Treatment FAQ

what is laser treatment for prostate enlargement?

by Geovanni Considine Published 2 years ago Updated 2 years ago
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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.Oct 1, 2021

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What Medicines Treat BPH?

  • 5-Alpha Reductase Inhibitors. These stop your body from creating one of the hormones that makes your prostate larger. ...
  • Phosphodiesterase-5 Inhibitors. These are the same medicines used to treat erectile dysfunction. ...
  • Drug Combinations. If one medication on its own doesn’t help with symptoms, your doctor may suggest taking two. ...

What is the best medication for an enlarged prostate?

The main treatments are:

  • lifestyle changes
  • medicine
  • catheters
  • surgery and other procedures

What are my surgical options for an enlarged prostate?

What is the recovery time for prostate laser surgery? The recovery from laser prostate surgery may take seven to fifteen days. Your doctors will suggest you to take complete rest for a few days, once you are done with the surgery. You may not need a catheter for holding the urine for too long.

What is the recovery time for prostate laser surgery?

Various Treatments for Enlarged Prostate

  • Alpha-Blockers for BPH . The doctor will recommend this to loosen the bladder neck muscles and its fiber in the prostate. ...
  • 5- Alpha-Reductase Inhibitors for BPH . It is one of the ways on how to shrink the prostate . ...
  • TUNA Treatment. TUNA is a short form of transurethral needle ablation and is one of the trusted prostate enlargement home remedies. ...

What are remedies for enlarged prostate?

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What is the success rate of laser prostate surgery?

Postoperative Prostate specific antigen and prostate volume were also well reduced and sustained for 5 years. The postoperative success rate was assessed as 82.1%, 80.8% and 76.1% for each 1-, 3-, and 5-year.

How long does laser prostate surgery last?

The procedure lasts 1–2 hours. The advantages of laser surgery over the traditional transurethral resection of the prostate (TURP) include less bleeding and reduced need for painkillers. This means that the patients can return home on the same day. The procedure is performed under either spinal or general anaesthesia.

Which is better TURP or laser?

There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate (they could pass higher volumes of urine more quickly). TURP was also slightly more cost-effective and faster to perform than the laser procedure.

Is laser prostate surgery painful?

Most men experience burning, especially at the tip of the penis and near the end of urination. With some types of laser surgery, these symptoms can last for weeks or even months depending on how you heal and the size of your prostate. Difficulty holding urine.

What is the safest surgery for an enlarged prostate?

TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.

What is the latest treatment for enlarged prostate 2021?

Physicians at UC San Diego Health are now offering prostate artery embolization (PAE) as a new treatment option for men with benign prostatic hyperplasia (BPH), or an enlarged prostate. The minimally invasive procedure is an alternative to surgery, with no hospital stay, little operative pain and lower cost.

How is prostate laser surgery performed?

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.

Greenlight Laser Therapy Animation

Although it is a benign condition that becomes more common as men age, BPH can be distressing. As the prostate gland enlarges, it squeezes the urethra, the tunnel that carries urine from the bladder out through the penis.

What Can You Expect The Day Of Your Procedure

On the day of your procedure, you will come to the treatment center. You should have someone drive you home since this is an outpatient procedure. Keep in mind that different patients may require a different treatment regimen.

What Food To Avoid For Prostate Enlargement

There is no direct relation of food to prostate gland enlargement, and simultaneously there is no literature to support any food relation with the prostate enlargement. But low physical activity, central obesity and sedentary lifestyle are likely to increase the risk and the prostate enlargement symptoms.

What Is The Cost Of Enlarged Prostate Surgery In Pace Hospitals

At Pace Hospitals, we offer world-class prostate enlargement treatment to the patients.

Prostatic Artery Embolization Eliminates Side Effects Associated With Traditional Treatments

For men over 60, benign prostatic hyperplasia more commonly known as prostate enlargementis a common and uncomfortable condition. Most patients experience urinary frequency, urgency, and even retention.

How Long Is The Healing Process

Most patients need at least one to two weeks of rest at home before they can return to work. Some patients may require three to four weeks of recovery time before going back to work, especially if the job is physically strenuous.

Find Your Bph Symptom Score

The International Prostate Symptom Score is a common method for screening and diagnosing benign prostatic hyperplasia . The survey asks seven urinary symptom questions and one quality of life question to help determine the severity of your BPH.

What is the best treatment for an enlarged prostate?

Laser therapy for an enlarged prostate. Laser therapy is one of several medical options available for treating an enlarged prostate. Over the years, this modality has been proven to remove excess prostate tissue, help patients urinate better, and minimize or eliminate bothersome symptoms. Many people choose to undergo laser therapy ...

Why do people use lasers?

Many people choose to undergo laser therapy after trying medications with limited success, or because they prefer a more immediate and long-term solution. There are several types of laser therapies, The GreenLight laser and the Revolix laser are used to vaporize and remove the obstructing tissue.

What is green light laser?

The GreenLight laser is designed to provide a rapid relief of symptoms associated with benign prostatic hyperplasia (BPH) or an enlarged prostate. Depending on the patient’s overall health, this therapy generally requires a shorter hospital stay after the procedure.

Where is the Holmium Laser enucleation of the prostate performed?

This minimally invasive procedure is currently being performed at Mayo Clinic Health System in Mankato, one of only two organizations that offer the procedure in Minnesota.

What is the procedure for obstructive urinary tract?

HoLEP procedure. HoLEP is a treatment option for obstructive urinary tract symptoms due to an enlarged prostate — a condition known as benign prostate hyperplasia or BPH. The procedure uses a specialized scope and laser to remove tissue that is blocking urinary flow through the urethra.

How long does it take for a urinary catheter to be removed?

Often (85% of the time), the urinary catheter can be removed within 24 hours of the procedure, compared to 5-7 days with other techniques. Many patients can resume normal daily activities within a few days. Long term, HoLEP greatly improves the health and quality of life of patients.

Does Holep help with urinary retention?

Long term, HoLEP greatly improves the health and quality of life of patients. For patients in complete urinary retention, which requires catheters to keep the bladder empty and decompressed, this is one of the best options.

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Which type of patient might benefit from greenlight laser therapy?

Greenlight laser therapy is suitable for patients suffering from lower urinary tract symptoms such as poor flow and incomplete bladder emptying. Usually men have tried medication which has stopped working.

What are the benefits?

It is a minimally invasive procedure which vapourises the central part of the prostate gland. Incisions are not necessary and the procedure normally takes between 40 and 60 minutes. Greenlight laser therapy makes vapourisation quicker and more efficient than previous prostate laser treatments.

Is greenlight laser therapy effective?

The majority of patients benefit from a rapid relief of symptoms and their urinary flow normally improves in urine within 24 hours of the procedure, though this varies on a case-to-case basis. Compared to traditional surgical options, greenlight laser therapy offers:

What are the risks?

The most common risks associated with greenlight laser PVP are haematuria (blood in the urine), short-term dysuria, and urinary tract infections. Erectile dysfunction can sometimes occur (5%) although dry orgasm occurs more commonly (50%).

What are the alternatives?

Clinical studies have shown that the symptom relief success rate of greenlight laser therapy is similar to the traditional surgery (TURP), with the advantage of having fewer complications. Other types of laser treatments, such as Holmium, can also be used to remove prostate tissue with similar results.

What is prostate laser surgery?

As the name implies, prostate laser surgery uses a scope that delivers a laser directly to the prostate. It is a procedure for patients with prostate enlargement. In most cases, it is used to relieve the urinary symptoms of an enlarged prostate. It is typically the last resource when oral medication and conservative treatment do not work.

When it would be performed

Your urologist will initially try to control your lower urinary tract symptoms with oral medications. In most cases, prostate enlargement symptoms will improve.

Who is a good candidate?

You can be a good candidate for prostate laser surgery if one or more statements below ring true to you (2):

How to prepare

Your doctor will guide you through the procedure and tell you what will happen before, during, and after surgery. They will also tell you what to do before the procedure.

How the surgery works

Different materials can generate laser radiation. Depending on the material, we can have a different type of laser (HoLEP, ThuLEP, and so on). Holmium laser is optimized for clean incisions of the prostate tissue. Conversely, Greenlight laser surgery is much better for tissue vaporization.

Benefits and Effectiveness

The advantages of laser surgery in patients with BPH symptoms include:

Side Effects

Laser treatment is chosen instead of traditional prostate surgery due to a reduction of side effects . However, all surgery comes with risks and this does not mean that prostate laser surgery will have no adverse events.

What is the function of the prostate gland?

The primary function of the prostate is to produce the fluid that nourishes and transports sperm (seminal fluid).

How does laser PVP surgery work?

A surgeon places a laser through the cystoscope to burn away excess tissue blocking urine flow through the prostate. Unlike traditional prostate surgery, laser PVP surgery doesn't cut or scrape tissue.

Does laser PVP cut tissue?

Unlike traditional prostate surgery, laser PVP surgery doesn't cut or scrape tissue. This usually results in less blood loss — which can make laser PVP surgery a good option for people who have blood-clotting conditions or who take blood thinners.

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Why It's Done

  • Prostate laser surgery helps reduce urinary symptoms caused by BPH, including: 1. Frequent, urgent need to urinate 2. Difficulty starting urination 3. Slow (prolonged) urination 4. Increased frequency of urination at night 5. Stopping and starting again while urinating 6. The feeling you c…
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Risks

  • Risks of laser surgery can include: 1. Temporary difficulty urinating.You might have trouble urinating for a few days after the procedure. Until you can urinate on your own, you will need to have a tube (catheter) inserted into your penis to carry urine out of your bladder. 2. Urinary tract infection.This type of infection is a possible complication after any prostate procedure. An infec…
See more on mayoclinic.org

How You Prepare

  • Food and medications
    Several days before surgery, your doctor might recommend that you stop taking medications that increase your risk of bleeding, such as: 1. Blood thinners such as warfarin (Jantoven) or clopidogrel (Plavix) 2. Nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, …
  • Other precautions
    Arrange transportation because you won't be able to drive yourself home after the procedure that day, and you may have a catheter in the bladder.
See more on mayoclinic.org

What You Can Expect

  • Before surgery you will be given either general anesthesia or spinal anesthesia. With general anesthesia, you'll be unconscious during the procedure. With spinal anesthesia, you'll remain conscious, but pain will be blocked from the surgical area. Exactly what you can expect during and after prostate laser surgery varies depending on the particular type of laser and technique used.
See more on mayoclinic.org

Results

  • Prostate laser surgery improves urinary flow for most men. Results are often long lasting. Sometimes, the laser surgery doesn't remove all of the prostate tissue blocking urine flow or the tissue grows back, and further treatment is needed. See your doctor if you notice any worsening urinary symptoms.
See more on mayoclinic.org

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