Description

Laser Prostatectomy Laser prostatectomy is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH) by removing excess prostate tissue using laser energy. It is an alternative to TURP (Transurethral Resection of the Prostate) and is preferred for patients on blood thinners, those with large prostates, or those wanting a faster recovery. Types of Laser Prostatectomy Holmium Laser Enucleation of the Prostate (HoLEP) Uses a holmium laser to cut and remove large portions of the prostate. Provides long-lasting relief and is ideal for very large prostates (>80–100g). GreenLight Laser Vaporization (PVP - Photoselective Vaporization of the Prostate) Uses a high-energy green laser to vaporize excess prostate tissue. Suitable for small to moderately enlarged prostates. Thulium Laser Enucleation of the Prostate (ThuLEP) Similar to HoLEP but uses a thulium laser for more precise cutting. Indications for Laser Prostatectomy Moderate to severe BPH symptoms, such as: Weak urine stream Frequent urination (especially at night) Urinary retention Incomplete bladder emptying Recurrent urinary tract infections (UTIs) Patients at higher risk for bleeding (e.g., those on blood thinners). Large prostates where TURP may not be effective. Procedure Overview Anesthesia: General or spinal anesthesia. Endoscopic Approach: A laser fiber is inserted through the urethra via a cystoscope. The laser either vaporizes (PVP) or enucleates (HoLEP) the enlarged prostate tissue. Tissue Removal: In HoLEP, the enucleated tissue is pushed into the bladder and then removed using a morcellator. Catheter Placement: A Foley catheter may be placed for 24–48 hours post-surgery. Surgery Duration: 30–90 minutes, depending on prostate size Hospital Stay: Usually same-day discharge or 1-night stay Post-Operative Care Hydration: Helps flush out debris. Urinary catheter: Removed within 1–2 days. Avoid heavy lifting for 2–4 weeks. Temporary urinary urgency or mild discomfort may occur. Sexual activity: Usually resumed after 2–4 weeks. Potential Complications Temporary burning sensation while urinating Urinary urgency or frequency (usually resolves within weeks) Retrograde ejaculation (semen flows into the bladder instead of out) UTIs or mild bleeding (short-term) Rare risk of stricture formation (scar tissue narrowing the urethra)

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