Prostate Laser Surgery is the technique applied when moderate to severe urinary symptoms of Benign Prostatic Hyperplasia (BPH) is to be treated. Gold standered treatment option for this is TURP , Trans Urethral Resection of prostate. The source of energy for this procedure is high frequency modulated electric current. Now a special energy LASER is available for this surgery. Several different types of prostate laser surgery are available which include Photoselective vaporization of the Prostate (PVP) - where the laser melts away the excess prostate tissue, Holmium Laser Ablation of the Prostate (HoLAP) - another similar process and the Holmium Laser Enucleation of the Prostate - where the laser is used to cut and remove the complete prostate tissue that blocks the urethra.Then with another instrument this enucleated prostate tissue is shred into small piece and then washed out. The type of laser surgery is dependent on the recommendations of the doctor and depends on factors like, the laser equipment available, the size of the prostate and the health status of the patient.
Why does prostate laser surgery become necessary?
Several reasons might surface that would require a prostate laser surgery. These include:
Laser surgery might also be needed to prevent complications arising from a blockage in the flow of urine. The common problems include:
Why should laser prostate surgery be preferred?
Lots of clinical advantages make laser prostatectomy a much better option than open prostatectomy and transurethral resection of the prostate. These are:
What are the preparations to be taken?
There are no special preparation for LASER surgery. If any urine infection is there that needs to be treated.. An antibioticis be prescribed to avoid infections in the urinary tract.
What is to be expected before, during and after the laser prostatectomy?
General anaesthesia (you would be unconscious) or spinal anaesthesia (you would be conscious) is given to the patient. A narrow 21 french scope is passed scope is through the tip of the penis into the urethra nad then in to bladder. Prostate is examined for size and number of lobes and the effects on the bladder. Then LASER fiber is inserted through this scope. Depending upon the type of LASER prostate tissue is either enucaleated from the capsule or vaporized in a systematic way. In holmium enucleation of prostate, lobes of prostate is morselated using a special instrument, and pieces of prostate tissues is washed out from the bladder .
A urinary catheter would be passed in to bladder and kept for two days then removed.There might be some blood in the urine, but you would need to consult the doctor if it is too thick or blood clots result from it. There might be some burning sensations at the tip of the penis at the end of urination. Urination might become quite frequent. It might be difficult for you to hold back urine as the bladder has been accustomed to pushing urine through the urethra that was blocked by prostate tissues. All these symptoms would subside over a period of 2 days to a weeks time.
The prostate laser surgery results in an improved urinary flow and the results that last long, with least bleeding and completely cardiac safe.
Dr Mahendra Jain is an eminent and an extremely experienced Urologist ...Read More
I had undergone treatment for my prostate in Germany 5 years back. Now I developed urethral stricture, I had lot of problem passing urine.
Mr Alexis is aged 72 yrs from East Africa was treated for his long standing urinary problem with a complex surgery. Now he is back in his country