Wednesday, April 17, 2024

Does Green Light Laser Surgery Cause Impotence

Side Effects And Complications From Treatment For Enlarged Prostate With Greenlight Laser Surgery

Greenlight laser for enlarged prostate

Some men develop side effects and complications after treatment for BPH with Greenlight laser or other lasers used for the treatment of enlarged prostate.

These complications are not unique to the Greenlight laser procedure and can occur after any transurethral procedure performed on the prostate .

There several side effects and complications that could occur after laser treatment of a large prostate. The most common side effects and complications include persistent hematuria or bleeding, persistent frequent urination and urgency to urinate, urinary incontinence or leakage, and burning with urination.

Details Of The Greenlight Laser Prostate Surgery

A small urethral catheter is inserted at the end of the procedure. This is left in place overnight only. After removal of the catheter, men go home once they have successfully passed urine and emptied their bladder.

Follow-up takes place 12 weeks after the prostate laser surgery to confirm symptomatic improvement.

The Prostate Clinic

The Prostate Clinic, located in Australiaâs Gold Coast, specialise in minimally invasive surgery and treatments, for the prostate and prostate cancer.

Dr. Charles Chabert carries out medical therapy and procedures such as robotic prostate surgery and UroLift, to GreenLight laser prostate surgery or laser prostate surgery. These treatments are aimed at patients with prostate cancer, those seeking enlarged prostate treatment, erectile dysfunction and/or urinary incontinence.

Contact The Prostate Clinic to arrange an appointment to discuss your diagnoses and plan your way forward.

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Green Light Laser Prostate Surgery Is A Big Boon

Prostate enlargement is a deadly infection experienced by most of the men that brings discomfort in their life. It is caused due to growth of prostate gland due to which urethra is compressed.

As such the follow passage for urine is obstructed and this results in increased bothersome urinary symptoms like irritation, strained, slow, discontinuous and frequent urine. Among many treatments to cure this infection, green light laser therapy is one of the best treatments for this infection as it involves the use of modern technology of lasers.

Since long this treatment has set of new standard care for treating enlarged prostate symbols. You might have heard about the surgery with the name PVP, which stands for photoselective vaporization of the prostate. Green light laser therapy has received FDA clearance in May 2001.

Basically laser surgery uses high energy lasers to destroy prostate tissue. Following procedure is followed in green light laser surgery. The patient is first given general or spinal anesthesia. The doctor then passes the thin laser fiber through the passage called urethra into the prostate using cytoscope, cytoscope is a camera that allows doctor to examine bladder and prostate, and delivers bursts of energy. Each burst lasts for 30 to 60 seconds. The high energy of lasers destroys prostate tissue by vaporizing them and prostates are thus removed.

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Things You Should Expect After Prostate Surgery

Prostate removal is a major type of surgery and requires time for the body to recover. Even though robotic prostatectomy using the Da Vinci robot has less severe effects on the body and the patient can leave the hospital the same day, men should expect some changes in order to know how to deal with them. The surgery is performed through small incisions that are barely sensitive at the incision sites and the scar tissue is almost unnoticeable. Typically, the recovery is fast, most men are able to go home the next day and resume driving and working in two to three weeks after the surgery.

In the immediate hours after surgery:

What Are The Side Effects Of Holmium Laser Enucleation Of The Prostate

Blue Ribbon Prostate Clinic

The most common side effects include:

  • Temporary burning and bleeding during urination. Some blood may be seen in the urine for weeks after surgery. This is usually not an indication of anything serious, only that the healing process is not yet finished.
  • Urinary incontinence is expected in all patients immediately after surgery and they should wear pads for the first few days/weeks. This typically improves over the course of several weeks. Performing Kegel exercises can help decrease leakage from stress maneuvers such as coughing, sneezing, or lifting. The rate of long term leakage from stress maneuvers is low. Patients may also have leakage with urgency and this may be treated with medication. The risk of urge incontinence can be dependent on several factors including age, prostate size, symptoms, and other medical problems.
  • Retrograde ejaculation or âbackwards ejaculation.â In 75 percent of cases, the patient will not see any fluid during ejaculation during sexual activity after surgery.
  • Erectile function is generally not significantly affected. A small percentage of patients have reported improved erectile function while a small percentage have reported decreased erectile function.

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Post Greenlight Laser Surgery Recovery


I had GL surgery four days ago and would appreciate feedback regarding the recovery process from those that have also undergone this procedure. I currently void every 30 to 60 minutes at night and every 30 to 60 minutes during the day. My flow is a stream for a few seconds then dribbles for maybe 30 seconds. Is this pretty typical? After the surgery I was drinking 1 1/2 liters of water per day but I may reduce this because I am not convinced my bladder is emptying fully. What do you think about this? When I void, it really burns at first and often I will get bladder spasms as well. Do you think the pain is radiated pain from where the prostate was vaporized? Do you think I will see improvement with these symptoms on a daily basis or weekly basis over the next month or so?

3 likes, 163 replies

  • Posted 7 years ago

    I had a similar problem. it was caused by blood clots forming in the uretha and thus the inconsistant flow of urine.I went to A& E because i was unable to pass urine at all at one stage. They flushed out the bladder and it was unbelievable how many clots there were. They are unlikely to disove them selves. BVut this is some thing yiu need to check out.

    good luck

  • Posted 4 years ago

    I have had the surgery 2010 and since been having problems with bladder not emptying it sounds like Im going to have it redone again

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    Who Can Have This Treatment

    All patients with an enlarged prostate, known as Benign Prostatic Hyperplasia are suitable, including those on anticoagulants. Because we use powerful, third generation laser technology and proven techniques, we can treat men with large prostates, including those who have gone into retention and are dependent upon a catheter.

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    What Are The Benefits Of Green Light Laser Surgery

    What are the beneficial effects of green light laser surgery on the prostate? 1 Relief of urinary obstruction 2 Reduced risk of prostate bleeding 3 Reduced urinary symptoms 4 Reduced risk of UTIs 5 Improved quality of life 6 Reduced hospital stay Laser Prostate Surgery vs turp

    Are there any side effects after laser treatment?

    Several side effects and complications can occur after laser treatment of a large prostate. The most common side effects and complications include persistent hematuria or bleeding, persistent frequent urination and urgency to urinate, incontinence or urine leakage, and burning on urination.

    How is GreenLight Laser used in prostate surgery?

    What Can I Expect From The Procedure

    What you need to know before a GreenLight Laser Prostatectomy

    The procedure takes an average of 60 to 90 minutes under general anaesthetic. A thin laser fibre is positioned within the laserscope and is passed up through the urethra to deliver the treatment.

    At BPC, we recognise that for some men, a trim TURP can be a useful procedure at the end of GreenLight laser surgery if residual prostate tissue is still present. We call this a trim TURP. By completing the procedure in this way, the normal flow of urine out of the body is restored and the likelihood of needing further surgery in the future is reduced. Having a trim TURP in additional to laser surgery does not have a significant impact upon your post-operative recovery, our experience shows. After your procedure, you will spend one night in hospital.

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    The Different Types Of Prostate Surgery


    The term prostatectomy is used to describe a number of different surgical procedures to remove either part or all of the prostate gland. This may be required to treat prostate cancer or BPH.

    When only a part of the prostate is removed, this is called a simple prostatectomy. This process involves enucleating it from its capsule to trim away excess tissue, but where the sphincter muscle and nerves remain intact. It is usually used to treat BPH, which is a benign condition, meaning there is no risk of malignant cells having moved on to surrounding tissue.

    When the entire prostate gland, capsule , the surrounding lymph nodes and neighbouring tissue is removed, this is known as a radical prostatectomy. This is usually a treatment for men with localised prostate cancer and there a number of techniques used:

    Open Surgery This is where the prostate is removed via a large single incision in the lower abdomen, or the perineum .

    Laparoscopic Radical Prostatectomy This is where the prostate is removed via several small incisions in the lower abdomen using small surgical instruments. This process is much less invasive than open surgery.

    Robotic-assisted radical prostatectomy Much like laparoscopic radical prostatectomy, the prostate is removed via small incisions in the lower abdomen. Robotic-assisted instruments are inserted through the incisions and controlled by a surgeon.

    Holmium Laser Enucleation of the Prostate

    Transurethral Resection of the Prostate

    Potential Side Effects And Complications

    All procedures have the potential for side effects. Although these complications are well recognised, the majority of patients do not have problems after a procedure.

    Risks of the anaesthetic need to be discussed with the anaesthetist who will be looking after you during the operation, and who will visit you beforehand.

    There are specific risks with this surgical procedure, and these will be discussed with you before your procedure. As a guide to complement that one-on-one discussion with your surgeon, these include:

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    Open Rp Versus Robotic

    The ability to perform robotic-assisted laparoscopic RP was first described in 2000. Over the past decade, RALRP has gained widespread acceptance and now is the dominant approach to RP in the United States. Many attribute the adoption of the RALRP to marketing as opposed to any objective outcomes data showing superiority over the open approach.

    All of the intermediate- and long-term HRQOL outcomes reported in the literature are limited to open RP. The question is, are these findings relevant to RALRP?

    Unfortunately, there are no randomized studies comparing HRQOL outcomes following open versus robotic RP. The majority of studies comparing HRQOL outcomes between the two techniques are flawed in design. First, the level of experience of surgeons performing the two techniques and their patient volume are often not comparable. In addition, validated instruments for capturing outcomes are usually not employed. Surgeons are sometimes involved in the data acquisition, entry, and interpretation, which can introduce bias. There are several studies that have examined large administrative databases, which often mitigate bias, but the quality of outcome measures is subject to criticism. A few studies stand out as objective and worthy of comment.

    Barocas and colleagues compared men undergoing open and RALRP and failed to show any advantages of either approach for preventing biochemical recurrence.

    Patient Expectations After Greenlight Laser For Enlarged Prostate

    ME &  MY OPERATION: New laser that kills prostate cancer and spares a ...

    Immediately following a minimally invasive GreenLight Laser procedure, patients will have a catheter in place to drain the bladder. Patients are discharged to home following the procedure and then can follow up in the office in 1-3 days to have the catheter removed. The length of time with the catheter following the procedure is typically dictated by the size of the prostate, with extremely large prostates requiring longer postoperative catheter times.

    After the catheter is removed, patients should immediately notice that the strength of their urinary stream is improved given their more open prostate channel as demonstrated in the images below. Patients, however, will commonly experience mild burning with urination and frequency that may last several days. Soon after the GreenLight Laser procedure patients will begin to notice a decrease in urinary frequency and need to wake up at night to urinate as the bladder begins to relax and accommodate to a more open prostate channel without obstruction.

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    What Is Greenlight Laser Therapy

    GreenLight Laser Therapy is a procedure performed with a small fiber that is inserted into the urethra through a cystoscope. The fiber delivers high powered laser energy which quickly heats up the prostate tissue, causing the tissue to vaporize. The process is continued until all the enlarged prostate tissue had been removed. Natural urine flow is rapidly restored and urinary symptoms are quickly relieved in most patients.

    When To Consider Greenlight Laser Therapy

    Patients who are experiencing symptoms due to Benign Prostatic Hyperplasia are candidates for GreenLight. Historically this condition has been treated with medication or an invasive surgical procedure .

    Benign Prostatic Hyperplasia is a non-cancerous enlargement of the prostate. Your prostate grew to normal size during your teenage years. Usually, the prostate grows to the size of a walnut. The prostate may begin to grow again when a man reaches middle age. The reasons for this growth are not fully known. By the age of 80, 80% of men have BPH.

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    How Does Greenlight Work

    GreenLight Laser treatment evaporates the prostatic tissue blocking the outlet of the bladder. We place a telescope into the urethra up to the level of the prostate, guide a laser fiber through the scope and then gently vaporize the prostate tissue.

    In most cases, patients undergoing GreenLight Laser treatment will have either general anesthetic or spinal anesthetic with sedation.

    Will I Need To Wear A Catheter

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    Many patients do not require a catheter following the procedure. If one is required, it is typically removed in less than 24 hours. However, patients with compromised bladder function or those who require prolonged catheterization as a result of severe urinary symptoms may require a catheter for a longer period of time.

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    Side Effects Of Prostate Surgery

    The major possible side effects of radical prostatectomy are urinary incontinence and erectile dysfunction . These side effects can also occur with other forms of prostate cancer treatment.

    Urinary incontinence: You may not be able to control your urine or you may have leakage or dribbling. Being incontinent can affect you not only physically but emotionally and socially as well. These are the major types of incontinence:

    • Men with stress incontinence might leak urine when they cough, laugh, sneeze, or exercise. Stress incontinence is the most common type after prostate surgery. Itâs usually caused by problems with the valve that keeps urine in the bladder . Prostate cancer treatments can damage this valve or the nerves that keep the valve working.
    • Men with overflow incontinence have trouble emptying their bladder. They take a long time to urinate and have a dribbling stream with little force. Overflow incontinence is usually caused by blockage or narrowing of the bladder outlet by scar tissue.
    • Men with urge incontinencehave a sudden need to urinate. This happens when the bladder becomes too sensitive to stretching as it fills with urine.
    • Rarely after surgery, men lose all ability to control their urine. This is called continuous incontinence.

    After surgery for prostate cancer, normal bladder control usually returns within several weeks or months. This recovery usually occurs slowly over time.

    There are several options for treating erectile dysfunction:

    What To Expect After Green Laser Prostate Surgery

    The GreenLight Laser is used for the treatment of Benign Prostatic Hyperplasia . This is most commonly referred to as enlargement of the Prostate. It is a therapy involving evaporation of prostatic tissue that blocks bladder outlet.

    The surgery is performed under the effect of anesthesia. Surgeon will place a telescope into the urethra up and about the prostate level. A scope is used to guide laser fiber towards the prostate tissue which is quickly and smoothly vaporized. The surgery is also termed as the following:

    • Prostate photovaporization
    • Laser ablation of the prostate
    • KTP laser surgery

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    Tried And Tested Technology

    GreenLightTM Laser Therapy has been well documented and numerous articles have been published about the therapy in medical literature.

    Based on these articles, GreenLight Laser Therapy:

    • Has low complication rates6, and short catheterization6,8-11,13-14 and hospitalization times.6,8-11,14
    • Can be used if you are taking blood thinners12, in urinary retention15, or have a large prostate .8
    • Can be used if you have an implanted pacemaker, defibrillator, or neurostimulator.16

    Adequate Training And Learning Curve

    Blue Ribbon Prostate Clinic

    The introduction of PVP was accompanied by the requirement of surgeons to develop new skills sets. Accordingly, a significant learning curve has been associated with PVP. Several groups have reported the use of a GreenLight simulator as a training tool to optimise the quality of utilising PVP equipment . The training simulation included a 30-minute tutorial by an experienced operator and was subsequently followed by ten sessions of five training modules. The use of a training simulator resulted in improvements in operating times, error rates and instrument costs. Clinically, Misrai et al. performed a single surgeon series and reported that 120 consecutive cases were required to optimize operating time . In this series, following the learning curve, total energy to prostate tissue efficiency increased over time.

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