Step 4: Laser Prostate Surgery, Robotic Surgery and Other Surgical Options
When less-invasive options are ineffective at treating symptoms of BPH, surgery is often the answer and usually requires complete removal of the enlarged prostate. All of the surgical options for managing severe BPH symptoms show greater improvement in urine flow rate than oral medications. Our patients have several surgical options. Most of these options are performed in the hospital setting, although some laser procedures can be done comfortably in the office.
Transurethral resection of the prostate (TURP) has been the predominant surgery for treatment of BPH since the 1960s, but that is beginning to change. The procedure itself isn’t changing much, but the cutting electrodes used for years in the TURP procedures are now being replaced by lasers. With the new laser techniques, patients experience substantially less bleeding and reduced risk of needing re-operation.
Another form of TURP is a bipolar TURP. With the bipolar, we use a “button” that creates a plasma that vaporizes tissue. The button TURP also has less bleeding than a conventional TURP. The restrictions and results of the button turp are similar to laser therapy for enlarged prostate.
Transurethral incision of the prostate (TUIP) is a surgical modality where the urologist makes a small incision in the prostate tissue to simply widen the opening between the urethra and bladder outlet.
And finally, simple prostatectomy is an option for some patients. It is an open surgery to remove the inner part of the enlarged prostate gland. The robot can be used to perform this procedure, allowing for a faster recovery than a conventional open surgery. Read about robotic surgery and the importance of surgeon experience before electing this procedure.
About Prostate Laser Surgery at The Urology Place
The most advanced lasers on the market today are the Thulium, Holmium, and GreenLight lasers. We use a Thulium laser as it allows for a more shallow depth of tissue penetration than the Holmium laser, which is highly advantageous during surgery. Our Thulium laser has a 2013nm wavelength that allows for 0.25mm penetration into the tissue, and performs remarkably to to vaporize the prostate tissue while minimizing bleeding.