Laser Surgery for Enlarged Prostate

Laser surgery for an enlarged prostate is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland becomes enlarged, causing urinary symptoms.

Types of Laser Surgeries

• Photoselective Vaporization of the Prostate (PVP): This procedure uses a high-powered laser to vaporize excess prostate tissue, reducing the size of the gland and improving urine flow.
• Holmium Laser Enucleation of the Prostate (HoLEP): This procedure uses a holmium laser to remove excess prostate tissue, which is then cut into small pieces and removed from the bladder.
• Thulium Laser Enucleation of the Prostate (ThuLEP): Similar to HoLEP, this procedure uses a thulium laser to remove excess prostate tissue.

How the Procedure is Performed

The procedure is typically performed under general or spinal anesthesia. A cystoscope, a thin tube with a camera and laser fiber, is inserted through the urethra into the bladder. The laser is then used to vaporize or remove excess prostate tissue.

Benefits

• Minimally Invasive: Laser surgery is less invasive than traditional open surgery, resulting in less bleeding and fewer complications.
• Reduced Recovery Time: Patients can typically return home the same day or the next day after the procedure.
• Improved Urine Flow: The procedure can significantly improve urine flow and reduce urinary symptoms.

Risks and Complications

• Bleeding: As with any surgical procedure, there is a risk of bleeding during or after the procedure.
• Urinary Retention: Some patients may experience urinary retention after the procedure, which can be temporary or permanent.
• Infection: There is a risk of infection with any surgical procedure, including laser surgery for an enlarged prostate.

Post-Procedure Care

After the procedure, patients may experience some discomfort, bleeding, and urinary frequency. It is essential to follow the doctor's instructions for post-procedure care, which may include:

• Resting: Avoiding strenuous activities for several days after the procedure.
• Pain Management: Taking pain medication as directed by the doctor.
• Urinary Catheterization: Using a urinary catheter to help drain urine from the bladder.

Outcome and Follow-Up

The outcome of laser surgery for an enlarged prostate is generally positive, with most patients experiencing significant improvement in urinary symptoms. Follow-up appointments with the doctor are essential to monitor the patient's progress and address any concerns or complications that may arise.