Laser treatments for benign enlarged prostate have developed quickly, and they have become well established. Laser surgery involves removing hyperplastic tissue endoscopically through the urethra by vaporizing and coagulating it with a laser beam (GreenLight laser/PVP).
GreenLight laser is an alternative to resection or open surgery in the treatment of benign prostatic hyperplasia. Laser treatments are safe and effective in the treatment of a benign enlarged prostate.
Pros and cons of the laser treatment
The benefits of laser treatment include reduced bleeding and reduced risk of irrigating fluid being absorbed into tissues during the procedure. In terms of the effectiveness of urinary flow alleviation, a laser procedure is comparable to conventional resection (TURP) especially in the treatment of mildly/moderately enlarged prostates.
Most common adverse effects include a burning sensation when urinating, hematuria and urinary retention. Urinary incontinence appears in less than 1% of patients, and the need for blood transfusions is less than 1%.
Duration of the laser treatment
The laser PVP treatment is performed under spinal or general anesthesia. The procedure is performed with a special endoscope through the urethra. A catheter is put in place through the urethra at the end of the surgery.
The duration of the procedure is approx. 30–90 minutes, depending on the size of the prostate gland. If the patient’s underlying medical conditions allow, prostate laser surgery can be performed as an outpatient surgery so that the patient can be discharged after post-procedural follow-up.
The catheter is removed on the following day. If necessary, the patient may have overnight monitoring at the hospital after the procedure.
Light exercise is permitted immediately after surgery according to the patient’s condition. Daily outdoor activities and exercise facilitate recovery.
Strenuous exercise, swimming, cycling, heavy housework, lifting and exertion as well as sexual intercourse should be avoided for a period of two weeks.