GreenLight Laser Therapy

From WikiMD's Food, Medicine & Wellness Encyclopedia

GreenLight Laser Therapy is a minimally invasive surgical procedure used primarily to treat benign prostatic hyperplasia (BPH), a condition commonly known as enlarged prostate. This therapy utilizes a high-powered laser to remove prostate tissue that is causing obstruction or other urinary symptoms. The procedure is known for its effectiveness and safety, offering a valuable alternative to traditional surgical methods such as Transurethral Resection of the Prostate (TURP).

Overview[edit | edit source]

GreenLight Laser Therapy employs a laser with a wavelength of 532 nm, which is highly absorbed by the red pigment (hemoglobin) in blood. This characteristic allows the laser to precisely vaporize and remove enlarged prostate tissue while minimizing bleeding, a common complication of prostate surgery. The procedure is typically performed on an outpatient basis, allowing patients to return home the same day.

Indications[edit | edit source]

The primary indication for GreenLight Laser Therapy is benign prostatic hyperplasia (BPH), a condition in which the prostate gland enlarges, leading to urinary symptoms such as difficulty starting urination, weak urine stream, and the need to urinate frequently or urgently. BPH is common in older men, and while it is not life-threatening, it can significantly impact quality of life.

Procedure[edit | edit source]

During the procedure, the patient is placed under either general or spinal anesthesia. A cystoscope, a thin tube with a camera and light at the end, is inserted through the urethra to the prostate. The GreenLight laser is then introduced through the cystoscope, and the surgeon uses the laser to vaporize the excess prostate tissue blocking urine flow. The procedure typically takes about one hour, depending on the size of the prostate and the amount of tissue to be removed.

Advantages[edit | edit source]

GreenLight Laser Therapy offers several advantages over traditional surgical treatments for BPH, including:

  • Reduced risk of bleeding: The laser's ability to coagulate blood vessels as it cuts reduces the risk of bleeding, making it a safer option for patients on blood thinners or with bleeding disorders.
  • Shorter hospital stay: Most patients can go home the same day of the procedure.
  • Quicker recovery: Patients typically experience fewer complications and a faster return to normal activities.
  • Less need for a catheter: Many patients require a catheter for a shorter duration post-operation compared to traditional surgery.

Risks and Complications[edit | edit source]

While GreenLight Laser Therapy is generally safe, no surgical procedure is without risks. Potential complications may include:

  • Urinary tract infection
  • Irritation of the bladder, causing urgency or frequent urination
  • Rarely, erectile dysfunction or retrograde ejaculation

Conclusion[edit | edit source]

GreenLight Laser Therapy represents a significant advancement in the treatment of benign prostatic hyperplasia (BPH), offering an effective and less invasive alternative to traditional surgery. Its ability to reduce symptoms while minimizing complications makes it a preferred option for many patients and healthcare providers.

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Contributors: Prab R. Tumpati, MD