedure. The procedure typically takes less than an hour and involves an overnight stay.
There are two key steps to the procedurecreating a surgical map and removing the prostate tissue. For more details on the Aquablation procedure, visit the Aquablation Therapy page.
Cms National Coverage Policy
Language quoted from Centers for Medicare and Medicaid Services , National Coverage Determinations and coverage provisions in interpretive manuals is italicized throughout the policy. NCDs and coverage provisions in interpretive manuals are not subject to the LCD Review Process . In addition, an administrative law judge may not review an NCD. See Section 1869 of the Social Security Act.
Unless otherwise specified, italicized text represents quotation from one or more of the following CMS sources:Title XVIII of the Social Security Act : Section 1862 excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member. Section 1862 refers to limitations on items or devices that are investigational or experimental. Section 1833 prohibits Medicare payment for any claim which lacks the necessary information to process the claim. CMS Publications: CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 14,
10 Coverage of Medical Devices
CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 23,
30 Services paid under the Medicare Physicians Fee Schedule
CMS Publication 100-08, Medicare Program Integrity Manual, Chapter 13,
5.1 Reasonable and necessary provisions in LCDs
7.1 Evidence supporting LCDs.
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When Is Bph Treatment Necessary
The course of BPH in any individual is not predictable. Symptoms, as well as objective measurements of urethral obstruction, can remain stable for many years and may even improve over time for as many as one-third of men, according to some studies. In a study from the Mayo Clinic, urinary symptoms did not worsen over a 3.5-year period in 73% of men with mild BPH. A progressive decrease in the size and force of the urinary stream and the feeling of incomplete bladder emptying are the symptoms most correlated with the eventual need for treatment. Although nocturia is one of the most annoying BPH symptoms, it does not predict the need for future intervention.
If worsening urethral obstruction is left untreated, possible complications are a thickened, irritable bladder with reduced capacity for urine infected residual urine or bladder stones and a backup of pressure that damages the kidneys.
- Inadequate bladder emptying resulting in damage to the kidneys
- Complete inability to urinate after acute urinary retention
- Incontinence due to overfilling or increased sensitivity of the bladder
- Recurrent severe hematuria
- Symptoms that trouble the patient enough to diminish his quality of life
Advantages And Disadvantages Of Surgery
What may be important for one person might be less important for someone else. The advantages and disadvantages of surgery may depend on your age, general health and the stage of your cancer.
Advantages
- If the cancer is completely contained inside the prostate, surgery will remove all of the cancer.
- The prostate is looked at under a microscope to give a clearer picture of how aggressive your cancer is, whether it has spread outside your prostate and if you need further treatment.
- Your health professionals can get a good idea of whether your cancer was completely removed during surgery. Your PSA level should drop so low that its not possible to detect it at six to eight weeks after surgery.
- If there are signs that your cancer has come back or wasnt all removed, you may be able to have further treatment.
- Some men find it reassuring to know that their prostate has been physically removed, although you will still need to have follow-up tests to make sure no cancer cells have spread outside the prostate.
Disadvantages
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Schedule An Appointment To See A Urologist
To schedule an appointment with a urologist at University of Utah Health, call 801-213-2700. You do not need a referral from your primary care provider or another care provider to schedule an appointment with our urologists. However, some insurance plans do require a referral in order for HoLEP to be covered. Talk to your insurance carrier about your specific plan requirements.
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How An Intense Jet Of Water Can Relieve An Enlarged Prostate
Doctors have a newer method for treating an enlarged prostate, which can squeeze the urethra and cause urinary problems for men, especially as they age. The treatment, Aquablation, uses an intense jet of water to remove part of the prostate, relieving the pressure.
Patients with very enlarged prostates traditionally have limited options, but in a properly selected patient, the outcomes of Aquablation are equivalent and sometimes superior to traditional surgeries, says Emil Kheterpal, MD, a urologist who performs surgeries at UNC Rex Healthcare and worked on clinical trials for Aquablation, which was approved by the Food and Drug Administration in 2017.
Compared with other surgical methods for enlarged prostate, Aquablation is a quicker procedure with less time under anesthesia, a lower risk of side effects and typically a faster recovery.
If you are a man who makes frequent trips to the bathroom, or who has problems starting or stopping your flow of urine, you may have an enlarged prostate, known as benign prostatic hyperplasia, or BPH. Talk to your doctor to find out, because BPH usually does not resolve on its own and your problems could get worse as you get older.
BPH symptoms include:
- A weak stream, or a stream that starts and stops
- Dribbling at the end of urination
- Inability to completely empty the bladder
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Surgical procedures to remove the diseased prostate are usually necessary. Surgical procedures are not always necessary. If the disease is caused by bacterial infections, a doctor can treat the symptoms using alpha-blockers or surgery. Physical therapy, relaxation exercises, and warm baths are all recommended. A physician may also prescribe antibiotics to cure the infection. A bacterial infection can also cause a recurrence of the condition.
An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive organ include a weakened urine stream, urgent need to urinate, and urinary tract infections. BPH can also cause damage to the kidneys. A sudden inability to urinate can be life-threatening, as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostrates put up with the symptoms for years before they seek treatment. However, many of the men with symptoms finally decide to go to a doctor for proper gynecological evaluation and to begin enlarged prostatic therapy.
Note The Time Of Your Procedure
A staff member from the Admitting Office will call you after 2 p.m. the day before your procedure. If your procedure is scheduled for a Monday, theyll call you on the Friday before. If you do not get a call by 7 p.m., call .
The staff member will tell you what time to arrive at the hospital for your procedure. Theyll also remind you where to go.
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