Package Cost : $ 5,000 Onwards
Prostate Laser Surgery relieves moderate to severe urinary symptoms that occur as a result of prostate gland enlargement. This medical condition is referred to as BPH (Benign Prostatic Hyperplasia) in medical terminology and is not cancerous.
Prostate Laser Surgery is mainly of three types namely PVP, HoLEP and HoLAP which works on different prinples and uses different kind of LASERS. LASERS deliver concentrated light with intense heat with precision.
The main objective of LASER surgery is to either melt away (Vaporization or Ablation) or cut and remove (Enucleation) the excessive prostatic tissue that is obstructing the passage from where the urine flows out of the bladder.
It has several advantages over conventional surgeries such as Open Prostatectomy and TURP, resulting in better outcome. Quicker recovery, decreased risk of bleeding, lesser need for catheter, shorter hospital stay and therefore eventually early resumption of activities.
Q1 What is a Prostate Gland?
A1 Prostate gland is only present in men. It is a walnut sized gland, weighs 30 gms and forms an integral component of male reproductive system. It is located inside the body and serves an important role.
Q2 What is the function of the Prostate gland in men?
A2 Prostate gland secretes fluid which is milky in appearance and is referred to as prostatic fluid. This fluid forms 30 percent of the total fluid ejaculated (semen). Besides prostatic fluid, semen has fluids from other glands and sperms from the testes.
Prostatic fluid protects the sperms.
Furthermore, prostate gland muscle contraction ensures smooth ejaculation of semen through the urethra.
Q3 What is BPH?
A3 Benign Prostatic Hyperplasia, a layman understands it as an enlarged prostate gland. It is an age associated enlargement of prostate gland in men. It causes urinary symptoms as the enlarged prostate gland presses on the urethra (the tube from which the urine comes out). It is not cancer.
Hyperplasia is an increase in the number of cells, which leads to the overgrowth of tissue and eventually gross enlargement of the organ.
Q4 What are the chief complaints of the patient with an enlarged prostate?
A4 The patient suffering from BPH or an enlarged prostate gland, may present with one or more of the following symptoms:
Frequent, sudden and strong urge to urinate
Difficulty initiating urination (starting urination)
Weak and poor urine flow, slow or prolonged urination
Increased frequency of urination at night
Stopping and starting again multiple times while passing urine
The feeling that you can't empty bladder fully
Intense effort and straining required to start passing urine
Q5 Is there any relation between BPH and prostate Cancer?
A5 BPH and prostate cancer are entirely different medical conditions. BPH is a non cancerous or benign medical condition in contrast to prostate cancer. They may, however, present with same symptoms.
Q6 What are the potential complications of BPH, if left untreated?
A6 The complications of untreated BPH are the following:
Recurrent Urinary Tract Infections
Damage to the kidney and bladder
Hematuria (Blood in urine)
Q7 What is Prostate Laser Surgery?
A7 Prostate Surgery may be considered a viable treatment option for relief of moderate to severe urinary symptoms in a patient with an enlarged prostate.
Prostate surgery is of many types and one of those is Prostate Laser Surgery. Here, an endoscope is inserted into the urethra through the opening in the tip of penis. Urethra is the tube, the passage, that expels out urine from your bladder.
Once the endoscope is in place, Laser energy is targeted onto the overgrown excess prostatic tissue in order to shrink it or remove it.
Enlarged prostate was causing all urinary symptoms being experienced by the patient, since urethra is surrounded by the prostate gland.
Laser delivers concentrated light to the targeted area which produces precise amount of intense heat, which eventually does the work.
Q8 What are the different types of Prostate Laser Surgery?
A8 There are three main types of Prostate Laser Surgery, namely,
PVP (Photoselective Vaporization of the Prostate)
HoLAP (Holmium Laser Ablation of the Prostate)
HoLEP (Holmium Laser Enucleation of the Prostate)
Different types of Prostate Laser Surgery work on different principles.
PVP Prostate Laser Surgery vaporizes the excess prostatic tissue. Likewise, HoLAP works, however, with a different LASER.
HoLEP works in an entirely different way. It cuts the excessively overgrown prostate tissue into small pieces and eventually removes it, unlike above two laser surgeries.
Once excess of prostatic tissue is vaporized or removed by cutting, the symptoms of urinary flow obstruction are relieved, that were being caused by the pressure put on the urethra by the enlarged prostate gland.
HoLEP is usually reserved for those patients with an excessively enlarged prostate gland.
The type of prostate laser surgery used for you, will be decided by your specialist, based on the following factors such as size of your prostate gland, your health, his training in a particular type of prostate laser surgery and the availability of a particular type of prostate laser surgery equipment.
Q9 Why is Prostate Laser Surgery done?
A9 Prostate Laser Surgery is done for two reasons:
Relief of troublesome urinary symptoms caused due to pressure being put on the urethra (tube carrying urine out from the bladder) by the surrounding enlarged prostate gland.
Prevention and treatment of complications caused due to obstructive urinary flow.
Q10 Which are the other surgeries done for BPH or an enlarged prostate?
A10 TURP (Transurethral Resection of Prostate) and Open Prostatectomy are other alternative surgical treatments for an enlarged prostate. However, prostate laser surgery has proved better in the treatment of BPH.
Q11 What are the advantages of Prostate Laser Surgery over other surgeries in the treatment of BPH?
A11 Prostate Laser Surgery has several advantages to offer over other surgeries in the treatment of an enlarged prostate. They may be summed up as follows:
Shorter Hospital Stay
Early resumption of activities
Decreased risk of bleeding
Less requirement for catheter
Immediate relief of symptoms
Q12 What is PVP Prostate Laser Surgery?
A12 Minimally Invasive Procedure for the treatment of an enlarged prostate. PVP, Photoselective Vaporization of the Prostate involves the use of LASER for burning excessive prostatic tissue that is obstructing the part of the urethra passing through it.
A thin flexible tube with an attached camera and light at its end is made to pass into the urethra, through the tip of the penis. This tube is called Cystoscope which is used to examine the bladder and urethra in detail. The urologist puts the LASER delivering fibre through the cystoscope to target the excessive prostatic tissue,vaporize and remove it with precision.
No incisions are given on the skin as the tube is inserted through the natural opening of the urethra at the tip of the penis.
It eventually leads to immediate relief in the urinary symptoms because now the blockage due to pressure being put on the urethra from the surrounding excessive prostatic tissue, has been removed.
It is a preferred surgical procedure for BPH, over the conventional prostate surgery due to the fact that it does not involve cutting of prostatic tissue that may cause more bleeding. Instead, it burns the excessive prostatic tissue and is good for patients with an existing bleeding clotting disorder or are on blood thinners for some medical condition.
Virtually bloodless procedure, safe, effective treatment for BPH. Shorter hospital stay which may be a few hours to an overnight stay, incredibly short duration of procedure, reduced or no need for catheter placement, quick recovery and early resumption of activities are its advantages, besides rapid relief of annoying urinary symptoms.
The LASER used is the patented Green Light Laser with high power.
Q13 What will be the duration of the Prostate Laser Surgery?
A13 It may take from 30 minutes to 2 hours to perform Prostate Laser Surgery.
Q14 Which type of anesthesia is given during Prostate Laser Surgery?
A14 Either General or Spinal anesthesia will be required in order to perform Prostate Laser Surgery.
Dr Rajiv Kumar Sethia
MBBS, MS (Surgery), DNB (Urology)
Fellowship in Minimally Invasive Urology
Fellowship in Kidney Transplant
Senior Consultant Urology & HOD- Kidney Transplant
Asian Institute of Medical Sciences, Delhi-NCR, Faridabad
Saket, New Delhi
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