Laser Prostate surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). During laser prostate surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through the scope. The laser delivers energy that is used to shrink or to get rid of the excess tissue that’s block the urethra and preventing urine flow.
All lasers use targeted light to generate precise and intense heat. Laser surgery removes excess prostate tissue using two principles as mentioned below:

• Ablation – The laser melts away excess tissue.
• Enucleation – The laser cuts away excess prostate tissue.

The type of laser surgery your doctor will perform depends on many factors, including the size of your prostate, your health, the type of laser equipment available and your doctor’s training.

Prostate laser surgery helps to reduce urinary symptoms caused by BPH. Urinary symptoms caused by BPH can include:

A number of procedures are available for treating BPH, but laser surgery has several potential advantages over other methods. The advantages generally include:

Serious long-term complications are less likely with prostate laser surgery than with traditional surgery. Risks of laser surgery can include:

Here are some issues to discuss with your doctor:

Laser surgery for an enlarged prostate can take from half-hour to one or two of hours depending on the size and anatomy of the prostate being treated. Before the surgery begins, you will be given either general anesthesia, which means you will be unconscious during the procedure, or spinal anesthesia, which means you, will stay conscious during the procedure.

A narrow fiber-optic scope is inserted through the tip of your penis into the urethra. By accessing the prostate through your penis, your doctor won’t need to make any cuts (incisions) on the outside of your body. The doctor will use the laser to destroy, vaporize or cut out the prostate tissue blocking urine flow. Depending on the procedure, your doctor may also use instruments to remove cut pieces of prostate tissue from the bladder.

After the procedure, you may have a urinary catheter in place because urine flow is blocked by swelling. If you’re unable to urinate after the tube is removed, your doctor may replace the catheter for some time to allow you to heal until swelling goes down and you can urinate again normally.

You may also notice:

Prostate laser surgery improves urinary flow in most men. Often, results are long lasting. If you are having any issues related to the above areas then a urologist can help by discussing the problem, examining you, investigating and reaching an accurate diagnosis.

Dr. Rahul Yadav is one of the very few dedicated Laser prostate surgery surgeon today. Within the urology subspecialty, apart from treating laser surgery related problems, he is keenly interested and experienced in Uro-oncology, Female and Paeditric Urological diseases, sexual problems and its management and among very few dedicated Laparoscopic/Robotic Uro-oncology surgeon in India.

He is closely involved in the diagnosis, treatment and follows up of patients undergoing urology treatment at the Apollomedics Super Specialty Hospital, Lucknow (UP) which is one of the specialized centers for urological treatment in India.