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Dr. Manish P. Patel

Dr. Manish Patel Photo

Specialty: Female Pelvic Medicine and Reconstructive Surgery (FPMRS)

Education

Undergrad: Rutgers University
Medical School: Wright State University School of Medicine
Internship: University of North Carolina Hospitals
Residency: University of North Carolina Hospitals

Practice Address

Kershaw Health
40 Pinnacle Pkwy, Suite 104
Elgin, South Carolina 29045

Site of Service

In-Office

UroLift® System Local Anesthesia Protocol

  • UroLift Anesthesia Protocol: This information is presented in conjunction with Dr. Patel. Surgical technique medication and anesthesia regimens are based on his experience with the UroLift System. Medical practice is solely the responsibility of the treating physician and not the named physicians or NeoTract, Inc.
  • The steps in this protocol are presented in the sequence performed by Dr. Patel.
    • Via a 14 French straight catheter, perform an instillation of 50 cc plain Lidocaine 1%. (Cpt 51700).
    • Remove the catheter after the instillation and inject Urojet 2% lidocaine jelly. Then, place a penile clamp to prevent the jelly from discharging from the urethra.
    • Allow the patient to sit upright after the Urojet is delivered for 15 minutes.
    • Go see patients while the patient is prepped by your CMA.
    • After 15-20 minutes, perform a TRUS and verify the prostate volume. Then, inject 10 cc of 1% plain lidocaine to each neurovascular bundle while simultaneously anesthetizing the external sphincter by the prostates apex. (cpt 76942)
    • The patient is now ready for treatment.
    • NOTE: oral Valium 10 mg tablet is optional.

Group Type

Private

First UroLift System Case Date

March 2015

Program Agenda:

Objective:

Demonstrate the Premier Patient Experience offered by UroLift® System treatment in the office under MAC anesthesia and teach surgeons to replicate this in their own practice.

Location & Logistics:

• Arrive by 5 p.m. at CAE airport, Columbia, SC - day before P2P for dinner at 6:30 p.m.
• Depart 2 p.m. from CAE airport
• Hotel: Hilton Columbia Center 924 Senate Street Columbia, SC 29201
• Start time: 7:30 a.m. on P2P Case day
• Facility address: Kershaw Health 40 Pinnacle Pkwy, Suite 104 Elgin, South Carolina 29045
• Attire: Business casual for dinner and scrubs for P2P case day

Evening before case observations – 6:30 PM dinner (location TBD)

  • Meet & greet with attending surgeons
  • Review guest objectives
  • Overview of cases and what to expect on case day

Didactic presentation

  • UroLift System as part of the standard of care for BPH
  • Clinical data: risks and benefits
  • Coding, reimbursement & economics
  • Personal experience

Agenda

7:30 AM

• Case 1 Preview: history, work-up & reasons for selecting UroLift System treatment

8:00 AM - 1st Case
After 1st Case

  • Case 2 Preview: history, work-up & reasons for selecting UroLift System treatment
  • Best Practices: Patient selection, consultation, and expectations

9:00 AM - 2nd Case
After 2nd Case 

  • Review patent education tools
  • Case 3 Preview: history, work-up & reasons for selecting UroLift System treatment

10:00 AM - 3rd Case 
After 3rd Case 

  • Review staff training, utilization, esp. mid-levels
  • Case 4 Preview: history, work-up & reasons for selecting UroLift System treatment

11:00 AM - 4th Case 
After 4th Case

  • Review Patient Awareness activities, Advocacy, Practice Efficiency, Staff Engagement, etc.
  • Case 5 Preview: history, work-up & reasons for selecting UroLift System Treatment

12:00 PM - 5th Case
After 5th Case

  • Q&A
  • Wrap-up
  • Goals for implementing learning

1:00 PM

  • Depart for airport