Wednesday, January 25, 2023

Greenlight Laser Surgery For Prostate

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Frequent Urination And Urgency After Greenlight Laser

What you need to know before a GreenLight Laser Prostatectomy

Frequent urination and urinary urgency after Greenlight laser often occur immediately after surgery. These symptoms should dissipate fairly soon, typically in the first 4-8 weeks. The persistent or worsening urinary frequency may indicate incomplete bladder emptying or underlying partial urinary retention. Persistent or worsening urinary symptoms may also indicate the presence of urethral stricture. In men who had a large median lobe these symptoms may be a result of irritability of the bladder trigone that can occur after surgery.

Urology Specialists Of Ohio

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GreenLight laser therapy is a procedure performed on patients with enlarged prostate. GreenLight laser Therapy combines the effectiveness of the gold standard transurethral resection of the prostate surgical procedure with fewer side effects. The result is a wide-open channel for urine flow to pass through, but with fewer risks of side effects, including erectile dysfunction and bleeding, common with TURP.

What To Know About Bph

BPH describes theenlargement of the prostate gland that sits beneath your bladder. This enlargement is common in men as they get older.

The urethra, the tube that channels urine from your bladder and out of your body, passes through the center of the prostate. When the prostate becomes swollen or enlarged, it can press on the urethra and block the flow of urine.

This pressure can lead to persistent discomfort and symptoms like:

  • Difficulty urinating
  • Sudden or frequent urge to urinate
  • Frequent urinary tract infections

You might also notice you have to urinate more often during the night.

In addition to aging, BPH can be the result of diabetes, heart disease, or obesity. If you have a family history of BPH, you might be at increased risk for having the condition, too.

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Side Effects And Complications From Treatment For Enlarged Prostate With Greenlight Laser Surgery

Some men develop side effects and complications after treatment for BPH with Greenlight laser or other lasers used for the treatment of enlarged prostate.

These complications are not unique to the Greenlight laser procedure and can occur after any transurethral procedure performed on the prostate .

There several side effects and complications that could occur after laser treatment of a large prostate. The most common side effects and complications include persistent hematuria or bleeding, persistent frequent urination and urgency to urinate, urinary incontinence or leakage, and burning with urination.

Post Greenlight Laser Surgery Recovery

Green Light Laser Surgery for Prostate :: International Specialist ...
jim0601

I had GL surgery four days ago and would appreciate feedback regarding the recovery process from those that have also undergone this procedure. I currently void every 30 to 60 minutes at night and every 30 to 60 minutes during the day. My flow is a stream for a few seconds then dribbles for maybe 30 seconds. Is this pretty typical? After the surgery I was drinking 1 1/2 liters of water per day but I may reduce this because I am not convinced my bladder is emptying fully. What do you think about this? When I void, it really burns at first and often I will get bladder spasms as well. Do you think the pain is radiated pain from where the prostate was vaporized? Do you think I will see improvement with these symptoms on a daily basis or weekly basis over the next month or so?

3 likes, 163 replies

  • Posted 7 years ago

    I had a similar problem. it was caused by blood clots forming in the uretha and thus the inconsistant flow of urine.I went to A& E because i was unable to pass urine at all at one stage. They flushed out the bladder and it was unbelievable how many clots there were. They are unlikely to disove them selves. BVut this is some thing yiu need to check out.

    good luck

  • Posted 4 years ago

    I have had the surgery 2010 and since been having problems with bladder not emptying it sounds like Im going to have it redone again

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    Why Do You Need Greenlight Laser Prostatectomy

    Greenlight laser prostatectomy is commonly used to treat the symptoms of benign prostatic hyperplasia , also known as enlargement of the prostate.

    BPH is a non-cancerous condition where the prostate grows larger. As it enlarges, the gland presses against the urethra , restricting the flow of urine.

    BPH symptoms include:

    • Frequent, urgent need to urinate
    • Increased frequency of urination at night
    • Stopping and starting again while urinating
    • The feeling of being unable to completely empty the bladder
    • Urinary tract infections

    Greenlight laser prostatectomy eases many of these urinary symptoms almost immediately and offers faster recovery outcomes compared to traditional surgery. It can be done as an outpatient procedure or may require a short overnight stay.

    Greenlight laser prostatectomy can also be used to prevent or treat complications due to blocked urine flow, such as:

    • Kidney or bladder damage
    • Inability to control urination or an inability to urinate at all
    • Blood in the urine

    Care And Recovery After Greenlight Laser Prostatectomy

    Most people can go back to normal activity within a week and will achieve full recovery after 4 â 6 weeks.

    In the initial recovery period, you should:

    • Avoid strenuous activity, such as heavy lifting, until approved by your doctor.
    • Wait a week or two before engaging in sexual intercourse. Ejaculating too soon can cause pain and bleeding.
    • Take medication as prescribed.

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    Day Post Greenlight Laser Prostate Surgery Pain With Urination

    Ironwolf45601149412 over a year ago

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    over a year ago

    gyroman over a year ago

    It is the eight day post laser turp surgery for me. I felt like posting after reading ironwolfs post above. His post left me with tears in my eyes from laughing so hard. His description of his post surgery experiences are very similar to mine.

    My surgery was on Thursday morning. Just prior to surgery I mentioned having a pain in my chest, they immediately did a EKG and it was fine. I awoke from surgery to a painful burning feeling like I needed to pee very bad. A little while later the pain in my chest returned and they did another EKG. Again it was ok , Im 53 in good shape with no history of heart problems.

    All this time they have big bags of saline flushing out my bladder , the outflow looked like watermelon juice. The plan was to go home that afternoon, but since I mentioned the gas, they decided to keep me overnight. This may have been a good thing because I was flushed until discharged at 3:00PM the next day. My outflow looked normal by then.

    Did I mention catheters are a major pain? Not only do they make you feel like you need to pee all the time, but if you get morning wood like I do, well let me just advise you to keep some ice water and a rag close by.

    The flow was slowly getting better but still with the painful burning sensation and continued like that until this morning. This has been the best morning so far. Pretty good flow and the burning is almost gone! YEAH!!!

    Why Choose New York Urology Specialists For Treatment Of Enlarged Prostate Problems

    Greenlight laser for enlarged prostate
    • 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.

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    Does Anyone Know The Pros And Cons Of Green Light Laser On The Prostate

    joe in buffalo over a year ago

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    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

    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

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    What Is Greenlight Laser Therapy

    GreenLight Laser Therapy is a procedure performed with a small fiber that is inserted into the urethra through a cystoscope. The fiber delivers high powered laser energy which quickly heats up the prostate tissue, causing the tissue to vaporize. The process is continued until all the enlarged prostate tissue had been removed. Natural urine flow is rapidly restored and urinary symptoms are quickly relieved in most patients.

    Recovery After The Procedure

    Green Light for the treatment of prostatic hypertrophy  Antonini Urology

    After, the patient is observed in the recovery area and can be typically discharged on the same day or within hours from the procedure. For patients that had severe symptoms or had prior bladder damage, catheterization for an extended period may be required, and they may need to stay longer or perhaps overnight.

    Generally mild discomfort including slight burning with urination, frequency, or the sudden urge to urinate can occur. One may notice a small amount of blood in the urine and shouldnt be alarmed by this, as this is expected during the first week post- procedure. Patients will notice a dramatic improvement in urine flow, and relief of symptoms within a day or two post-procedure. Men with multiple health issues may not experience improvement quite as quickly as those who are relatively healthy.

    Men can expect to return to normal activity approximately 3 days post GreenLight procedure. Patients should avoid strenuous exercise, heavy lifting, or pushing, and avoid equipment that vibrates for about 2 weeks. These types of activities may aggravate the urogenital region and can cause bleeding.

    If you would like more information, or believe you are candidate for this procedure, please contact us.

    • Ease and comfort of urinary flow
    • Quick symptom relief
    • Complications are infrequent, and mild if they do occur
    • Post-operative impotence has not been associated with this procedure

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    Bph Is A Growth Of The Cells Within The Prostate Gland But It Is Not Cancer

    It is also not a sign of cancer and does not lead to cancer. However, it is possible to have BPH and prostate cancer at the same time. By age 60, more than half of men have BPH. By age 85, about 90 percent of men have BPH, but only about 30 percent will have symptoms. It is unclear as to what the cause of BPH is exactly. It is believed that the condition is a normal part of the aging process and is likely caused by changes in hormone balance and in cell growth. Other risk factors that increase a mans risk for BPH include a family history of the condition, having diabetes and heart disease, obesity, physical inactivity, and being Caucasian or African-American.

    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.

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    Greenlight Laser Treatment Of Bph

    The GreenLight Laser is used in the treatment of Benign Prostatic Hyperplasia , commonly known as enlargement of the Prostate. GreenLight laser treatment is a therapy that evaporates prostatic tissue which is blocking the outlet of the bladder. It is performed under anesthesia by placing a telescope into the urethra up to the level of the prostate. The laser fiber is guided through the scope and the prostate tissue is then quickly and gently vaporized. Other names for the procedure include photovaporization of the prostate or photoselective vaporization of the prostate or laser ablation of the prostate. You may also see the GreenLight laser referred to as a KTP laser.

    Several other laser therapies exist. Interstitial laser therapy is a type of thermotherapy that heats the prostate tissue, but does not vaporize or remove it. Holmium laser therapy is another high power laser that evaporates tissue in a procedure similar to the GreenLight. At the University of Virginia, we use the new GreenLight HPS system, which is a higher powered version of the original GreenLight laser made by LaserScope/AMS. The higher powered GreenLight HPS allows the surgeon to remove more of the obstructing prostate tissue in a shorter time than the older GreenLight system.

    In most cases patients undergoing GreenLight Laser treatment will have either general anesthetic or spinal anesthetic with sedation. The choice should be made by you in consultation with your surgeon and the anesthesia provider.

    Greenlight Laser Xps International Patient Program

    GreenLight laser surgery for an enlarged prostate

    Miami urologists David Robbins MD and Amery Wirtshafter MD are recognized worldwide for their expertise in treating the most complex cases of BPH or enlarged prostate using the GreenLight Laser XPS system. Our Miami urologists have been performing GreenLight Laser surgery since the technology was first introduced and because of this long-term commitment and expertise with GreenLight Laser technology Dr. Robbins and Dr. Wirtshafter have a close relationship with American Medical Systems, the parent company of GreenLight Laser technology.

    As a result of our expertise and knowledge of GreenLight Laser surgery, we have had the unique opportunity to treat patients from all around the globe. Patients have traveled to Miami for GreenLight Laser surgery with Dr. Robbins and Dr. Wirtshafter from Colombia, El Salvador, Nicaragua, Panama, Uruguay, Trinidad, Jamaica, Puerto Rico, and the Bahamas. Our international GreenLight Laser program welcomes patients from all additional regional countries including Brazil, Argentina, Peru, Venezuela, Chile, Ecuador, Bolivia, Paraguay, Guyana, Suriname, French Guiana, Mexico, Honduras, Guatemala, Belize, and Costa Rica. Please feel free to contact us to inquire about our international program for GreenLight Laser XPS procedures.

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    Bph Causes Urinary Problems Such As:

    A weak urine stream Difficulty getting a urine stream started and completely stopped Frequently feeling like you need to urinate Feeling that you have not completely emptied your bladder after you urinate.

    How is BPH diagnosed? BPH is diagnosed by a urologist who will evaluate your symptoms and do a series of tests including a digital rectal exam, a prostate-specific antigen blood test, and a urine test. Once the diagnosis is confirmed, the type of treatment you receive depends on the severity of the condition. The most optimal treatment option depends on the size of the prostate, age, overall health, and the severity of the symptoms.

    Two of the most common and effective treatment options available for BPH include a Transurethral Resection of the Prostate and Greenlight Laser PVP. A TURP is an invasive surgical procedure that removes excess growth around the prostate gland. It is performed by a urologist in a hospital under general anesthesia or spinal anesthesia coupled with a sedative.

    A resectoscope or a spring-action cutting tool, is inserted into the urethra to access the enlarged prostate gland. The electricity generated through the cutting tool removes small pieces of tissue until the urethra is no longer restricted.

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