The Prostate Health Podcast

05: A Paradigm Shift in the Treatment of an Enlarged Prostate - Steven Gange, M.D.


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We're very excited today, to have urologist, Dr. Steve Gange, as our guest. In today's podcast, Dr. Gange will be talking about the new paradigm shift in how men with an enlarged prostate are being treated.

With over twenty-five years of clinical and research experience, Dr. Gange has developed specific expertise in Men's Health Urology, emphasizing in minimally invasive procedures. He was the first urologist in North America to perform the UroLift procedure for BPH (Benign Prostatic Hyperplasia) in 2011, and the first urologist in the world to perform UroLift under local anesthesia.

Dr. Gange has lectured on BPH and UroLift at several national professional meetings. He has co-authored several pivotal UroLift papers in the urological literature. He enjoys teaching urologists and proctoring cases across North America. Tune in today, to find out what Dr. Gange has to share about the treatment options for an enlarged prostate, and the shift we're seeing in the paradigm of how BPH is treated. 

Disclaimer: The Prostate Health Podcast is for informational purposes only. Nothing in this podcast should be construed as medical advice. By listening to the podcast, no physician-patient relationship has been formed. For more information and counseling, you must contact your personal physician or urologist with questions about your unique situation.

 

Show Highlights:

  • Some of the available options for the treatment of enlarged prostate before medications were introduced in the 1990s. 
  • About a pivotal procedure, that was performed in America in the 1960s and 1970s, that defined the specialty of urologists.
  • Some of the side-effects of the transurethral resection of the prostate procedures (TURP) that were being performed early on, and what those procedures used to entail.
  • Dr. Gange gives an overview of some of the common medications that have been used, and are still used to manage an enlarged prostate, and how they work. 
  • What the prostate consists of.
  • Dr. Gange discusses some of the issues regarding prostate medications.
  • Some prostate medications can potentially increase the risk of complications with cataract surgery, even if the patients have only been on the medication for a short period.
  • Looking at the concept of bladder decay from prostate medications.
  • Urologists think a lot about protecting and preserving the bladder.  
  • Drug therapies make people feel better, but they do not protect the bladder from decay.
  • The UroLift provides a mechanical solution to a mechanical problem. Dr. Gange describes the procedure, and he explains why the UroLift has been a game-changer.
  • The UroLift is the only way to treat BPH without any sexual side-effects.

Links and resources:

For some info about Dr. Steve Gange 

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The Prostate Health PodcastBy Garrett Pohlman, MD

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