Laser TURP Prostate Surgery

Transurethral Resection of the Prostate (TURP).

Transurethral resection of the prostate commonly known as a TURP is the most commonly used surgical procedure to treat benign prostatic hyperplasia (BPH). In this surgery, the inner portion of the prostate is removed.

It is considered the best of endoscopic surgical treatments for enlarged prostate. In this procedure the surgeon inserts an instrument called a resectoscope through the tip of the penis into the urethra. The resectoscope contains a light,valves for controlling irrigating fluid and an electrical loop that cuts tissue and seals blood vessels. The pieces of tissue are carried away by the fluid into the bladder and flushed out at the end of the procedure.

Since there are no surgical incisions with this procedure, no external scars are seen since the scope is inserted thorough the urethra. Patients normally stay in the hospital only two to three days. At the end of the procedure, a catheter is placed in the bladder through the penis to help urine drain while the prostate gland heals. Depending on surgeon preference, the catheter may be removed afterwards.Refer a Patient

Laser Prostatectomy

A laser prostatectomy or Prostate laser surgery is used to relieve moderate to severe urinary problems caused by an enlarged prostate, which is known as benign prostatic hyperplasia (BPH).

In prostate laser surgery, the surgeon inserts a scope through the tip of the penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through that scope. The laser delivers energy and it shrinks or removes the excess tissue that is blocking the urethra and preventing the smooth flow of urine.

All lasers use concentrated light to generate precise and intense heat. Laser surgery removes excess prostate tissue by:

• Ablation: The laser melts away excess tissue.
• Enucleation: The laser cuts away excess prostate tissue.

1. Green Light Laser PVP
2. Holmium laser enucleation of the prostate (HoLEP)Request a Call Back

1. Green Light Laser PVP

Green Light Laser PVP (Photoselective Vaporization of the Prostate) is minimally invasive technique in the treatment of BPH. It uses high-powered laser light combined with fiber optics to vaporize the overgrowth of prostate cells.

In this procedure the surgeon directs the laser at the prostate; the intense pulses of light emitted from the fiber are absorbed by the blood. Within moments, the temperature of the blood becomes so fine it causes the nearby cells to vaporize.

There is growing interest in this procedure by patients and as well as by the surgeons because of its simplicity and effectiveness. A temporary catheter is often inserted to allow urine to drain from the bladder. The procedure takes near about one hour.Post a Query

Green Light Laser PVP vs. TURP

With the help of instruments the surgeons were able to reach the prostate gland by entering the urethra. This procedure is known as transurethral resection of the prostate (TURP) and it became the preferred treatment. It is considered safe, effective, and efficient.

Now days the procedures to treat BPH have become quiet advanced. The cases of enlarged prostates are now treated with lasers, microwaves, radio waves, and ultrasound. Laser technology help the patients to have shorter recovery times, quicker results, and fewer long-term side-effects.

These new technologies are less invasive and provide shorter recovery periods and more immediate results for patients.

• No Cut so Less Pain
• No Bleeding
• There is no need of blood transfusion
• Early return to normal activity and work.
• Patient is able to urinate better with a good stream.
• Complications occur less frequently and are mild if they doRequest a Call Back

2. Holmium laser enucleation of the prostate (HoLEP)

Holmium laser enucleation of the prostate (HoLEP) is another treatment option for enlarged prostate BHP (benign prostatic hyperplasia).
In this procedure, a laser is used to precisely remove the obstructive portion of the prostate, similar to open prostatectomy without the need for incisions. A separate instrument is also used which is known as morcellator. Mocellator cuts the prostate tissue into fragments.

With HoLEP, surgeons remove the entire portion of the prostate gland that blocks the urine flow. It provides a lasting solution as the entire portion of the prostate gland is removed. A catheter is also needed for 1-2 days until the urine clears. Patients are advised to avoid straining or heavy lifting for four weeks after the surgery

How does it work?

Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive treatment for BPH

The aim of HoLEP is to relieve pressure on the tube through which the urine drains (urethra) by anatomically enucleating the majority of excess enlarged prostate tissue. This is done under a general anaesthetic. The surgeon pushes the excised prostate gland tissue into the bladder and then uses the morcellator to grind the prostate tissue in fragments and then removes the tissue. The fragments are sent for analysis just in case they might be found to be cancerous.

A catheter is used to drain the urine while the surface heals. It is removed on the day of discharge from hospital. Sterile saline fluid is also irrigated into the bladder through the catheter to dilute any blood in the urine and prevent clots from forming.

It is normal to have some blood in the urine after this operation, so patients are advised to drink plenty of water for a few days while it clears.

The only significant side-effect is the retrograde or dry ejaculation in this semen will flow back into the bladder rather than out through the penis. This is not harmful, but it does mean that future fertility is greatly reduced. The procedure does not generally affect erectile function or continence, although the urinary symptoms may take a few weeks to settle down afterwards.Post a Query

• Treatment of any size prostate gland.
• Removes the entire portion of the prostate gland and provides a lasting solution as there
• Early, immediate symptom relief and fast return to normal activity. Same-day or next-day hospital discharge
• Tissue preservation is possible for pathologic examination. Surgeons can examine specimens for prostate cancer or other infection
• The risk of excessive bleeding and erectile dysfunction associated with traditional surgical approaches is reduced.

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