Use of Technology by Laser in Prostate Surgery

The laser system uses a laser of the last generation and high energy in conjunction with an optical fiber. The laser eliminates the enlarged prostate tissue and also produces simultaneous photocoagulation of the blood vessels, practically preventing the possibility of bleeding, which is always the great concern of urologists in prostate surgery.

The green laser was a revolution since its appearance more than 15 years ago. From the first green laser of 80w of power, it has been improving until it reaches 180w of the last green laser.

But currently, with the advent of the new Cyber ‚Äč‚ÄčTulio laser in the market and the Holmio laser, significant progress has been made in the prostatic hyperplasia treatment.

ADVANTAGES OF LASER IN PROSTATE SURGERY

  • It can be administered with a 24-hour hospital admission.
  • Virtually without blood loss. Ideal for high-risk patients on anticoagulant treatment.
  • Rapid relief of symptoms
  • Rapid recovery of the patient’s normal activity.
  • Bladder catheter usually less than 24-48 hours.
  • The results are lasting over time.
  • Absence of incontinence and impotence.

PROSTATE ENUCLEATION

This technique allows, unlike the vaporization that converts prostatic tissue into the water, to extract large sizes of the prostatic hypertrophy that are then removed by a device called a morcellator whose purpose is to crush the prostatic lobes that we have dropped into the bladder through enucleation. It is the only endoscopic technique that allows prostates of considerable size to be operated. In addition, this technique facilitates the obtaining of prostatic tissue for anatomopathological study.

Green laser for benign prostatic hyperplasia

In Study that have state-of-the-art technology for the treatment of benign prostatic hyperplasia (BPH), the green laser (Green Light XPS) and now, at a special price and with interest-free financing. It is a safe technique that does not cause bleeding and is as effective as traditional prostate surgery (TUR) and with fewer side effects. It is indicated for the treatment of benign prostatic hyperplasia, that is, the benign enlargement of the prostate. It is also treated by BPH cure.

The green laser therapy (Green Light XPS) is a minimally invasive procedure, its main advantages being:

  • There is no blood loss.
  • The bladder catheter can be removed at 12 o’clock.
  • The hospital stay is about 24 hours. With the TUR the patient remains in the clinic 5-6 days.
  • Immediate relief of symptoms occurs with significant improvement in urinary flow.
  • Less than 1% has reported decreased erection.
  • The results are long-term and no further surgeries on the prostate are needed.
  • In 2 or 3 days the usual activities can be done, avoiding the important efforts.

Symptoms of benign prostatic hyperplasia

  • Obstructive symptoms Dysuria, lower caliber and strength of the voiding stream, longer urination time, terminal drip, 2-time urination, incomplete emptying sensation, and paradoxical incontinence due to overflow.
  • Irritative symptoms. Daytime urination, nocturia, urgency, urges incontinence and suprapubic heaviness.
  • Associated symptoms acute retention of urine, renal failure, urinary infection, and microscopic hematuria.

Diagnosis

  • A detailed clinical history will be made, with special emphasis on the current symptomatology.
  • General examination where a digital rectal examination will be included to assess size, sensitivity, consistency, mobility, symmetry and the presence of a median groove between the two lobes.
  • Urine and urine culture.
  • Creatinine
  • Supplementary tests. Flujometry, PSA and abdominopelvic ultrasound.
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