Prostate Laser Surgery For Effective Treatment of Prostate

Dr. Shailendra Goel, Urologist in Noida has been performing prostate laser surgery for more than 10 years, being one of the best urologist in Noida with the largest number of operated patients. The procedure consists of removing the prostate by means of a beam of laser light that is directed, by means of an optical fiber, towards the prostatic tissue through the urethra. The intervention is performed without external incisions, through the urine duct.

There are different surgical techniques, depending on each particular case:

• Photovaporization: When the laser light impinges on the prostatic tissue, it causes its vaporization (photovaporization), as a consequence of the localized increase in temperature. This supposes that the prostate tissue disappears, transforming itself into water vapor, leaving minimal tissue residues. At the same time, it is possible to plug the blood vessels (photocoagulation), avoiding the bleeding of the prostate, one of the major complications of conventional surgery. This circumstance makes possible the intervention in anticoagulated patients, with anemia, etc. It is the technique initially developed and suitable only for small prostates (up to 60 g)
• Photorresection: It consists of cutting the prostate in small fragments that are then extracted through the urethra, as is done with the conventional resection technique. With this technique it is possible to approach larger prostates (60-120 g).
• Enucleation: It consists of separating with the laser fiber the different lobes of the prostate, which are extracted in a single piece. It is used, preferably, in cases of very large prostates (greater than 120 g). To extract the fragments of the prostatic tissue it is necessary to use a morcellator (crusher) that is introduced by the same endoscopic system.

There is no limitation, because of the size of the prostate, for its use. It is possible to use this technique in all cases, regardless of the size of the prostate gland. For small prostate treatment in Noida, it is usual to resort to photovaporization. With this technique it is possible to eliminate about 2 g of tissue per minute of effective surgery. In the case of larger prostates, photoremoval, whose performance is up to 8 g per minute, will be used. Finally, in larger prostates we will have to resort to enucleation.

The advantages of this technique over classic procedures (transurethral resection or open prostatectomy) are numerous:

• It is possible to carry out the transurethral treatment in all cases
• The risk of bleeding is minimized, which is less than 0.5%
• Hospital admission time is reduced: using the laser it is possible to perform the procedure and discharge the patient in a few hours. Hospital admission will be between 6 and 24 hours. With transurethral resection, this admission is prolonged up to 3-5 days and with open prostatectomy until 5-7 days.
• The time during which it is necessary to carry a bladder catheter is also reduced. In almost all patients the bladder catheter is removed in 48-72 h.
• The patient's recovery is very fast. His reincorporation to normal life is practically immediate.
• The relief of symptoms is immediate, from the moment the probe is removed and the patient is discharged.
• The results, in terms of clinical improvement, are superimposable to those achieved with classical techniques.
• The improvement continues with the passage of time. In the clinical trials conducted it was possible to verify that the clinical improvement was maintained after 5 years from the intervention.
• The most important complications of conventional surgery, urinary incontinence and impotence, are minimal, practically nil, with this new technique.

The results, in the medium and long term, are absolutely equal to those of conventional techniques, while the complications and complexity of the procedure are unparalleled. Therefore, this technique is imposed as the procedure of choice. In patients with associated medical problems who have a moderate or large surgical risk, this should be the procedure chosen to undergo prostate surgery with guarantees.

If you want to know more about the experience of the best urologist in Ghaziabad in this matter, visit his website where you will find reviews about his participation in different national and international events; awards; acknowledgments received, etc.