Laser prostatectomy, which is the latest technological touch in benign prostate hyperplasia, is burying open surgery in the dusty pages of history. No matter how large the prostate is, this method prevents recurrence of the disease. Quality of life is increased with laser prostate surgery.
Laser Prostate Surgery
HoLEP surgery is used in benign prostate surgery. It is based on the removal of the parts of the prostate outside the capsule using the urinary canal. A larger amount of tissue can be successfully resected compared to other closed prostate surgeries that have been used for years. Even prostates weighing 200-300 grams that underwent open surgery before HoLEP can now be successfully treated with the HoLEP method.
Holep Surgery Procedure
High-tech laser devices with a power of 150 watts are used in HoLEP surgery. With the energy provided by these devices, the prostate can be separated from the capsule tissue. The procedure performed in open surgery is imitated by entering through the urinary canal. Spinal or general anesthesia can be used during the procedure, depending on the patient's condition. The duration of the operation is between 1-2 hours and may vary according to the size of the prostate. Since no incisions are made during the surgery and natural spaces are used, recovery is extremely fast. Usually one day hospitalization is required. The patient is discharged the next day after the catheter is removed.
Advantages of Laser Prostate In laser prostate surgery, a much larger amount of prostate tissue is removed. Therefore, recurrence is not experienced in prostate disease. Much faster recovery is achieved compared to open surgery. Patients can return to their normal life within 2-3 days.
Holep Surgery Side Effects
- Urinary incontinence: Urinary incontinence problems may be seen after surgery due to the large amount of protruding prostate tissue. It disappears spontaneously within 2-4 weeks as the body gets used to the new situation. It is rarely permanent.
- Bleeding: There is a risk of bleediSurgeryng as in all prostate surgeries. However, it is thought that bleeding is less in laser use. The laser beam can perform both the cutting process and the bleeding stop process at the same time. Rarely, there is enough bleeding to require a blood transfusion.
- Burning in urination: Burning may be felt during urination due to micro-damages during surgery. It usually disappears on its own in a short time.
- Bleeding in the urine: It is the occasional bleeding in the urine after the operation. It disappears spontaneously within 4 weeks.
- Infection: Before the operation, it should be ensured that there is no infection in the urine. It is recommended to continue antibiotics until the catheter is removed.
HoLEP Surgery Patients Reviews
Laser prostate surgery is generally preferred for prostates over 80 grams. There is no reason why it should not be preferred in lower volume prostates. It can be applied to any prostate. However, it should definitely be considered when making a decision, especially in prostate tissues over 80 grams. Recurrence of the disease is a common occurrence, since it will not be technically possible to remove adequate tissue in TUR operations.
Erectile Dysfunction After Laser Prostate Surgery
Erectile dysfunction is not observed after HoLEP surgery. Since laser energy will not penetrate deep tissues, no erectile dysfunction is expected.
HoLEP Istanbul
Laser prostatectomy requires high technology and experience. For this reason, it is not possible to apply it in every center. Since it is a difficult surgery with a learning curve, it should be performed by experienced surgeons who are accustomed to this surgery. In addition, the care of the nursing staff in the centers is very important. The number of centers with this technology in Istanbul remains limited. Make sure to inquire whether the center where the surgery will be performed has the device. Complication rates are high since the dominance of external devices will be low.
Laser Prostate Surgery Costs - HoLEP Surgery Costs
HoLEP surgery prices are higher than other prostate surgeries due to its high technology content. However, it should be preferred due to the lack of need for a second surgery and its advantages. Please contact us for detailed information on price.i is limited. The lack of surgeons with sufficient experience is also an important factor. It is also an important problem that surgeons, who do not have robot facilities, do not adequately inform patients about this issue. Laparoscopic surgery can never replace robotic prostatectomy. Robotic surgery also minimizes erectile dysfunction and urinary incontinence problems as well as short recovery times. Due to prostate location, the operation is performed in a narrow area during surgery. The advanced maneuverability and superior vision of the robot arms greatly reduce the complication rates. Patients diagnosed with prostate cancer should definitely consider the possibility of robotic surgery.