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What is Laser Prostate Surgery ?

Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH).

Laser prostate surgery is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), which is an enlarged prostate. The laser is used to remove or reduce excess prostate tissue that is causing symptoms like difficulty urinating, frequent urination, and incomplete bladder emptying.

Why it's done

Prostate laser surgery helps reduce urinary symptoms caused by BPH, including:

  • Frequent, urgent need to Urinate
  • Difficulty Starting Urination
  • Slow (prolonged) Urination
  • Increased frequency of Urination at night
  • Stopping and starting again while urinating
  • The feeling you can't completely empty your bladder
  • Urinary tract infections

Laser surgery might also be done to treat or prevent complications due to blocked urine flow, such as:

  • Recurring urinary tract infections
  • Kidney or bladder damage
  • Inability to control urination or an inability to urinate at all
  • Bladder stones
  • Blood in your urine

Laser surgery can offer several advantages over other methods of treating BPH. It can take several weeks to months to see noticeable improvement with medications. Improvements in urinary symptoms from laser surgery are noticeable right away. The advantages over traditional surgery, such as transurethral resection of the prostate (TURP) and open prostatectomy, can include:

  • Lower Risk of Bleeding: Laser surgery can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
  • Shorter or no Hospital Stay: Laser surgery can be done on an outpatient basis or with just an overnight hospital stay.
  • Quicker Recovery: Recovery from laser surgery generally takes less time than recovery from TURP or open surgery.
  • Less need for a catheter: Procedures to treat an enlarged prostate generally require use of a tube (catheter) to drain urine from the bladder after surgery. With laser surgery, a catheter is generally needed for less than 24 hours.
Benefits
  • Minimally Invasive: Less risk of bleeding and quicker recovery compared to traditional surgical methods.
  • Effective Symptom Relief: Many patients experience significant improvements in urinary symptoms.

Shorter Hospital Stay: Often, you can go home the same day or after a short stay.

Types of Laser Prostate Surgery

  • Holmium Laser Enucleation of the Prostate (HoLEP): A laser is used to cut and remove the excess prostate tissue that is blocking the urethra. Another instrument is then used to cut the prostate tissue into small pieces that are easily removed. HoLEP can be an option for men who have a severely enlarged prostate.
  • Photoselective Vaporization of the Prostate (PVP): A laser is used to melt away (vaporize) excess prostate tissue and enlarge the urinary channel. This procedure is generally used to treat prostates that are mild to moderately enlarged.
  • Holmium laser ablation of the prostate (HoLAP): This procedure is similar to PVP but uses a different type of laser.
  • Laser Interstitial Therapy (LITT): This technique involves using lasers to heat and destroy prostate tissue. It's less commonly used but can be effective in certain cases.
Risks and Considerations

Side Effects: These may include temporary urinary symptoms, bleeding, or infection.

Long-Term Effects: While many patients experience relief, there is a chance of recurrence of symptoms or the need for additional procedures.