Green Light
Laser Surgery

Green Light Laser Surgery

GreenLight laser therapy is a procedure performed on patients with enlarged prostate.  GreenLight laser Therapy combines the effectiveness of the “gold standard” transurethral resection of the prostate (TURP) surgical procedure with fewer side effects.  The result is a wide open channel for urine flow to pass through, but with fewer risks of side effects, including erectile dysfunction and bleeding, common with TURP.

When to consider GreenLight Laser Therapy?

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

Benign Prostatic Hyperplasia (BPH) is a non-cancerous (benign) 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.  

What are the symptoms of an Enlarged Prostate?

An enlarged prostate presses on the urethra.  The pressure can obstruct the flow of urine through the urethra.  Obstruction of the flow of urine can cause problems, including:

  • Frequent urination, especially at night (nocturia).

  • Weak urine flow

  • Sudden urge to urinate (urgency)

  • Trouble starting and stopping your urine stream (hesitation)

  • Inability to completely empty your bladder

  • Pushing or straining to urinate

  • Pain or burning during urination.

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.

Where will the procedure be done?

After the diagnosis of BPH, typically the physician will perform multiple tests in the office to rule out cancer or other more complicated problems.  When the decision is made to perform GreenLight, you will sign consent forms for the surgical procedure.  We will then do an insurance evaluation to confirm that your insurance will pay for the procedure.  The surgery scheduler will call you within a few days to set the appointment at the hospital.

The day of the procedure, you will be required to follow the pre-surgery instructions provided by Springfield Urology.  You will be given general anesthesia, so a driver is required to accompany you to the hospital.  Typically no overnight stay is needed.  However, in some cases when a patient travels a long distance, has other medical conditions to consider or is in frail condition an overnight stay may be recommended.  You will be given an appointment for a post-op appointment within two weeks after your surgical procedure.

What to expect after surgery?

All patients are different so these items may vary:

  • You will typically be sent home with a catheter.  Normally this is removed the following day, but some patients with compromised bladder function or those who have required prolonged catheterization as a result of sever urinary symptoms may require a catheter for a longer period of time.
  • Most patients experience very rapid relief of symptoms and a dramatic improvement in urinary flow.  This typically occurs within 24 hours of the procedure.  However, medical history, health condition and other factors can influence treatment recovery.
  • You may experience mild discomfort such as slight burning with urination and small amounts of blood in your urine for a week or so.  Also depending on the condition of your bladder, you may experience greater frequency and urge to urinate.  This will resolve over time as your bladder adjusts now that the obstruction in your urethra has been removed.

What are the advantages of GreenLight Therapy?

  • Rapid urine flow improvement

  • Quick return to normal activities

  • Virtually bloodless procedure

  • A definitive, long lasting treatment

  • Less than 1% reported cases of erectile dysfunction (ED)

  • Short to possibly no catheterization

  • Outpatient procedure in otherwise healthy patients

  • Over 500,000 patients treated worldwide

What are the risks of GreenLight therapy?

Complications may include blood in urine, bladder urgency, irritation of the urinary tract, retrograde ejaculation.  Typically these will decrease over time, inform your physician if you are experiencing any of these symptoms after your procedure.

**Information provided by the American Medical Systems Company.  Please visit www.Greenlightforbph.com for more information.

 

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