Prostatic Laser for prostate adenoma

Written by: Dr. Ramón Guido Serrate Aguilera
Edited by: Top Doctors®

The prostatic laser is a new technology that has been developed in recent years to prevent bleeding in interventions of benign prostatic hyperplasia. The laser aims to eliminate the obstruction of urination in a minimally invasive way and with minimum recovery times.


From the age of 50 it is important that men go to annual prostate examinations so that the urologist discards a possible adenoma or carcinoma. These appointments should be periodic and it is not necessary to wait to detect symptoms such as irritation when urinating, dribbling or the frequency of going to the bathroom to go to the specialist.

Types of prostatic laser

Green laser and Cyber ​​Tulio laser. Both vaporize the prostatic tissue. They make a wide tunnel that facilitates urination. These lasers can be used when the prostate is less than 80 grams. The intervention usually lasts one hour.

Holmium Laser. For large prostates between 80 and 200 grams. In these cases the prostates can not be vaporized and they are enucleated. The adenoma is removed, the benign tumor, and the parts are taken to the bladder where they are eliminated by mocelation. This operation is a little longer, between 1 and 2 hours.

It is also important who handles the laser, the technologies are good if the person who executes them is experienced in them. "As in tennis, the important thing is the tennis player and not the racket, in technological surgery the most important thing is the surgeon who executes it."


Conventional techniques for prostate cancer

Not all prostate enlargements can be treated with laser. Currently, both in the US and Spain, are still using alternatives as effective as the laser to treat hyperplasia. All are always aimed at avoiding possible complications.

For prostates weighing more than 80-300 grams, holmium laser can be used, but in certain cases it is necessary to resort to classical techniques, such as transurethral bipolar resection of the prostate or, even, open surgery. They are more aggressive interventions but they offer excellent results.

In patients with high risk, ethanol ablation is also used. Very effective and highly durable. In 20 minutes adenoma necrosis occurs, the benign tumor. Ethanol is injected that kills the tumor. This technique is used in patients with cardiac risk, who take sintrom or who may have complications during the intervention.

When the tumor is malignant, neither. Prostate cancer can not be treated with a laser.


Postoperative after prostatic laser

The intervention is minimally invasive so the patient leaves the hospital walking in 24-48 hours. The following days should take care of the hemorrhage, drink plenty of fluids and avoid violent efforts. The time of low to reincorporate to the working life is between 15 and 20 days.


Advantages of laser treatment and bipolar vaporization of the prostate

- Bleeding is much less, avoiding blood transfusions

- Relatively fast incorporation

- Minimal complications on the old resection (avoids impotence and urinary incontinence)

*Translated with Google translator. We apologize for any imperfection

By Dr. Ramón Guido Serrate Aguilera

Dr. Serrate Aguilera is a leader in the specialty of urology at the international level. Today is the surgical Clinical Institute of Urology and Andrology Chief Dr. Serrate and the International Centre for lithotripsy. Dr. Ramon Serrate is a pioneer in the treatment of urological and andrological pathologies. He carried out the first surgical treatment of impotence of man and patented the first penile prosthesis in Spain. Currently it uses different types of laser generation, for vaporization and ablation prostate and for the treatment of renal lithiasis

*Translated with Google translator. We apologize for any imperfection

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