Prostate cancer is one of the most common cancer types among men. Depending on the stage and condition of the patient, a number of treatment options are available, including surgeries. However, most of these are complex procedure involving side effects (incontinence, inability to father a child with sex, loss of bladder control, erectile dysfunction, and dry orgasms).
Prostate laser surgery has emerged as a great relief for men as it promises to relieve moderate to severe urinary symptoms caused due to benign prostatic hyperplasia (BPH). This condition is caused by an enlarged prostate.
The treatment is very helpful in providing quick relief from symptoms, faster recovery, and minimizes post-operative complications.
Benefits of Minimally Invasive Prostate Laser Surgery:
– Minimal loss of blood
– Being an outpatient procedure, it requires very short or no stay in hospital at all
– Faster recovery period. It usually takes only 7 days to 2 weeks for a patient to recover
– The urinary catheter will be present only less than 24 hours
– Instant and quicker improvement when compared to other procedures
The type of laser prostate cancer surgery is usually recommended to a patient by a doctor depends on a number of factors, including the following listed below:
– Overall health of patient
– The size of prostate
– Availability of laser equipment type
– Training of the doctor
While conducting a prostate laser surgery, the doctor will insert a scope through the tip of a patient’s penis into the urethra (a tube that carries urine from the bladder). Thereafter, a laser passed through the scope for delivering enough energy to completely remove or shrink excess tissue that prevents the flow of urine.
Lasers for this surgery utilize concentrated light for generating the accurate amount of intense heat. The two basic methods used for this surgery include:
1. Laser Ablation – The technique involves burning of prostate tissues causing obstruction. It is aimed at enlarging the urethra (urinary channel). The procedures for this method include:
– Photosensitive Vaporization of the Prostate – Also referred to as KTP laser vaporization or Greenlight laser therapy, the procedure uses exceedingly hot laser energy for dissolving the enlarged prostate. It has a short recovery time and involves minimal risk of bleeding.
Photoselective Vaporization of the Prostate (PVP)
The procedure involves the use of a laser to vaporize or melt away excess prostate tissue. It also expands the urinary channel.
– Holmium laser ablation of the prostate (HoLAP) – The process utilizes a similar technique as PVP. The only difference is the source of laser energy that differs. Since the laser energy used for HoLAP is easily absorbed by water, deeper penetration of energy into tissues can be completely avoided.
2. Laser Enucleation – The technique involves removal of obstructive tissues similar to open prostatectomy. However, this is a safer alternative to the open procedure. This type of surgery is usually recommended for men with larger prostates that need an open surgery. The procedures for this technique include:
Holmium Laser Enucleation of the Prostate (HoLEP)
The process involves the use of a laser for cutting and then removing excess tissue that blocks urethra. Thereafter, the doctor uses another instrument for cut the prostate tissue into very small pieces to be removed easily. The procedure may be considered as an option for men with severely enlarged prostate.
Holmium Laser Resection of the Prostate (HoLRP)
The process involves the insertion of a laser through the tip of the penis. It aims at cutting the enlarged prostate tissue into very small pieces so that these can be removed easily using a resectoscope (a surgical scope).