Tag Archives: Laser

Recommendations for a good place to have Green Light Laser surgery?

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Can anyone name a hospital or doctor who is particularly skilled at prostate reduction laser surgery?

A friend is thinking about having Green Light Laser PVP. So long as it is inside the USA he can get there, but he is having trouble getting recommendations for this particular procedure. We’ve found a lot of information saying you need a great doctor performing it, but as to who they are google and other search engines aren’t saying.
If you can recommend a database or website with ratings or information about surgeons and urologists that would be helpful too.

How long can a person expect to bleed after a laser prostate TURP?

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I recently had a Green Light laser PVP TURP. Other than the day after the surgery, I experienced no bleeding whatsoever. Then, 12 days after the event, I suddenly began voiding blood at the beginning of each urination session. This has been going on for 7 days, now. If I drink lots of water and lie down, it seems to improve; otherwise, it’s always a bit of blood followed by regular urine. Can anyone tell me if this is a normal part of the healing process? Thanks.

Laser for Prostate Enlargement

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Another way to treat an enlarged prostate is by using a laser. Light energy carves the prostate to its desired size to alleviate the symptoms of benign prostatic hyperplasia (BPH).

But this technique is basically no different from conventional surgery and has the same side effects – namely impotence, inability to control urination and retrograde ejaculation (where the ejaculated semen enters the bladder instead of shooting out of the penis).

So before you go under the knife, check with your doctor whether surgery or laser treatment is really for you. Surgery is often required only if BPH threatens your health.

“There are other situations that mandate surgical intervention. If the backup of urine from the enlarged prostate has affected your kidneys and is distending or blowing them up, you must correct matters quickly before permanent damage results. Or, if you have repeated urinary infections, you’re best rid of the obstructing prostate gland,” according to Dr. Isadore Rosenfeld of the New York Hospital – Sloane-Kettering Cancer Center in “The Best Treatment.”

“However, there is no need to rush to surgery simply because your symptoms are inconvenient. I have many, many patients who continue to live with, and have adjusted to, an enlarged prostate, secure in the knowledge that their lives are not in danger,” Rosenfeld added.

Another experimental non-surgical technique is available for those with BPH. In prostatic ballooning, a deflated cylindrical balloon attached to a catheter is inserted into the penis. As soon as it reaches the obstructed area, the balloon is inflated 10 to 15 times, pushing aside the enlarged prostate. This procedure is usually combined with microwave heating which shrinks the bulging prostate.

“Thousands of prostatic ballooning has already been successfully performed. Although it’s still too early to tell how long this compression will hold, the technique appears to be simpler, safer and cheaper than an operation and most patients can go home the very next day,” Rosenfeld said.

Some people are under the impression that certain vitamins and herbs can prevent or cure BPH. Zinc is commonly used for this purpose but there is no evidence to support this.

Megadoses of zinc – 500 milligrams or more – can cause nausea, vomiting, and diarrhea. Similarly, ingesting “natural” remedies like bee pollen has no effect on BPH but it can send you to the hospital since many people are allergic to this substance.

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Sharon Bell is an avid health and fitness enthusiast and published author. Many of her insightful articles can be found at the premier online news magazine http://www.HealthLinesNews.com.

Revolix Bladder Tumor using the Revolix Laser. Also used for BPH, Strictures, and Stones

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Vaporization of a bladder tumor using the RevoLix Laser. For more information go to www.lisalaserusa.com. This 2 micron laser can also be used for BPH (Benign Prostatic Hyperplasia) in Urology cases, Vaporization of the prostate, Vaporesection of the prostate and Strictures. The RevoLix Duo is the only laser that has a 2 micron wavelength and a holmium laser built into the same machine.

The Benefits Of Laser Prostrate Surgery

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It is a very usual occurrence for the prostrate gland to become bigger in size as age advances. As a result, the gland starts pushing the urethra which makes the bladder wall thicker and prickly. This causes a lot of related uneasiness and discomfort. This problem which is termed as benign prostatic hyperplasia needs some sort of treatment. The best solution to this problem is getting rid of the enlarged part of the prostrate. There are various methods that can be adopted to perform this operation including laser surgery, open surgery and transurethral surgery.

It was in 1996 that Laser Prostrate Surgery was approved by the FDA to vaporize the tissues that were blocking the prostrate. In this method, the doctor transmits laser fiber through the urethra right into the prostrate with the help of a cystoscope and passes numerous energy bursts of around half a minute to one minute duration. These rays demolish the prostrate tissue causing the prostrate to shrivel in size.

There are many benefits of this kind of surgery over the transurethral and open surgery methods. Firstly, this kind of surgery involves only minimal loss of blood. Secondly, the path to recovery is much speedier when we resort to this operation.

But there are some minus points as well. This kind of surgery may not really be a good solution to big prostrates. Secondly, the long term effectiveness is of this operation is still not really clear. And you also need to be anesthetized for this and have to stay at the hospital for a couple of days.

But latest techniques involving laser can be done without hospitalization. They include Photo selective vaporization of prostrate, interstitial laser coagulation and so on.

Anyway, there are now numerous techniques that have evolved to get rid of your prostrate problem and it all depends on your health condition and the doctor’s decision to opt for the best suited method for yourself. Laser Prostrate Surgery is surely one of the most advanced kinds of surgery that is resorted to and has the least adverse effects reported to date.

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Revolix BPH Laser Revolix Laser Urology Prostate Surgery

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BPH Laser surgery using the Revolix Laser. This video shows the BPH Laser vaporesecting the prostate using a re-usable fiber. For more information about this BPH Laser (Benign Prostatic Hyperplasia) please go to www.lisalaserusa.com This 2 micron laser can also be used for bladder tumors in Urology cases, Vaporization of the prostate, Vaporesection of the prostate and Strictures. The RevoLix Duo is the only laser that has a 2 micron wavelength and a holmium laser built into the same machine.

What’s the indications and contraindications of laser TURP?

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the indications and contraindications of laser TURP is as belows:

Surgical Indications
(1) The obstruction is caused by benign prostatic hyperplasia symptoms and signs, such as nocturia more times, difficulty urinating, urine flow thinning, interrupted urination. An increase in residual urine of more than 60ml or urinary retention occurred

(2) determined to cerebral vascular complications in patients with stable angina takes at least three months, after examination myocardial infarction patients recovered would require six months in patients with cerebral vascular accident in stable condition after 2 months, diabetic patients in the cancer is under control before underwent transurethral resection of the prostate. Combined urinary retention, urinary tract infection in patients with drainage of urine which should firstly control the infection, before the transurethral resection of the prostate.

(3) benign prostatic hyperplasia glands in patients are with less than 60g suitable for transurethral resection of the prostate laser TURP.

Contraindication for surgery patients
(1) cardio-cerebral vascular disease: severe hypertension, acute myocardial infarction, failed to control heart failure, recent hemiplegia is due to cerebrovascular accidents.

(2) respiratory diseases: severe bronchial asthma, emphysema, pulmonary infection, lung function significantly impaired.

(3) a serious liver and kidney dysfunction.

(4) systemic haemorrhagic disease.

(5) severely diabetic condition has not been controller.

(6) acute urinary tract infection in the reproductive system were not brought under control.

(7) The proliferation of the gland is too large to do more than 60g ,which are generally not suitable for transurethral resection of the prostate due to a longer operative time, bleeding is relatively large. But for those who experienced surgery,which is not an absolute contraindication.

(8) patients with pacemakers should not accept this procedure in general. However, some people do not think it’s as contraindication.

Transurethral resection of the majority of contraindication is relative, patient’s condition is improved after treatment, in closely monitored conditions that can be done transurethral resection of the prostate laser TURP surgery.

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A Review of Laser Prostate Procedures

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There are new laser treatments available for sufferers of BHP (Benign Hypertrophic Prostate) and other prostate conditions. They are replacing the “gold standard” TURP and TUNA procedures, and are characterized by much shorter recovery periods and are ideal for patients who might also be on blood thinner medication (Coumadin/Warfarin).

There are two competing laser technologies for prostate treatments – you should understand the differences: the Holmium (YAG) laser, and PVP (KPT) laser (otherwise known as “Green Light”.) The differences between the two are in the wavelength of the lasers used, and the nature of the energy transmitted to the tissues.

PVP LASER (Green Light)

The PVP (KPT) laser has a somewhat long wavelength that penetrates the tissue more deeply – in fact, the energy penetrates more deeply than it ablates (removes). What this means is that tissue that is left behind has been affected by the laser. The result can be a phenomenon known as necrosis of the affected tissue: the remaining tissue dies and may require further treatment of other means to remove, down the line.

This is a potential detrimental side effect. Because of the higher possibility of necrosis, PVP is not recommended for larger prostate conditions. It is considered viable for smaller prostates.

HOLMIUM LASER

The Holmium (YAG) laser has a shorter wavelength and penetrates less deeply than the PVP. Energy from the laser is imparted only to the the tissue that is ablated (removed). As a result, there is no necrosis concern.

In a panel discussion of noted urologists comparing the two technologies for HoLAP procedures[1], the experiences of all came down positively for the Holmium vs. the PVP laser.

HoLEP – ENUCLEATION OF THE PROSTATE

With the Holmium laser, it is now possible to completely remove the prostate with minimal side effects. This is called enucleation. The prostate is completely detached with fine (2-3mm) laser instruments, and passed through a pair of incisions in the bladder. It is then sectioned, and the sections are brought into the bladder through the incisions, where they are broken up into passable bits (the bits are passed through the catheter.)

This is becoming the new “gold standared” treatment, replacing the TURP procedure in many advanced urological centers. Side effects are minimal, and, according to one study[2], sexual function (ability to gain and maintain an erection) may actually increase, depending on the nature of prior dysfunction, if any.

WHERE TO GO?

One consideration is going overseas for treatment. HoLEP is available in at least one group of urolotical hospitals located in India, using exactly the same procedures and equipment as in major US facilities. The procedure can be done for as little as a fifth to a tenth of that in the US.

[1]Urological Times [2]Journal of Andrology

Garrick Berger is the managing director of Overseas Medical Connection a company dedicated to assisting prospective patients evaluate their overseas treatment/medical tourism options. The company also maintains a forum for those wishing to exchange research and experiences on medical treatment overseas.

Green Light Laser Treatment For Bph (Enlarged Prostate) And Sexual Dysfunction

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Erectile dysfunction is a well recognized complication of the standard treatment for Benign Prostatic Hyperplasia (BPH), or the enlarged prostate. Approximately 10 per cent of patients who have a TURP are left with erectile dysfunction as a result of the procedure.

This is a considerable risk for patients. Although the majority of patients I see with BPH are 65 and above, I do see a number of patients in their fifties. These patients often decide against surgery – even if it means they have to live with symptoms of BPH – because they do not want to risk a complication which would have a major impact on their lives.

Equally, for some patients in the older age group, erectile dysfunction is very important.

At The Prostate Laser Centre, we discuss risks and complications very thoroughly with patients before the procedure. In some cases, patients may be focused on dealing with the symptoms and less concerned about complications pre-operatively. But post-op, once the patient starts to recover, complications can become a major source of anxiety.

This is one reason why Green Light Laser treatment is such an important development. The Green Light Laser provides a high powered, safe and precise means of destroying surplus tissue by vaporising selected areas. By contrast, during TURP, surplus prostate tissue is burnt by electrical currents.

The nerves which control erections are located just at the side of the prostate. During TURP, erection problem can possibly happen due to these nerves being damaged from the heat of the electrical current. The current can be fairly indiscriminating in terms of the areas it targets.

The Green Light Laser is far more targeted. Even though it is so powerful that surplus tissue is immediately vaporised, it does not penetrate deep into the tissue. Hence it is believed that it minimizes the risks of erectile dysfunction. In my experience, I have not yet seen erection problems developing after green light laser therapy.

Although Green Light Laser treatment is a relatively new development in the UK, it is well established in America and parts of Europe. A total of 200,000 procedures have been undertaken worldwide. A major study* showed there is a 1 per cent rate of erectile dysfunction following Green Light Laser treatment, compared with 10 per cent for TURP.

A very common side effect after TURP is known as retrograde ejaculation. This means during orgasm, semen passes into the bladder rather than out through the penis. The semen is then voided the next time urine is passed. Retrograde ejaculation is not harmful and for many men it is not problematic, although it does result in less sexual satisfaction and infertility. The risk of retrograde ejaculation following TURP is high, up to 90 per cent. The figures for retrograde ejaculation following Green Light Laser are much lower, at between 29 and 41 per cent.

In conclusion, Green Light Laser offers patients the same result as TURP – rapid relief from the symptoms of BPH. However, with Green Light Laser, this is achieved with much reduced side-effects and complications. These benefits for the patient must be recognised.

* Yakupoglu YK, Donmezer S, Mestci B, Saglam R, Simsek US. Successful treatment of BPH over 100 ml with KTP laser. J Urol 2006 May;175(4 suppl.):463 abstract 1522.

Anurag Golash is Consultant Urologist of The Prostate Laser Centre, Staffordshire and Cheshire, a national network specialising in Green Light Laser treatment for the enlarged prostate.