Prostate laser surgery is a minimally invasive treatment of an enlarged prostate, a problem very common in men. The prostate is a small gland located below the bladder. It surrounds the urethra, a tube connecting the bladder with the tip of the penis that transports urine out of the body. When the prostate is enlarged, it causes pressure on the urethra and makes it difficult to pass urine.

Prostate laser surgery requires no incisions in the patient’s body. Thanks to that, it has a significantly shorter recovery time than an open prostate operation. During a consultation with Your doctor, You can ask him to help You choose the best treatment for Your condition. Prostate laser surgery can be considered in cases of both moderate and severe benign prostate enlargement.

Types of prostate laser surgery

There are several types of prostate laser surgeries. Your doctor will choose the best treatment for Your individual case. The different procedures include:

  • photoselective vaporization of the prostate (PVP),
  • holmium laser ablation of the prostate (HoLAP),
  • holmium laser enucleation of the prostate (HoLEP).

Different types of prostate laser surgeries have various recovery times. There may also be some distinctions in the required preparation for the procedures.

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Prostate laser surgery is performed by inserting a thin scope into Your urethra and cutting off or destroying the enlarged tissue of your prostate with a laser. Sometimes the doctor has to use a separate appliance to remove the cut-off pieces of the gland from the bladder. During the operation, You do not feel any pain. The procedure is performed under general anaesthesia or under spinal anaesthesia. The first one means that You are asleep, while the latter numbs the lower half of Your body.

Be sure to tell Your doctor about any medications that You take. Before laser prostate surgery it might be necessary to stop the medicaments that increase the risk of bleeding, like aspirin or warfarin.

After the laser prostate surgery, You will likely have a urinary catheter in place. It is supposed to help You pass water despite the swelling that usually occurs. You will not be able to drive a car with the catheter inserted. You should also hold off on strenuous exercises and sexual activity until Your physician approves them. Remember that it is normal to notice some blood in the urine or to feel a need to frequently go to the toilet. If the bleeding gets worse, call Your doctor and follow his instructions.

Talk to Your doctor about any concerns that You may have before or after the laser prostate surgery. Be sure to tell the medical professionals all about Your other current and previous health problems. If You can, ask somebody to drive You home from the clinic. You can also call a cab, or request the hospital to arrange a ride for you with a personal driver.

About the procedure

Prostate laser surgery is performed by inserting a thin scope into Your urethra and cutting off or destroying the enlarged tissue of your prostate with a laser. Sometimes the doctor has to use a separate appliance to remove the cut-off pieces of the gland from the bladder. During the operation, You do not feel any pain. The procedure is performed under general anaesthesia or under spinal anaesthesia. The first one means that You are asleep, while the latter numbs the lower half of Your body.

Preperation

Be sure to tell Your doctor about any medications that You take. Before laser prostate surgery it might be necessary to stop the medicaments that increase the risk of bleeding, like aspirin or warfarin.

Convalescence

After the laser prostate surgery, You will likely have a urinary catheter in place. It is supposed to help You pass water despite the swelling that usually occurs. You will not be able to drive a car with the catheter inserted. You should also hold off on strenuous exercises and sexual activity until Your physician approves them. Remember that it is normal to notice some blood in the urine or to feel a need to frequently go to the toilet. If the bleeding gets worse, call Your doctor and follow his instructions.

Precautions

Talk to Your doctor about any concerns that You may have before or after the laser prostate surgery. Be sure to tell the medical professionals all about Your other current and previous health problems. If You can, ask somebody to drive You home from the clinic. You can also call a cab, or request the hospital to arrange a ride for you with a personal driver.

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