Transurethral resection of the prostate (TURP)
- A transurethral resection of the prostate (TURP) is a surgical procedure that involves cutting of portions of the prostate gland.
- TURP is the most commonly used surgical procedure to treat benign prostatic hyperplasia (BPH).
- In this method the surgeon inserts an instrument called a resectoscope through the tip of the penis into the urethra which means no cuts (incisions) need to be made in the skin. Resectoscope, is thin metal tube containing a light, camera and loop of wire. The loop of wire is then heated with an electric current and is used to cut away the section of the prostate that is causing the symptoms.
- A catheter is then inserted into your urethra to pump fluid into the bladder and flush away pieces of tissue (prostate) that have been removed. Patients normally stay in the hospital only two to three days.
Types of Highly Advanced Minimally Invasive Laser Prostate Surgery at Super Speciality Hospitals in India
Green Light Laser PVP
Green Light Laser PVP (Photoselective Vaporization of the Prostate) is a procedure used in the treatment of Benign Prostatic Hyperplasia (BPH). Green Light Laser PVP is a recent addition to the minimally invasive techniques in the treatment of BPH
The procedure uses the technology of high-powered laser light combined with fiber optics. The surgeon directs the laser at the prostate, within moments the temperature of the blood becomes so fine it causes the nearby cells to vaporize.
There is growing interest in this procedure by patients and as well as by the surgeons because of its simplicity and effectiveness. A temporary catheter is often inserted to allow urine to drain from the bladder. The procedure takes near about one hour.
Advantages of Green Light Laser PVP:
- No Cut, No Bleeding so Less Pain.
- There is no need of blood transfusion.
- Early return to normal activity and work.
- Patient is able to urinate better with a good stream.
Holmium Laser
- Holmium Laser Enucleation of the prostate (HoLEP) is a modern alternative to the standard Transurethral Resection of the Prostate (TURP) procedure for enlarged prostate BHP (benign prostatic hyperplasia).
- This is done under a general anaesthetic with the help of a telescopic camera inserted through the penis. A special instrument is also used which known as morcellator. Mocellator cuts the prostate tissue into fragments.
- It requires a short period of hospitalisation. A catheter (a tube which drains the bladder) is also needed for 1-2 days until the urine clears. It provides a good outcome as the entire portion of the prostate gland is removed.
Advantages of Laser Prostate Surgery
Lower risk of bleeding: No cuts (incisions) need to be made in the skin so there is a low risk of bleeding with laser surgery.
Shorter or no hospital stay: Laser surgery can be done on an outpatient basis or Other prostate treatments, such as open prostatectomy or transurethral resection of the prostate (TURP), may require a longer hospital stay.
Quicker recovery: Recovery from laser surgery generally takes less time when compared with TURP.
Less need for a catheter: With laser surgery, a catheter is generally needed for less than 24 hours.
Quicker results: Improvements in urinary symptoms from laser surgery are noticeable right away.
How Laser TURP is superior to conventional TURP?
Conventional TURP
Blood thinners have to be stopped a week to 10 days before the procedure. This puts the heart at risk lead to circulatory problems with the heart.
Conventional TURP allows tissue removal at 1gram/min. Hence not suitable for large prostate glands.
Traditional TURP surgery causes much more bleeding than laser prostate surgery, both during the operation and often for several days afterwards.
Stay in hospital for many days until the catheter can be safely removed.
Laser TURP
DIODE laser can vaporize 3-4 grams/min. Hence prostate gland beyond 100 grams can also be managed endoscopically using laser energy. An ideal procedure for large prostate glands
Laser TURP in general is recommended by surgeons because of its simplicity and effectiveness.
The benefits laser TURP is that there is lower risk of bleeding.
An ideal procedure for large prostate glands.
Laser prostatectomies are effective in dealing with lower urinary tract symptoms
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