The procedure uses high-energy lasers to remove or shrink excess prostate tissue. This tissue blocks the flow of urine through the urethra. This method is especially helpful for patients with moderate to severe BPH. These patients have not responded to medications or other non-invasive treatments. The laser’s precision allows for the removal of prostate tissue with minimal bleeding. It is a preferred choice for patients who are not suitable candidates for traditional surgery. This includes individuals with health conditions like blood clotting disorders or those on blood-thinning medications.
There are different types of laser surgeries for BPH, and Dr. Mishra will choose the most appropriate one. The decision will be based on the size of the prostate. It will also consider the patient’s medical history. The severity of the symptoms is another factor.
Types of Laser Prostate Surgery Performed by Dr. Saurabh Mishra
- Holmium Laser Enucleation of the Prostate (HoLEP):
- HoLEP is one of the most advanced techniques for treating BPH. It involves using a holmium laser to remove large portions of the prostate tissue that block urine flow.
- This procedure is particularly effective for larger prostates, and it offers a permanent solution to BPH. After removing the tissue, Dr. Mishra uses a morcellator to break the removed tissue into smaller fragments that can be flushed out of the bladder.
- HoLEP is known for its durable outcomes and a lower chance of needing future surgeries.
- GreenLight Laser Therapy (Photoselective Vaporization of the Prostate – PVP):
- GreenLight Laser Therapy uses a high-powered green laser to vaporize excess prostate tissue. This method is ideal for patients with moderate BPH. It is associated with minimal bleeding. This makes it suitable for those on blood thinners.
- The procedure typically results in immediate symptom relief and a quick recovery.
- GreenLight laser therapy is also performed on an outpatient basis, so patients can return home the same day.
- Thulium Laser Enucleation of the Prostate (ThuLEP):
- Like HoLEP, ThuLEP involves enucleating the prostate tissue using a thulium laser. It is effective for treating larger prostates and has a very high success rate.
- ThuLEP offers the advantage of reduced bleeding and quicker recovery compared to traditional surgery.
When is Laser Prostate Surgery Recommended?
Dr. Saurabh Mishra recommends laser prostate surgery for patients with BPH who experience:
- Frequent urination, especially at night (nocturia)
- Difficulty starting urination (hesitancy)
- Weak urine stream or intermittent flow
- Feeling of incomplete bladder emptying
- Urinary urgency and incontinence
- Frequent urinary tract infections (UTIs) due to incomplete emptying of the bladder
- Acute urinary retention (inability to urinate)
Laser surgery is also an option for patients who are not suitable candidates for Transurethral Resection of the Prostate (TURP). This may be due to medical reasons like blood clotting disorders. It is also an option for patients on anticoagulant therapy.
Read More about the laser surgery
How Does Dr. Saurabh Mishra Conduct Laser Prostate Surgery?
- Pre-Procedure Evaluation:
- Before recommending surgery, Dr. Mishra conducts a comprehensive evaluation. This includes a review of the patient’s medical history and a physical examination. Tests like uroflowmetry, ultrasound, and cystoscopy are performed. These tests assess the size of the prostate. They also figure out the degree of obstruction.
- Anesthesia:
- The surgeon typically administers general or spinal anesthesia based on the patient’s health and preferences before performing the procedure
- The Procedure:
- Dr. Mishra inserts a laser fiber through a scope into the urethra, reaching the prostate. The surgeon vaporizes or enucleates excess prostate tissue using laser energy.
- The surgeon determines the appropriate laser type and technique (HoLEP, GreenLight, ThuLEP) based on the patient’s prostate size and condition.
- During enucleation procedures (HoLEP or ThuLEP), the surgeon removes and fragments the tissue. This is done for extraction. It creates a wider, unobstructed urethral channel.
- During vaporization procedures (GreenLight), the surgeon eliminates the tissue without removal, reducing overall surgery time.
- Duration:
- The procedure usually takes 60 to 90 minutes, depending on the size of the prostate and the technique used.
- Post-Procedure:
- After the surgery, doctors place a catheter to drain urine from the bladder and usually remove it after 24-48 hours.
- Doctors discharge most patients within 24 hours of the procedure.
Advantages of Laser Prostate Surgery by Dr. Saurabh Mishra
- The surgeon performs laser surgery through the urethra without making external incisions.
This technique leads to faster recovery. It also results in less post-operative discomfort. - Less Bleeding: The laser seals blood vessels as it cuts or vaporizes tissue. This makes it an ideal choice for patients at higher risk of bleeding complications.
- Laser prostate surgery typically allows patients to return home the same day, minimizing the need for a hospital stay. It also needs just a short hospital stay. This allows patients to return home quickly.
- Quick Symptom Relief: Most patients experience immediate improvement in urinary symptoms after surgery.
- Lower Risk of Complications: Laser prostate surgery has a lower risk of complications compared to traditional surgeries like TURP. These complications include bleeding and incontinence.
- Faster Recovery: Patients can resume normal activities within a few days. Laser techniques often preserve sexual function better than other surgical options.
Recovery After Laser Prostate Surgery
- Immediate Recovery:
- Patients may experience mild discomfort or a burning sensation during urination for a few days after surgery.
- Blood in the urine is common but typically resolves within a week.
- Drinking plenty of water helps flush out any remaining blood or tissue fragments.
- Return to Normal Activities:
- Most patients can return to their regular activities within 1 to 2 weeks, although Dr. Mishra advises avoiding strenuous activities, heavy lifting, and sexual activity for 2-4 weeks to allow for full healing.
- Follow-Up:
- The medical team schedules regular follow-up visits to watch recovery and confirm improvements in urinary performance. They conduct a urine flow test to evaluate the surgery’s effectiveness.
- Medication:
- Dr. Mishra prescribe antibiotics to prevent infection and painkillers to manage discomfort.
Potential Risks and Complications
While laser prostate surgery is generally safe and well-tolerated, there are potential risks, including:
- Urinary Incontinence: Temporary difficulty controlling urine is possible, but it typically resolves within a few weeks.
- Retrograde Ejaculation: This side effect is common after prostate surgery. During the condition, semen flows backward into the bladder instead of out through the urethra. It does not affect sexual pleasure or performance, but it can affect fertility.
- Urethral Stricture: Narrowing of the urethra due to scar tissue can occur. This condition rarely occurs, and doctors can treat it if necessary.
Dr. Mishra takes every precaution to reduce these risks and provides detailed guidance to patients during their recovery.
Why Choose Dr. Saurabh Mishra for Laser Prostate Surgery?
- Skill: Dr. Mishra has extensive experience in performing laser prostate surgeries, ensuring that patients get the best possible outcomes with minimal complications.
- Dr. Mishra equips his clinic with the latest laser systems These include Holmium, GreenLight, and Thulium lasers. This equipment allows him to offer tailored treatment options for each patient.
- Dr. Mishra personally diagnoses conditions. He performs treatments and oversees post-operative follow-ups. This approach ensures comprehensive and personalized care for every patient throughout their treatment journey.
- Dr. Mishra fosters a patient-centered approach by engaging with patients compassionately. She addresses their concerns and clearly explains their treatment options. This makes them feel comfortable and well-informed.
Conclusion
Laser prostate surgery is a highly effective, minimally invasive solution for men suffering from BPH. With Dr. Saurabh Mishra’s skill, patients can expect significant symptom relief. They can also expect quicker recovery times and a lower risk of complications compared to traditional surgical techniques.
For more information or to book an appointment, visit www.drsaurabhmishraurologist.com
