Laser Prostatectomy : a boon to prostate patients

1. Lifestyle changes: 

Try behavioral changes. Perhaps the easiest suggestion is limiting your fluid intake at night and not drinking anything for two hours before bedtime. I also caution to decrease those foods and beverages that are diuretics (and will therefore prompt you to urinate more), such as coffee, caffeinated tea, herbal tea, lemon juice, chocolate, pineapple, grapes and cherries.

2. Medical treatment:

If those behavioral changes don’t help much, consider medication. A change in habits will help some but not all men with BPH, and for those whose symptoms aren’t relieved, medication is an option. The most commonly used medications are alpha blockers, which can relax the muscle at the base of the bladder and the prostate and 5 alpha reductase inhibitors, which can, over a period of months, shrink the prostate. Like nearly all medications, they do have side effects. For example, alpha blockers can lead to hypotension by decreasing his blood pressure when moving from laying down to standing upright quickly. Alpha blockers also can cause sexual side effects like decreasing the volume of the ejaculate or having no ejaculation at all. The 5 alpha reductase inhibitors can cause sexual dysfunction, such as impotence.

3. Surgical treatment:

If behavioral changes and medication don’t work or cease to be effective, surgical procedures are options. Until recently the two most common procedures are a transurethral resection or TURP, in which an instrument is inserted up the urethra to cut out the part of the prostate that’s blocking urine flow, and a laser prostatectomy, which vaporizes the tissue obstructing the urethra. Both procedures are typically effective but carry the risk of side effects such as erectile dysfunction.

Laser prostatectomy has distinct advantages over conventional TURP as:-

• Less bleeding
• Early recovery
• Can be used for large sized prostate
• Can be used for anti-coagulant patient
• Can be used safely for cardiac high risk patients
• Shorter hospital stay

Bottom Line: The enlarged prostate gland affects millions of Indian men. It significantly impacts a man’s quality of life. Help is available. Meet urologist today.