Category Archives: Laser Prostate Surgery

Laser Prostate Surgery by Best Andrologist

What is Enlarged prostate and Laser Prostate Surgery?

Laser Prostate Surgery is the latest methodolgy to treat Prostate. Its latest with best results with minimum risks.

The prostate is a walnut-size gland located between the bladder and the penis. The prostate is just in front of the rectum. The Urethra runs through the centre of the prostate, from the bladder to the penis, letting urine flow of the body.

The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra and it’s expelled with sperm as semen.

For men above 50 years old the most common prostate problem is Prostate enlargement. This condition is also called Benign Prostatic Hyperplasia (BPH). Older men are at risk for prostate cancer as well but this disease is much less common than BPH.

Laser Prostate Surgery

 

Symptoms of Enlarged Prostate:
  • A frequent and urgent need to urinate.
  • Trouble starting a urine stream. Even though you feel you have to rush to go to the bathroom, you find it hard to stat urinating.
  • A weak stream of urine.
  • Incomplete emptying of your bladder.
  • Pain while urinating or bloody urine.
  • Leaking or dribbling urine.
  • Strong and sudden urge to urinate.
  • The feeling that you still have to go, even when you have just finished urinating.

What are the others procedures available of Enlarged Prostate to operate it?

If the problem is symptomatic then Urologists advice to get it operated. A series of tests are required to diagnose BPH. The following tests are required :

  • Urine flow rate
  • Urinalysis to check for blood or infection.
  • Prostate Specific Antigen (PSA) to screen for Prostate cancer.
  • Cystoscopy.
  • Ultrasound to check the Prostate size and residual urine.

The factors which are considered for a prostate to be operated are:

  • how much the symptoms are interfering the patient’s routine life
  • the size of the prostate
  • Patient’s age
  • overall health
  • any other medical conditions

There are specialized surgical treatment options available at SCI International Hospital for enlarged prostate.

  • HOLEP(Holmium Laser Enucleation of the prostate)
  • THULVP (Vaporisation of prostate using Thulium Laser)
  • Bipolar TURP
  • Monopolar TURP
  • TRUS Guided Prostate Biopsy-Saturated & Supersaturated using Siemens USG Machine.

What is Laser prostate surgery?

Laser prostate surgery is a minimal invasive procedure  to treat prostate. The laser prostate surgery is ideal treatment with than other ways of prostate.

  • No incision is required
  • Minimal blood loss
  • Outpatient procedure, requires only a short or no hospital stay
  • Faster recovery period (7 days to 2 weeks)
  • Needs urinary catheter to be present less than 24 hours
  • Immediate and more speedy improvement compared to other procedures

Laser surgery for BPH involves inserting a scope through the penis tip into the urethra. A laser fibre passed through the scope removes prostate tissue by ablation (vaporization) or enucleation (cutting).

SCI International Hospital, Delhi has an advanced centre for Urology and Andrology

Equipped with latest high end Lasers and Modular Operation Theatres. SCI Hospital has the best equipments as Holmium and Thulium Lasers.

Thulium laser has excellent results in case of enlarged prostate. The small and medium sized gland and patient with cardiac and high risk, Thulium Laser is the safest mode of treatment.

What you can expect during the laser prostate surgery?

    1. Duration of the surgery depends upon the prostate size.
    2. Process is under spinal anaesthesisa so patient can actually see the procedure on monitor.
    3. It is a safe procedure and smooth post operative recovery.

What patient should expect after the procedure?

  1. After Laser Surgery, catheter is  there for 24-48 hours. Patient might have to pass urine frequently post-surgery for 3-4 days. So, flow of urine improves significantly post surgery and remains stable.

What are the dos and don’ts of laser prostate surgery?

  1. Catheter care is something very important. The patient should strictly follow the instructions.
  2. Prevent constipation
  3. Avoid lifting heavy weights
  4. Avoid sexual activity for 10-14 days.

What are the advantages of laser prostate surgery?

  • Does not involve any incisions
  • Minimal blood loss
  • Outpatient procedure, requires only a short or no hospital stay
  • Faster recovery period (7 days to 2 weeks)
  • Needs urinary catheter to be present less than 24 hours
  • Immediate and more speedy improvement compared to other procedures

Risks in laser prostate surgery?

Laser prostate surgery is a safe procedure with minimal complications. Expertise and experience by the operating doctor matters.

Major risk factors (1-2%) are:-

  1. Post surgery stress incontinence
  2. Infection with burning sensation while passing urine
  3. Narrowing of urethra (stricture)
  4. Bladder neck narrowing

Do I need to stay in the hospital after surgery?

One to two days Hospital stay may be necessary  after the prostate surgery. Length of stay entirely depends upon the condition of the patient.  Once the patient is stable, he gets discharge and requires to come for follow up after a week.

What is the recovery time for laser prostate surgery?

Recovery in laser prostate surgery is smooth and fast. Catheter is taken out after 24 hours. The patient can resume his routine work after a week.

Which specialist will do Laser prostate surgery?

A skilled Urologist who carries a good experience in operating such cases is the right doctor. One who is with enlarged prostate or even if you feel something symptomatic.

Urologist decides the line of treatment after examining the patient, whether the case is treatable by medical/ conservative management or by surgery.

Does health Insurance cover it?

Enlarged prostate or Benign Prostatic Hyperplasia is part of all the Health insurance companies.

 

Dr. Gautam Banga explains  the details on Laser Prostate Surgery. Why its the most prefferable treatment for Enlarged Prostate.

If you have any question on Laser Prostate Surgery . Share it with us. We look forwad to hear from you. Let us know what do you feel about this article.

Dr. Gautam Banga MBBS, MS, M.Ch (Urology) Urologist, Andrologist and Genito -Urinary Reconstructive Surgeon Fellowship in Reconstructive Urology, Belgrade (Serbia)

Email:gautambanga@gmail.com

Contact No. :   +91-9999446622
W: www.urethraandpenilesurgery.com

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