TURP / Green Light PVP Laser / ThermotherapyTransurethral 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, thelaser 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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