Prostate Laser

“green light laser prostatectomy”. It is a minimally invasive procedure that results in notable improvements in urinary symptoms.

A thin fiber is inserted into the urethra through a cystoscope, an instrument that allows the doctor to examine the bladder and prostate. The fiber carries green laser energy that quickly evaporates and removes prostate tissue. The urologist is able to safely visualize and control the treatment area, adapting it to your anatomy and individual needs. As the prostate tissue is vaporized and removed a wide channel is created: urinary flow is immediately restored and urinary symptoms are relieved. The green light laser used in vaporization has a wavelength that is absorbed by hemoglobin, which is present in red blood cells. Because of this, tissue that has blood in it (such as the prostate) is selectively vaporized. Once the prostate capsule is reached, the vaporization stops and the procedure is complete, in fact the prostatic capsule is fibrous and does not have hemoglobin and is therefore protected by the laser. The ADVANTAGE over TURP is that the prostatic tissue is selectively vaporized, rather than cut. In fact, when the prostate tissue is cut in TURP, the prostate bleeds much more profusely. On the other hand, during photo-selective vaporization of the prostate, the tissue does not bleed.

The GreenLight laser exploits the ability of Lithium Triborate crystals to vaporize tissues with the consequent advantage of a minimally invasive, bloodless operation, in the absence of problems from reabsorption of liquids, with a short hospital stay. There are numerous advantages of the  GREENLIGHT XPS 180 Watt produced by the American Medical Systems, Inc. company.

• treatment of BPH with greater safety thanks to the intraoperative use of saline solution (minimal or no risk of fluid reabsorption);
• significant reduction in hospital hospitalization days thanks to the great coagulation capacity of GREENLIGHT XPS which allows the removal of the bladder catheter and discharge on the first or second day;
• absence of intra- and post-operative bleeding complications which may lead to re-operations;
• possibility of treating patients on anticoagulant therapy without suspending it (not an insignificant advantage in an era of ever-increasing use of antiplatelet therapies linked to cardiovascular events);
• reduction of problems due to transfusions;
• possibility of treating patients with pacemakers since no electricity is used;
• shorter functional recovery of the patient.