Laser Prostate Surgery
Enlarged Prostate: Laser Prostae Surgery
The prostate is a small organ—about the size of a walnut—responsible for producing seminal fluid, which nourishes and transports sperm. Located below the bladder and surrounding the urethra, the prostate plays a vital role in the male reproductive system.
As men age, the prostate commonly enlarges, a condition known as Benign Prostatic Hyperplasia (BPH). Although benign and non-cancerous, BPH can cause significant urinary problems by narrowing the urethra.
Understanding its causes, symptoms, and treatment options—including advanced laser surgery—is key to managing BPH effectively.
Causes of Enlarged Prostate
- Aging: BPH is age-related and affects 50% of men by age 60 and up to 90% by age 85.
- Hormonal Changes: Decreased testosterone and increased oestrogen or DHT may stimulate prostate growth.
- Family History: Genetics may increase the risk of developing BPH.
- Lifestyle Factors: Obesity, inactivity, and diet may contribute to prostate growth.
- Other Health Conditions: Diabetes and heart disease can also be linked to BPH.
BPH is not prostate cancer, but the two may occur together.
Symptoms of Enlarged Prostate
- Frequent urination, especially at night (nocturia)
- Urgency to urinate
- Weak or interrupted urine stream
- Difficulty starting urination
- Feeling of incomplete bladder emptying
- Post-urination dribbling
- In severe cases, complete urinary retention
These symptoms can severely affect quality of life and may lead to complications if left untreated.
Diagnosis of Enlarged Prostate
- Medical History: Discussing urinary issues and lifestyle impact with a urologist
- Physical Exam: Digital rectal examination (DRE) to assess prostate size
- Urinalysis: Rule out infection or related conditions
- PSA Test: Measures Prostate-Specific Antigen to assess enlargement and rule out cancer
- Postvoid Residual Test: Measures urine left after urination
- Uroflowmetry: Evaluates urine flow rate
- Cystoscopy: Visualizes urethra and bladder using a camera
- Ultrasound: Assesses prostate volume and abnormalities
Latest Treatments for Enlarged Prostate
1. Lifestyle Changes:
- Reduce caffeine and alcohol intake
- Limit fluid intake in the evening
- Practice bladder training exercises
- Maintain healthy weight and stay active
2. Medications:
- Alpha Blockers: Relax prostate and bladder neck muscles for better urine flow
- 5-Alpha Reductase Inhibitors: Shrink the prostate by altering hormone levels
- Combination Therapy: Used in moderate to severe cases
These medications may need to be taken long-term and can cause side effects like dizziness and reduced sexual function.
3. Minimally Invasive Procedures:
- UroLift: Tiny implants lift the prostate to clear the urethra
- Rezūm Therapy: Steam ablation causes prostate tissue to shrink
These are outpatient procedures with quicker recovery times.
Laser Surgery for Enlarged Prostate
Laser surgery is a cutting-edge treatment offering long-term relief with fewer complications.
Types of Laser Surgery:
- HoLEP (Holmium Laser Enucleation): Removes obstructive prostate tissue; ideal for all prostate sizes
- PVP (Photoselective Vaporization): GreenLight laser vaporizes tissue with minimal bleeding
- ThuLEP (Thulium Laser Enucleation): High precision with excellent results
Advantages of Laser Surgery:
- Minimal bleeding
- Shorter hospital stays
- Faster recovery
- Low risk of complications
- Safe for patients on blood thinners or with large prostates
Surgical Treatment for Enlarged Prostate
For severe BPH or cases where other treatments fail, surgery is a reliable solution.
Types of Surgical Procedures:
- TURP (Transurethral Resection of the Prostate): Removes excess tissue via the urethra; gold standard
- Open Prostatectomy: For very large prostates, involves surgical incision
- Robotic-Assisted Prostatectomy: Minimally invasive and highly precise with faster recovery
Laser Prostate Surgery in India
India is a preferred destination for prostate laser surgery due to its affordable yet high-quality care. Top hospitals in Delhi, Mumbai, Chennai, and Bangalore are equipped with advanced laser systems like HoLEP and ThuLEP.
Indian urologists are globally trained, experienced, and specialize in minimally invasive procedures. Medical tourism packages include surgery, hospital stay, and follow-up care, providing international patients with a safe and effective solution with minimal waiting times.