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.

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.

Reviewed By: Dr Mahendra Jain
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Do You Have Any Difficulty While Urinating?

Enlargement of the prostate gland is called Benign Prostatic Hyperplasia. Urethra which carries urine is surrounded by the prostate gland. When the gland gets bigger it blocks the urethra causing difficulties while urinating. Usually, men of all age are prone to this. Benign enlargement is not cancerous. Usually, it is caused by advancing age and cell growth. 

When should you visit a doctor?

• Frequent need to urinate
• Problems while starting urination
• Straining while urinating
• Unable to empty the bladder completely
• Need to insert force while urinating
• Need to urinate more at night
• Blood in the urine
• Urinary tract infection

Diagnosis of BPH

At first, the doctor will ask about symptoms and do the physical exam which includes Digital rectal exam, urine test, blood test, prostate-specific antigen (PSA) blood test and neurological exam. After that doctors will recommend advanced tests like Urinary flow test, Postvoid residual volume test, and 24-hour voiding diary to conform to the condition.

Laser Prostate Surgery

This surgery is used to relieve symptoms caused by the enlargement of the prostate. In surgery, the doctor will insert a scope through the penis into the urethra. Then the laser is passed through the scope to reduce or remove the tissues that are obstructing urine flow. The laser removes tissues through ablation ( melting) or enucleation ( cutting away excess tissue ). Different types of laser surgery are Photoselective vaporization of the prostate (PVP), Holmium laser ablation of the prostate (HoLAP) and Holmium laser enucleation of the prostate (HoLEP).

Dr. Mahendra Jain, Urologist in Bangalore provides best Treatments for Prostate Enlargement in India with help of dedicated team.

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