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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).
During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through the scope. The laser delivers energy that is used to shrink or to remove the excess tissue that is blocking the urethra and preventing urine flow.
BPH Symptoms :-
BPH symptoms are familiar to a large proportion of men during middle age and beyond, and when untreated they tend to worsen with age. Approximately half of men in their 50s and as many as 90 percent of men in their 70s and 80s have enlarged prostates. BPH can wreak havoc with quality of life – in addition to the discomfort; some men are forced to get up to urinate several times during the night.
Many men assume that BPH is simply an inevitable part of aging, and that they must live with the symptoms. This is a mistake for two reasons. First, although it has nothing to do with cancer, untreated BPH has the potential to lead to serious complications, ranging from urinary tract infections and stones in the bladder or kidney to urinary retention and kidney damage. Moreover, there are now many effective treatment options from which to choose, including new medications; lower-risk, less invasive enlarged prostate surgeries; and alternative approaches such as herbal supplements.
TURP / Green Light PVP Laser / Thermotherapy
Transurethral resection of the prostate (TURP) has long been the mainstay of enlarged prostate surgery, but less invasive alternatives are now available, with the potential for equal results. With TURP, the obstructing portion of the enlarged prostate tissue is removed. Although effective, TURP requires hospitalization and catheterization for 48 hours or more and comes with risks associated with anesthesia; bleeding during and after the operation; and, in rare cases, fluid absorption that can be life-threatening.
Prostate Laser
One alternative that has emerged is laser enlarged prostate surgery. Like TURP, the so-called Green Light PVP Laser Therapy aims to create a channel in the urethra through which men can urinate more freely – but the surgery is considerably less invasive. Instead of cutting tissue out, the newer technique creates the channel by vaporizing the tissue using laser energy. Thus far, almost every study has shown that when done by experienced urologists, the laser enlarged prostate surgery produces results that are equal to those with TURP, but without the severe side effects and risks. It is an outpatient procedure with minimal to no bleeding, no risk of fluid absorption, and catheterization only overnight, if at all.
Thermotherapy
An even less invasive option, thermotherapy delivers microwave energy through a catheter inserted into the bladder in an effort to shrink the inside of the prostate. The office-based outpatient procedure takes an hour or less and requires only mild sedation. The downside to the thermotherapy is that it takes 6-8 weeks for the impact of the treatment to be realized, and although the risks are relatively minimal, the results are not comparable to those of TURP or laser surgery.
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