It is a minimally invasive technique that treats benign prostatic hyperplasia (BPH). By applying laser light to the adenomatous tissue, it is eliminated, thus relieving urinary tract symptoms.
Patients with bothersome urinary symptoms Patients with symptoms such as weak stream, intermittent urination, incomplete bladder emptying, urinary urgency, needing to get up to urinate at night, etc.) or complications arising from benign prostatic hyperplasia (acute urinary retention requiring catheterization, prostatic bleeding, obstructive renal insufficiency, recurrent urinary tract infections, bladder diverticula, bladder stones) are ideal candidates for surgery. benign prostatic hyperplasia.
Traditionally, the treatment options were open prostatectomy, which removed the hyperplastic tissue through an incision in the abdomen and transurethral resection Transurethral resection of the prostate (TURP), which dried this tissue by inserting a special instrument through the urethra, the resectoscope.
Both techniques are effective, but they often represent a traumatic experience for the patient, given the significant bleeding that occurs during and after the operation, sometimes requiring transfusions, as well as postoperative impotence, postoperative incontinence, urethral strictures, and other complications. Patients typically stay for 2 to 7 days and require prolonged urethral catheterization.
In May 2003 the Dr. Fernando Gómez Sancha introduced in Madrid the KTP green laser prostate photovaporization technique (80 watts) and subsequently the new high-power green laser HPS (120 watts), which allowed patients to be operated on with minimal risk and better resultsIn June 2010, it adopted the new XPS green laser (180 watts), which, having more power, allows for the vaporization of larger prostates in less time.
This Laser treatment allows for the removal of benign hyperplasia of the prostate by destruction by tissue vaporization hyperplastic in a minimally invasive way, without heavy bleeding or major discomfort.
Patients typically arrive on the morning of the procedure, which is performed under spinal anesthesia (from the waist down), and can be discharged that afternoon or the following day. Normal activities can be resumed after 2 or 3 days.
It is a highly effective technique, comfortable for the patient and extremely safe. It is especially indicated in elderly patients or those suffering from accompanying illnesses (diabetes, heart disease, etc.) or use anticoagulant treatment.
patients with prostate cancer They can also benefit from this treatment when prostate enlargement prevents them from urinating normally, or when curative treatment is attempted for tumors located in the prostate. combination with high-intensity focused ultrasound (HIFU).
