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Laser Prostatectomy Surgery | Safe & Secure Procedure

Laser prostatectomy is a minimally invasive surgical procedure that uses a laser to remove excess prostate tissue in men with an enlarged prostate, also known as benign prostatic hyperplasia (BPH). The laser energy is used to vaporize or melt away the tissue, allowing for a smoother and less traumatic removal process than traditional surgery methods.

Laser prostatectomy is a minimally invasive surgical procedure that uses a laser to ... Read More

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What Are The Types Of Laser Prostatectomy?

There are three main types of laser prostatectomy: transurethral resection of the prostate (TURP), holmium laser ablation of the prostate (HoLAP), and laser vaporization of the prostate (PVP).

  • Transurethral Resection of the Prostate (TURP): This procedure is considered to be a “gold standard” for treating moderate to severe obstruction caused by benign prostatic hyperplasia. TURP is an open surgical procedure, which requires general or spinal anaesthesia. The surgeon inserts an endoscope into the urethra and uses an electric loop to cut pieces of the enlarged prostate out one by one.
  • Holmium Laser Ablation of the Prostate (HoLAP): This procedure involves using a holmium laser to fragment and vaporise the obstructing prostatic tissue while preserving normal anatomy. HoLAP has been used as an alternative to TURP when careful preservation of healthy tissue is desired since it can be performed without removing tissue directly with a cutting device.
  • Laser Vaporization of the Prostate (PVP): With this procedure, a special contact diode laser is used to break up both benign and malignant tissue in the affected area via vaporisation as opposed to cutting them away with a scalpel or scissors during a traditional TURP procedure. The PVP method may offer less bleeding compared to other methods but can cause post-operative problems such as difficulties with ejaculation and erectile dysfunction for some men if not performed properly by an experienced doctor.
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What Happens In Laser Prostatectomy?

During laser prostatectomy, a small tube called a cystoscope is inserted into the urethra to access the prostate gland. A laser fibre is then inserted through the tube and used to vaporise or remove excess prostate tissue. The laser energy seals blood vessels, reducing bleeding and minimising the risk of complications. The procedure usually takes 1-2 hours and can be done under local or general anaesthesia.

Diagnosis before laser prostatectomy

Before a laser prostatectomy surgery, the following tests may be done:

  • Physical examination: A physical examination may be done to assess the patient’s overall health and to check for any underlying medical conditions.
  • Blood tests: Blood tests may be done to check for any abnormalities in the patient’s blood count, kidney function, and liver function.
  • Urine tests: Urine tests may be done to check for any signs of infection or other abnormalities.
  • Imaging tests: Imaging tests such as ultrasound, CT scan, or MRI may be done to assess the size and location of the prostate gland and to check for any abnormalities.
  • Prostate-specific antigen (PSA) test: A PSA blood test may be done to check for signs of prostate cancer.
  • Urodynamic tests: Urodynamic tests may be done to assess the patient’s bladder function and to determine the best type of laser treatment for the patient.
  • Electrocardiogram (ECG): An ECG may be done to assess the patient’s heart function.
  • Pulmonary function tests: Pulmonary function tests may be done to assess the patient’s lung function.
  • Anaesthetic evaluation: An anaesthetic evaluation may be done to assess the patient’s suitability for anaesthesia.

During the procedure

Laser prostatectomy involves the following steps:

  • Anaesthesia: The patient is given general anaesthesia or spinal anaesthesia to ensure they are comfortable and pain-free during the surgery.
  • Positioning: The patient is positioned on the operating table in a way that allows the surgeon to access the prostate gland.
  • Catheterization: A catheter is inserted into the patient’s bladder to drain urine during the surgery.
  • Incision: The surgeon makes small incisions in the patient’s abdomen to insert the laparoscopic instruments.
  • Visualisation: A laparoscope is inserted through one of the incisions, which allows the surgeon to visualise the prostate gland and surrounding tissues on a monitor.
  • Laser ablation: A laser fibre is inserted through the laparoscope and used to ablate (remove) the excess prostate tissue.
  • Hemostasis: The surgeon ensures that any bleeding is stopped during the procedure.
  • Closure: The incisions are closed with sutures or surgical staples.
  • Recovery: The patient is taken to the recovery room to be monitored for any complications.

How To Prepare For Laser Prostatectomy?

To prepare for laser prostatectomy, you should:

  • Follow your doctor’s instructions: Your doctor will provide you with specific instructions on how to prepare for the surgery. Follow them carefully.
  • Stop taking certain medications: Your doctor may ask you to stop taking certain medications, such as blood thinners, before the surgery.
  • Avoid eating or drinking before surgery: You may be asked to avoid eating or drinking anything for several hours before the surgery.
  • Arrange for transportation: You will not be able to drive yourself home after the surgery, so make sure you arrange for transportation beforehand.
  • Pack a bag: Bring comfortable clothing and any necessary items for your hospital stay.
  • Get support: Surgery can be stressful, so it’s important to have a support system in place. Talk to family and friends and let them know you’re having surgery.
  • Prepare your home: Make sure your home is clean and organised, and that you have everything you need for a comfortable recovery.
  • Stay healthy: Eat a healthy diet, get plenty of rest, and stay hydrated in the days leading up to the surgery.

What To Expect After Laser Prostatectomy?

After a laser prostatectomy, you can expect several changes in your body and overall health. Some common changes may include:

  • Improved urinary flow: One of the primary benefits of laser prostatectomy is improved urinary flow. You may notice that you can empty your bladder more easily and completely after the surgery.
  • Reduced urinary frequency and urgency: You may also experience a decrease in the frequency and urgency of urination, which can improve your overall quality of life.
  • Reduced risk of urinary tract infections: As the surgery removes the excess prostate tissue that can cause urinary tract infections, you may experience a reduced risk of developing such infections.
  • Improved sexual function: In some cases, laser prostatectomy can improve sexual function, including erectile dysfunction and ejaculatory problems.
  • Recovery time: You may experience some discomfort and pain after the surgery, but the recovery time is typically shorter than traditional surgery methods. Most patients can return to normal activities within a few days to a week after the procedure.

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What Are The Benefits Of Laser Prostatectomy?

Laser prostatectomy has several benefits may include:

  • Faster recovery time: Laser prostatectomy is a minimally invasive procedure that requires less cutting and trauma to the body. This means that patients typically experience less pain and discomfort after surgery and can return to their normal activities sooner.
  • Reduced risk of complications: Because laser prostatectomy is less invasive than traditional surgery, there is a lower risk of complications such as bleeding, infection, and damage to surrounding tissues.
  • Improved outcomes: Studies have shown that laser prostatectomy can be just as effective as traditional surgery in treating prostate cancer and other conditions. Additionally, because the laser can be used to precisely target the affected area, there is less risk of leaving behind any cancerous tissue.
  • Less scarring: Because laser prostatectomy requires smaller incisions than traditional surgery, there is less scarring and a better cosmetic outcome.
  • Improved quality of life: For many men, prostate problems can significantly impact their quality of life. Laser prostatectomy can help to alleviate symptoms such as urinary incontinence and difficulty urinating, leading to an improved overall quality of life.

What Are The Side Effects Of Laser Prostatectomy?

Some common side effects of laser prostatectomy may include:

  • Blood in the urine: Patients may experience blood in their urine after the procedure due to small blood vessels that may have been damaged by the laser energy used.
  • Urinary tract infection: As with any medical procedure, there is a chance for the development of a urinary tract infection afterwards which should be monitored.
  • Painful urination: Patients might experience painful urination as a result of irritation or inflammation caused by the laser energy used during the procedure.
  • Erectile Dysfunction: A potential side effect of laser prostatectomy is erectile dysfunction due to nerve tissue damage caused by the laser energy which can cause loss of sensation and function in the penis area.
  • Incontinence Issues: Incontinence issues such as urinary urgency, frequency and urge incontinence might occur after laser prostatectomy due to subsequent bladder-neck differences that affect the urine flow control mechanism and urine storage capacity.

Who Can Undergo Laser Prostatectomy?

Men who have an enlarged prostate and are experiencing symptoms such as frequent urination, urgency, and difficulty urinating may be candidates for laser prostatectomy. However, the final decision on whether to undergo surgery should be made after consultation with a urologist and consideration of individual health factors.

What Happens If Laser Prostatectomy Is Not Done On Time?

If a laser prostatectomy is not done on time, serious complications can occur. These may include:

  • Development of urinary symptoms, such as difficulty and/or pain during urination.
  • Urinary tract infections
  • Bladder stones
  • Urine retention 
  • An increased risk of prostate cancer. 

All of these symptoms can cause considerable discomfort and may affect daily life and activities. If not addressed promptly, the condition can become worse and even lead to infertility or kidney damage.

What Not To Do After Laser Prostatectomy?

Things that the person should not do after the laser prostatectomy may include:

  • Lift heavy objects or engage in strenuous physical activity for at least a few weeks.
  • Engage in sexual activity for the first few weeks post-surgery.
  • Stop taking prescribed medications without consulting your doctor.
  • Smoke or drink alcohol, as they can delay recovery and increase the risk for complications.
  • Drive or operate heavy machinery if you are still taking narcotic pain medications.
  • Ignore any potential signs of infection or complications.
  • Ignore any symptoms such as fever, chills, or blood in the urine.
  • Engage in activities that may irritate the urinary tract or surgery site, such as long periods of sitting or biking.
  • Resume work or other daily activities before being cleared by your doctor.

Are There Any Alternatives For Laser Prostatectomy?

Yes, there are several alternative surgical treatments for prostate cancer, including:

  • Open Radical Prostatectomy: This involves removing the entire prostate gland and some tissues surrounding it.
  • Cryosurgery: This procedure uses extreme cold via a probe inserted into the prostate to freeze and destroy the affected tissue.
  • Proton Beam Therapy: This uses high-energy protons to precisely target and destroy cancer cells in the prostate.
  • Hormone Therapy: Also known as androgen deprivation therapy, this treatment works by reducing the amount of testosterone produced in the body, which inhibits the growth of prostate cancer cells.
  • Radiation Therapy: Using high-energy X-rays or other forms of radiation, this treatment aims to kill cancerous cells while minimising damage to healthy tissue surrounding it.

Recovery After Laser Prostatectomy

Recovery after laser prostatectomy can comprise the following: 

  • Recovery after laser prostatectomy typically involves a hospital stay of one to two nights. 
  • Pain medication and antibiotics may be prescribed to manage discomfort and prevent infection. 
  • Patients may experience some urinary frequency, urgency, and discomfort after the procedure, but these symptoms usually improve within a few days to weeks. 
  • It is recommended to avoid heavy lifting and strenuous activity for several weeks after the surgery. 
  • Follow-up appointments with the urologist will be scheduled to monitor the healing process and address any concerns.
  • Eat a healthy and balanced diet to ensure proper healing.
  • Perform gentle exercise or physical therapy as recommended.
  • Monitor for any signs of infection, such as fever or abnormal discharge.
  • Keep the surgical site clean and dry.
  • Seek medical help immediately if there are any complications.

Frequently Asked Questions

How is laser prostatectomy different from traditional prostate surgery?

Laser prostatectomy uses a laser to remove prostate tissue, while traditional surgery involves cutting the prostate with a scalpel. Laser surgery is less invasive and has a lower risk of bleeding and complications.

 

How long does a laser prostatectomy procedure typically take?

The procedure usually takes 1-2 hours, depending on the size of the prostate and the amount of tissue that needs to be removed.

Can laser prostatectomy be used to treat all types of prostate conditions?

It is most commonly used to treat benign prostatic hyperplasia (BPH), but can also be used to treat prostate cancer in some cases.

What is the success rate of laser prostatectomy in treating prostate conditions?

The success rate of laser prostatectomy is generally high, with most patients experiencing improved urinary symptoms and quality of life. However, success rates may vary depending on the patient’s case.

Does laser prostatectomy require a hospital stay or can it be done on an outpatient basis?

It can be done on an outpatient basis, meaning the patient can go home the same day. However, some patients may require a hospital stay depending on their case.

Can laser prostatectomy be used as a preventative measure for prostate cancer?

No, laser prostatectomy is not used as a preventative measure for prostate cancer. It is typically only used to treat prostate conditions that are already present.

Are there any lifestyle changes that need to be made after a laser prostatectomy procedure?

Patients may need to avoid strenuous activity and heavy lifting for a few weeks after the procedure. They may also need to avoid certain foods and drinks, such as caffeine and alcohol, that can irritate the bladder.

What is the cost of a laser prostatectomy procedure and is it covered by insurance?

The cost of the procedure can vary depending on the location and the individual case. The cost ranges from ₹45,000 to ₹1,30,000 for a laser prostatectomy procedure. It is typically covered by insurance, but patients should check with their insurance provider to confirm coverage.

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Our Patient Love Us

  • HR

    Hemlata Roshan

    5/5

    Pristyn Care has been a beacon of hope in my battle against prostate enlargement. The discomfort and inconvenience I experienced were overwhelming, and I knew I needed a solution. Pristyn Care came highly recommended, and my experience with them surpassed all expectations. The surgery itself was quick and virtually painless, and I was impressed by how smoothly it went. The post-operative care provided by Pristyn Care was top-notch. Their team made sure I had all the information and support I needed to ensure a smooth recovery.

    City : VISAKHAPATNAM
  • SB

    Smita Bachchan

    5/5

    I underwent prostate enlargement treatment (BPH) at Pristyn Care, and I'm impressed with the level of care I received. The urologist was knowledgeable and compassionate. The treatment options were explained thoroughly, and the one I chose has significantly improved my quality of life. Highly recommend Pristyn Care for urological issues.

    City : PATNA
  • TG

    Tanay Gandhi

    5/5

    Dealing with prostate enlargement was concerning, but Pristyn Care's urologist provided excellent care. The prescribed treatment was effective, and I'm experiencing relief from urinary issues. Pristyn Care's expertise in managing prostate conditions is commendable.

    City : MADURAI
  • NS

    Nageena Saha

    5/5

    Pristyn Care's prostate enlargement treatment was exceptional. The urologist was knowledgeable and approachable, providing clear explanations about the condition and the available treatment options. They recommended a surgical procedure to address my enlarged prostate, and it was performed with great care. Pristyn Care's attentive care during my recovery was commendable, and I experienced minimal discomfort. Thanks to their support, I am now free from the urinary issues caused by prostate enlargement.

    City : PUNE
  • UL

    Utkarsh Lakhotia

    5/5

    Dealing with prostate enlargement was concerning, but Pristyn Care's urologist provided excellent care. The prescribed treatment was effective, and I'm experiencing relief from urinary issues. Pristyn Care's expertise in managing prostate conditions is commendable.

    City : HYDERABAD
  • RP

    Ranjana Patil

    5/5

    I had been struggling with prostate enlargement for a while, and it was affecting my overall quality of life. When I came across Pristyn Care, I was intrigued by their reputation for providing outstanding urological care. From my very first visit, I could see why they were highly recommended. On the day of the surgery, the surgical team was incredibly professional and reassuring, which helped alleviate my anxiety. The procedure went smoothly, and the recovery was quicker than I had anticipated. Throughout my healing process, Pristyn Care's team was readily available to provide guidance and support, making my journey to recovery smoother.

    City : KOLKATA

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