Thursday 14 November 2019

What can I expect after a laser prostate surgery?

Before asking what to expect after, one should know what the surgery is. 

The doctor inserts a tube through the patient's urinary tube (urethra), the prostrate surrounds the urethra. A laser is passed through this tube, to deliver concentrated light energy to generate precise and intense heat. It is this intense heat that shrinks and removes the excess tissue that is preventing the flow of urine. This is called Laser Transurethral Resection of the Prostate or LASER TURP.


What are the benefits?
1. It is a blood less surgery. That is an immediate advantage over conventional surgery. Cardiac patients who are on blood thinners like Ecosprin and clopidogrel can also undergo it safely.
2. LASER TURP is done with normal saline. Thus problems of excessive water absorption and complications of normal TURP is completely avoided.
3. Foleys catheter can be removed a day earlier than conventional TURP and thus less hospital stay.
4. Regrowth of the prostate tissue is very minimal with Laser TURP and thus low recurrence rates.
5. Post-surgery irritation in the prostate area is more in LASER TURP but it is only for short time.
The surgery may be expensive, but, it’s worth the obvious advantages.

Prostate

What to expect afterwards?
1. Rarely Because of the swelling that may be block the urine flow, the patient may have to wear an urinary catheter for few days
2. There may be blood in the urine. This, however, is normal for the first few   days only
3. The patient may have irritating urinary symptoms like a need to urinate frequently for some time  only 
4. Urge Incontinence or difficulty holding urine.  This, however, improves in few weeks
5. The patient should avoid lifting weights for month
6. The doctor would also recommend against the patient engaging in sexual activities, at least, for several weeks.

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Reviewed By: Dr Mahendra Jain
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