Request a second opinion

Before committing to any operation for an enlarged prostate, you are entitled to a second opinion. Dr Kooner is happy to review the symptoms, flow studies, imaging and proposed plan, and to discuss whether GreenLight, HoLEP or another option is the best fit for you.

What to bring or send ahead

Useful things to have at (or before) the consultation:

  • Your GP referral, if you have one. A specialist referral is accepted too.
  • Recent urine flow study, residual bladder volume and, if possible, a cystoscopy report.
  • Prostate size on ultrasound or MRI, if previously measured.
  • Any recent PSA and relevant blood results.
  • A full list of current medications, including any blood thinners (warfarin, apixaban, rivaroxaban, dabigatran, clopidogrel, aspirin, ticagrelor).
  • A short list of the questions that matter most to you (for example durability, time off work, sexual function, bleeding risk).

What a second opinion covers

  • A review of your symptom score (IPSS) and flow-study pattern.
  • A discussion of whether GreenLight laser vaporisation is appropriate for your prostate size and anatomy, and how it compares with HoLEP, TURP, UroLift, Rezum and iTind.4
  • Specific attention to blood-thinner management if you take anticoagulants, given GreenLight's documented haemostatic profile.2
  • Written confirmation of the recommended plan that you can take back to your GP or original specialist.

How to arrange one

  1. Call the rooms on 02 8382 6980 or email Raji.Kooner@svha.org.au.
  2. Tell the receptionist you are seeking a second opinion about an enlarged prostate.
  3. They will arrange the appropriate appointment at whichever consulting location suits you - see the contact page for the five rooms.
Seeking a second opinion is routine. Good urologists expect it. It does not oblige you to change doctors and it does not delay your care.

Considering GreenLight laser for an enlarged prostate?

Ask for a second opinion on your symptom score, flow studies and prostate size before committing to a treatment plan.