What Can I Expect From The Procedure
The procedure takes an average of 60 to 90 minutes under general anaesthetic. A thin laser fibre is positioned within the laserscope and is passed up through the urethra to deliver the treatment.
At BPC, we recognise that for some men, a trim TURP can be a useful procedure at the end of GreenLight laser surgery if residual prostate tissue is still present. We call this a trim TURP. By completing the procedure in this way, the normal flow of urine out of the body is restored and the likelihood of needing further surgery in the future is reduced. Having a trim TURP in additional to laser surgery does not have a significant impact upon your post-operative recovery, our experience shows. After your procedure, you will spend one night in hospital.
You Are Going To Our Dedicated Site For Greenlight Laser Therapy
GreenLight Laser Therapy is an innovative laser procedure that vaporizes the excess prostate tissue causing benign prostatic hyperplasia , or an enlarged prostate.
Boston Scientific created a separate site to provide more information about GreenLight Laser Therapy with resources, videos and tools.
Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.
All images are the property of Boston Scientific. All trademarks are the property of their respective owners.
Boston Scientific is dedicated to transforming lives through innovative medical solutions that improve the health of patients around the world.
Why Choose Dr Lotenfoe
Dr. Lotenfoe is a well trained, well experienced Urologist who has been a Diplomat of the American Board of Urology and a Fellow of the American College of Surgeons for more than 15 years. He started doing the procedure many years ago when it was still relatively new with first generation equipment. In the mean time he has done several hundred procedures with the second generation HPS and third generation XPS models. Dr. Lotenfoe is so experienced with the procedure, and has shown the necessary skill that he has been designated as a proctor for the procedure by the manufacturer, meaning that he teaches other urologists to do the procedure.
If you have any questions or want more information about the procedure and to see if you are a candidate, we recommend that you schedule a consultation with Dr. Lotenfoe. We have offices conveniently located in Celebration, Winter Haven and Poinciana. To schedule a consultation, please call
Read Also: Is Prostate Cancer Curable If It Has Spread
Enlarged Prostate Laser Surgery: Recovery Side Effects And Natural Treatment
Prostate enlargement is a common feature in males over fifty years of age. Prostate is a gland at the base of the urinary bladder and around the urethra. It is in a size of large chest-nut. Most common enlargement of prostate is benign enlargement of prostate. It is non-cancerous and usually causes obstruction of urine outflow, increase in frequency of urination especially in night and dull pain below umbilical region. Cancerous enlargement is dangerous and can spread to surrounding organs.Enlargement can be due to exposure to cold and chill, infectious diseases, excessive sexual excitement, constipation etc. Prostate problems affect many men, especially those in their senior years.
The laser procedure has its fair share of advantages and disadvantages. Still, in most cases, the advantages far outweigh the disadvantages. This is especially true if the procedure is done by a trained and licensed medical professional using FDA approved laser equipment.
Laser surgery is minimally invasive thus the chances of bleeding are minimal. This means that the procedure can also be done on those who are taking blood thinners and those who have bleeding disorders. Laser surgery can correct an enlarged prostate.
Recommended Reading: Is Keytruda Approved For Prostate Cancer
Why Choose New York Urology Specialists For Treatment Of Enlarged Prostate Problems
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
- We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
- Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We also offer laser surgery for BPH , Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
You May Like: Pomegranate Prostate Cancer Latest News
Who Can Have This Treatment
All patients with an enlarged prostate, known as Benign Prostatic Hyperplasia are suitable, including those on anticoagulants. Because we use powerful, third generation laser technology and proven techniques, we can treat men with large prostates, including those who have gone into retention and are dependent upon a catheter.
Urinary Retention After Greenlight Pvp Surgery
Infrequently, men might have persistent urinary retention after Greenlight PVP surgery. In this situation, re-evaluation is necessary. Some men have poorly functioning bladder muscles. Treatment for non-obstructive urinary retention using Interstim sacral neuromodulation may be useful. Some men have persistent obstruction. Re-operation may be necessary if obstruction persists. Infrequently, bladder neck contracture or urethral stricture may block urine flow, and these require prompt treatment.
Don’t Miss: Why Does The Prostate Get Enlarged
Laser Surgery For An Enlarged Prostate Is No More Effective Than Standard Surgery
This is a plain English summary of an original research article
Two procedures to treat men with enlarged prostates are both effective, new research has shown.
A benign enlarged prostate is not cancer and is not usually a serious threat to health. But it is common in men over 50 and some need surgery to treat troublesome urinary symptoms caused by the growing prostate. The most common procedure is transurethral resection of the prostate which is usually successful but can lead to complications such as bleeding in some men.
The UNBLOCS trial compared the effectiveness of TURP to a new laser procedure which might reduce a patients hospital stay and cause fewer side effects. The thulium laser, ThuVARP, vaporises excess prostate. Men who needed a prostate operation were asked to consent to either procedure without knowing which one they would receive.
One year later, men in both groups were satisfied with their surgery. They reported similar improvements in their urinary symptoms and quality of life. There was no difference between the two procedures in terms of hospital stay or complications. However, men in the TURP group achieved a faster urinary flow rate . TURP was also slightly more cost-effective and faster to perform than the laser procedure.
Why Is This Important
An enlarged prostate can cause two main symptoms of the lower urinary tract: voiding and urinary retention. Prior to this research, some experts believed surgery did not help men with urinary retention. However, the trial found both prostate procedures are effective for treating both voiding symptoms and urinary retention.
Although previous research suggested that the laser procedure would lead to fewer complications and a reduced hospital stay compared to TURP, this was not seen in the study. The new findings from Bristol suggest hospitals who already perform TURP do not necessarily need to invest in equipment and training for the ThuVARP laser procedure. Patients can be reassured that either surgical option is safe and effective. The researchers say new treatment approaches should continue to be compared with TURP, as NICE guidelines recommend.
Don’t Miss: How Long Recovery After Prostate Surgery
Understanding Greenlight Laser Therapy
Benign Prostatic Hyperplasia
- Urgency, sudden urge to urinate
- Retention, inability to urinate
In many instances these symptoms can diminish or resolve with the use ofmedications. Typically, an alpha blocker such as Flomax or Doxasozin isused in combination with an alpha reductase inhibitor such as Proscar orAvodart for maximal medical management. These are safe medications thatmany men stay on for years without difficulty. But often these medicationslose their efficacy or don’t relieve the symptoms well and furthertreatment is necessary. Surgical intervention is the next step.
GreenLight Laser Therapy
Your surgery will be performed under general anesthesia and typically takes1-2 hours. A foley catheter will be left inplace and you will stay one night in the hospital. The catheter is usuallyremoved prior to discharge the next day. In rare instances some men may gohome with a catheter for a couple of days and return to the hospital tohave it removed. You will be given pain medication and stool softner’s togo home with.
As Men Age They Often Develop An Enlarged Prostate
When the prostate becomes enlarged, it is known as a condition called benign prostatic hyperplasia, or BPH. The prostate is a walnut-sized gland that surrounds the urethra, which is responsible for carrying urine from the bladder out of the body. As the prostate gets bigger, or enlarges, it can block the urethra which often leads to problems with urination. The added pressure on the urethra as a result of an enlarged prostate can make it more difficult to urinate.
Read Also: What To Expect With Prostate Cancer
Why Is Green Light Laser Prostate Surgery Performed
Green light laser surgery is performed for the purposes of treating Benign Prostatic Hyperplasia . Benign Prostate Hyperplasia , also known as enlarged prostate, is quite common among older men. The symptoms of an enlarged prostate include frequent need to urinate, increased frequency of urination during the night, difficulty to start urinating, weak urine stream that stops and starts, etc. The symptoms usually start off in a more mild form but tend to get worse over time.
Green light laser surgery for prostate is one of the newest, minimally invasive treatment options for benign prostatic hyperplasia. The green light laser beam is used to vaporize the obstructing inner part of the prostate gland itself that is causing the urinary symptoms that are reducing the quality of life of the patient. No cuts are made as a part of the surgery.
What Are The Alternatives To Laser Treatment For Enlarged Prostate
At your outpatient appointment your surgeon will have discussed with you whether you would prefer to manage your symptoms with medicine. There are other operations, such as standard TURP, Urolift, Steam therapy and prostate arterial embolization, that can be used to remove prostate tissue. Other types of laser can also be used to remove prostate tissue such as holmium laser enucleation or thulium. You may not be suitable for all of these options as it depends on your specific symptoms, any other problems you have, whether you have a catheter in place already and how long, and the shape and size of your prostate. Professor Ahmed will discuss which options are optimal for you based on your complete details.You may have been taking medication to shrink or relax your prostate, or had these offered to you. These medications do not work for everyone.If you do not have treatment and your prostate keeps getting bigger, it may stop you from passing urine. We can ease this for a short while by putting in an indwelling catheter a type of catheter that you can have in your bladder for a while to drain urine while we decide whether you need surgery. Some men opt for self catheterisation on a regular basis.
Read Also: What Can You Do For An Enlarged Prostate
What Is Greenlight Laser Treatment
GreenLight laser is a treatment that combines the effectiveness of Transurethral Resection of the Prostate , with fewer side effects. GreenLight uses laser energy to remove enlarged prostate tissue. This results in an open channel for urine flow, but with less risk of sexual and other side effects common with TURP.
For many years, TURP has been the benchmark for surgical treatment of symptoms caused by an enlarged prostate, but it can be associated with certain complications. For a list of these, see TURP.
The GreenLight Laser is a form of laser prostate surgery that has been available for a few years, and has been put to the test against TURP in clinical studies. The results are very encouraging, and they suggest that:
- GreenLight laser offers outcomes that are similar to TURP, specifically a significant improvement in urinary flow, and this improvement is maintained in the long-term.
- The urinary catheter inserted after the operation is typically removed in 12-24 hours .
- Average patient stay in hospital is one day with GreenLight compared to 3.4 days for patients undergoing TURP.
- There is no significant risk of fluid absorption
- There is a lower risk of blood transfusion with GreenLight
- Less than 1% of GreenLight patients report erectile dysfunction
Green Light Laser Surgery For Prostate Benefits And Side Effects
Are you dealing with the annoying urinary difficulties due to benign prostate hyperplasia? Are you looking into the possibility of getting a green light laser prostate surgery that will put an end to your sufferings? But remember this surgery, like any other, comes with potential side-effects that you need to remember. Lets explore the most common and rarer side-effects of the green light laser surgery on prostate!
Greenlight Laser Therapy Animation
Signs of BPH are:
- urgent or frequent need to urinate during the day and at night
- a slow or weak urinary stream
- difficulty completely emptying the bladder
- difficulty or delay in starting urination
- a urinary stream that starts and stops
When medical management of BPH symptoms is ineffective or the side effects of medications cannot be tolerated, men may choose a surgical procedure to correct the problem.
Does Anyone Know The Pros And Cons Of Green Light Laser On The Prostate
joe in buffalo over a year ago
In reply to joe in buffalo on 2008-02-23 – click to read
007trex over a year ago
I Had Laser Prostate surgery on Dec 13 and the first week was pretty rough. Pain, nausea, vomiting and could not pee at all after the catheter was removed the first time Had to get another cath in for a couple of days. Had burning pain for 17 days. The first day i could pee, I went 17 times in 18 hours. I still have frequency, but every day is better now. Almost no pain or burning. I think everyone’s experience is different. They say it will get better in time. Hope this helps. Had no problem getting back night/morning erections. Even got one with the catheter in. That was rather bizarre. That can be a side effect: Impotence.
Guest over a year ago
Guest over a year ago
PVP two years ago. Outpatient. Excellent results. Quite painless, some blood in urine for a few days as expected. No catheters or Foley bags for me for the last two years. Normal urination for TWO years and counting. Considering how many posts are showing depressingly negative results, I hesitate to post one so positive since it might result in more folks having negative post op experience. Depends on the surgeon, I suppose.
Rich over a year ago
In reply to In Missouri on 2008-03-04 – click to read
solid violet 11 months ago
Also Check: My Husband Is Dying Of Prostate Cancer
Benefits Of Greenlight Laser Pvp
- Minimal bleeding
- Only 30% of patients need a post-op catheter
- Discharge on the same day
- Resume normal activities in 2 to 3 days with caution
- Return to vigorous activity level in 4 to 6 weeks
- Complications occur infrequently and are mild if they do
- Post-operative impotence has not been associated with PVP
- Erectile Dysfunction is not typical in PVP patients
- Long-term success in improved urine flow
- Fewer symptoms of urinary obstruction
Also Check: What Kind Of Pain Does Prostate Cancer Cause
What Risks Are There
Furthermore, about three to five percent of men we see develop urinary incontinence, which is when a few drops of urine leak out when they sneeze, cough, or do some strenuous activity. For many guys, it goes away after a few weeks. For some, the side effects can be long-lasting.
We have an exceptional track record of performing advanced GreenLight laser surgery at MedStar Washington Hospital Centereven for some men who have especially large prostates. If youre experiencing symptoms, speak to your doctor to discuss whether GreenLight laser surgery might be a good option for you.
Experiencing a frequent and urgent need to urinate, a weak urine stream, or another symptom of BPH? Request an appointment with a urology specialist: Call or click below to make an appointment.
Also Check: Can You Have Prostatitis With Low Psa
Greenlight Laser Prostate Surgery
Birmingham Prostate Clinic specialises in GreenLight laser prostate surgery for benign prostatic hyperplasia BPH . We are highly experienced in this minimally invasive procedure, having now completed more than 800 operations and were the first in the West Midlands to introduce GreenLight laser prostate surgery in 2007.
We are one of the first centres in the UK to invest in the most advanced technology for this procedure, the third generation XPS machine. This £100,000 machine is more powerful than its two predecessors, allowing us to treat men with large prostates and to reduce the operating time by 50 per cent. In a study of patients who had GreenLight laser surgery at BPC, 84 per cent were positive about the outcome of their procedure.