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Rushikesh Nemishte
Rushikesh Nemishte

Prostate Laser Surgery: A Modern Approach to Treating Enlarged Prostate


Prostate health is a vital aspect of men’s well-being, especially as they age. One of the most common conditions affecting men over 50 is benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. BPH can lead to uncomfortable urinary symptoms such as frequent urination, difficulty starting or stopping the flow, and a weak urine stream. While medications can help manage these symptoms in the early stages, surgery often becomes necessary when symptoms are severe or persistent. Among the surgical options, prostate laser surgery has emerged as a modern, effective, and minimally invasive solution.



Prostate laser surgery involves using a high-energy laser to remove or shrink excess prostate tissue that blocks urine flow. Unlike traditional surgery, which requires incisions and longer recovery times, laser surgery is performed through the urethra using specialized instruments. This method significantly reduces bleeding, making it suitable even for patients who are on blood-thinning medications. The precision of laser technology allows surgeons to target only the problematic tissue while preserving surrounding structures, which minimizes the risk of complications.


One of the key advantages of prostate laser surgery is its minimally invasive nature. Patients often experience shorter hospital stays, and many procedures can be performed on an outpatient basis. Recovery time is typically faster than traditional surgical methods, allowing men to resume their daily activities sooner. Additionally, the risk of post-operative complications such as infection, incontinence, or erectile dysfunction is generally lower compared to conventional surgery.


There are several types of laser procedures used for prostate treatment, each with its own benefits. Photoselective vaporization of the prostate (PVP) uses a green light laser to vaporize excess tissue, providing rapid symptom relief. Holmium laser enucleation of the prostate (HoLEP) removes enlarged tissue more completely and is suitable for men with very large prostates. Both techniques have been shown to be highly effective in relieving urinary obstruction and improving quality of life.


Patient selection is crucial for successful outcomes in prostate laser surgery. Factors such as the size of the prostate, overall health, and presence of other medical conditions are considered before deciding on the appropriate laser procedure. A thorough evaluation by a urologist ensures that the chosen treatment aligns with the patient’s needs and expectations.


Post-surgery care typically includes temporary catheterization, hydration, and avoiding strenuous activities for a short period. Follow-up visits help monitor healing and ensure that urinary function is restored optimally. Most patients notice a significant improvement in symptoms within a few weeks, leading to enhanced comfort and overall well-being.

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