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Types of Highly Advanced Minimally Invasive Laser Prostate Surgery at World Class Hospitals in India
1. Green Light Laser PVP
Green Light Laser PVP (Photoselective Vaporization of the Prostate) is a procedure used in the treatment of Benign Prostatic Hyperplasia (BPH). Green Light Laser PVP is a recent addition to the minimally invasive techniques in the treatment of BPH
The procedure uses the technology of high-powered laser light combined with fiber optics. The surgeon directs the laser at the prostate, within moments the temperature of the blood becomes so fine it causes the nearby cells to vaporize.
There is growing interest in this procedure by patients and as well as by the surgeons because of its simplicity and effectiveness. A temporary catheter is often inserted to allow urine to drain from the bladder. The procedure takes near about one hour.
Advantages of Green Light Laser PVP:
- No Cut, No Bleeding so Less Pain.
- There is no need of blood transfusion.
- Early return to normal activity and work.
- Patient is able to urinate better with a good stream.
2. Holmium Laser
Holmium Laser Enucleation of the prostate (HoLEP) is a modern alternative to the standard Transurethral Resection of the Prostate (TURP) procedure for enlarged prostate BHP (benign prostatic hyperplasia).
This is done under a general anaesthetic with the help of a telescopic camera inserted through the penis. A special instrument is also used which known as morcellator. Mocellator cuts the prostate tissue into fragments.
It requires a short period of hospitalisation. A catheter (a tube which drains the bladder) is also needed for 1-2 days until the urine clears. It provides a good outcome as the entire portion of the prostate gland is removed.
Who is it suitable for?
Any patient for whom TURP is indicated, with the exception of men who have been in acute retention (unable to pass water); who have a prostate volume greater than 60cc; or who need laboratory analysis of the prostate “chippings”.
How does it work?
Just as in TURP, some prostate tissue is removed in order to relieve pressure on the urethra. But this time a laser probe is inserted and under the guidance of the surgeon the overgrown tissue is vaporised by the laser energy. The laser very effectively stops any tissue from bleeding and as a result no bladder irrigation is required.Refer a Patient
How Laser TURP is superior to conventional TURP?
Blood thinners have to be stopped a week to 10 days before the procedure. This puts the heart at risk lead to circulatory problems with the heart.
Conventional TURP allows tissue removal at 1gram/min. Hence not suitable for large prostate glands.
Traditional TURP surgery causes much more bleeding than laser prostate surgery, both during the operation and often for several days afterwards.
Stay in hospital for many days until the catheter can be safely removed.
DIODE laser can vaporize 3-4 grams/min. Hence prostate gland beyond 100 grams can also be managed endoscopically using laser energy. An ideal procedure for large prostate glands
Laser TURP in general is recommended by surgeons because of its simplicity and effectiveness.
The benefits laser TURP is that there is lower risk of bleeding.
An ideal procedure for large prostate glands.
Laser prostatectomies are effective in dealing with lower urinary tract symptoms
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