Green Laser Prostate Surgery
It is the most appropriate technique for patients with benign prostatic hyperplasia who are at risk of bleeding
Prostate photovaporisation (greenlight laser) is one of the endoscopic treatments considered minimally invasive for lower urinary tract symptoms caused by obstruction due to prostatic hyperplasia.
It consists of the selective application of laser energy on the prostate tissue for its immediate elimination with the consequent reduction of prostatic obstruction and symptoms.
At the Clínica Universidad de Navarra we have a wealth of experience in this technique since 2007 and our professionals, who have accumulated over 1000 cases during their career, have trained numerous surgical teams in our country on this technique.
It is performed through the urethra, without incisions, and aims to increase the diameter of the prostatic urethra, so that the patient experiences relief from symptoms and can quickly return to daily routine.
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Minimally invasive surgical treatment, with reduced impact on normal activity and minimal hospital stay
The best indication for the green laser is small and medium sized prostates although, depending on the surgeon's experience, it can be applied to larger prostate sizes. Tissue samples for pathological analysis cannot be collected during this technique.
The procedure is performed through the urethra and can be performed under general or spinal anaesthesia. After the operation, a bladder catheter is placed and, after 24-36 hours during hospitalization, is removed in the majority of cases.
Although it can be performed on an outpatient basis, we recommend a 48-hour hospital stay in order to be able to remove the bladder catheter during this time so that you can return to your routine activities as soon as possible.
How is prostatic photovaporisation performed?
In prostate photovaporisation, laser energy with a wavelength of 532 nm (emits green light and gives the technique its name) and applies a power of 180W.
The laser energy is emitted by a fibre with a 90º lateral beam and is specifically absorbed by the haemoglobin in the prostate tissue, causing it to vaporise while photocoagulating the blood vessels.
In such a way, this technique causes less bleeding, minimises the impact of the surgery and, therefore, is ideal for patients with a higher risk of bleeding.