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Laser Prostatectomy: A Modern Treatment for Enlarged Prostate

Laser prostatectomy is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), a condition where the prostate gland enlarges and causes urinary symptoms such as difficulty in urination, frequent urination, or inability to completely empty the bladder. This procedure uses a laser to remove or vaporize excess prostate tissue, improving urinary flow and reducing the symptoms associated with BPH. Laser prostatectomy is favored for its precision, reduced bleeding, and quicker recovery times compared to traditional prostatectomy methods.

How Laser Prostatectomy Is Performed

During laser prostatectomy, the surgeon uses a laser fiber inserted through the urethra to target and remove or shrink the enlarged prostate tissue. The procedure can be done under spinal or general anesthesia, and it typically lasts between 30 minutes to 1 hour. Several types of lasers may be used, including the Holmium laser, GreenLight laser, or Thulium laser, depending on the surgeon's preference and the patient's specific condition. The laser energy cuts away or vaporizes the excess prostate tissue that is obstructing the urinary flow.

Benefits of Laser Prostatectomy

Laser prostatectomy offers several benefits over traditional surgical options, such as transurethral resection of the prostate (TURP). The most notable advantage is the reduced risk of bleeding, making it an ideal choice for patients who are at risk due to other medical conditions like blood disorders. The procedure is minimally invasive, meaning no external incisions are made, which leads to less discomfort, shorter hospital stays, and a quicker recovery time. Additionally, patients are less likely to experience complications like incontinence or erectile dysfunction after laser prostatectomy.

Recovery and Aftercare

Recovery from laser prostatectomy is generally faster than from traditional surgery. Most patients are able to go home the same day or the following day. After the procedure, a catheter is usually placed in the bladder to help with urination for a few days, though the catheter is typically removed within 1-2 days. It is common to experience mild urinary symptoms, such as a frequent urge to urinate or discomfort during urination, for a short period after the procedure. Patients are generally advised to avoid heavy physical activity and strenuous exercise for a few weeks to allow proper healing.