Green Light Laser Surgery, The Latest Therapy for Benign Prostate Hyperplasia (BPH)

For the numerous men suffering from the uncomfortable effects of BPH (Benign Prostatic Hyperplasia), there is new hope for a successful BPH treatment: Green Light Laser Prostate treatment (GLLP). Often referred to as PVP (photo-vaporization) treatment, Green Light Laser technology is fast-becoming the BPH treatment of choice due to its minimally-invasive nature and remarkable results.

By choosing Green Light Laser therapy, men can virtually eliminate most of their BPH symptoms with greater efficiency, fewer side effects, risks, and complications. GLLP is truly a revolutionary procedure built upon previous laser prostate treatments such as Interstitial and Holmium laser therapies. As effective as those treatments are, Green Light Laser treatment for BPH is superior due to increased power (120 watts) which allows surgeons to completely vaporize excess prostate tissue. With other, lower-powered laser treatments, greater amounts of obstructive prostate tissue are unable to be removed.

The various stages of BPH
The various stages of BPH

Green Light Laser: A More-Effective BPH Treatment

In addition to being more-effective at eliminating greater amounts of excess prostatic tissue, Green Light Laser Treatment also relieves many other common prostate treatment complications such as:

  • Intra-Operative Bleeding – The higher-powered laser is hotter and more effective at cauterizing blood during the surgical procedure; thus eliminating the majority of bleeding.
  • Post-Operative Bleeding – This common surgical side effect is reduced for the same reasons mentioned for intra-operative bleeding.
  • Longer Catheter Reliability – With Green Light Treatment, patients typically return home catheter-free in less than 24 hours.
  • Post-Operative Bladder Neck Contraction – This common side effect of other BPH treatments, i.e. TURP, is often eliminated with Green Light Treatment.

In addition, GLLP has been found to drastically reduce post-operative incontinence and erectile dysfunction [caused by scarring] often associated with other BPH treatments. The bottom line is that Green Light Laser technology is opening up new horizons in the treatment for BPH and BPH symptoms granting new hope to millions of BPH sufferers.

A Green Light Laser Machine.
A Green Light Laser Machine.

The GreenLight Laser Vaporizes and Precisely Removes Enlarged Prostate Tissues

GreenLight laser treatment of the prostate is the newest, minimally invasive surgical technique for combating benign prostatic hyperplasia (BPH). PVP offers patients both the immediate symptom relief and the dramatic flow improvements of the popular standard procedure known as transurethral resection of the prostate (or TURP) and the fast operative and recovery times, minimal side effects and catheter-free post op of other minimally invasive techniques. Photoselective prostate vaporization is performed, using a specially designed green-laser light source and fiber optic delivery system, in an outpatient setting, usually a surgical center or hospital.

During the procedure, the GreenLight laser surgical system, delivers laser light pulses via a specially designed fiber optic device inserted through a standard cystoscope. The laser light pulses are then directed toward the enlarged prostate tissues. The green-laser quickly and accurately vaporizes the prostatic obstruction – removing the enlarged portions of the prostate without causing significant bleeding. The average operative time is typically under sixty-minutes and once the procedure has been completed, most patients experience immediate symptom relief and a dramatic improvement in symptoms such as urinary flow rate and bladder emptying. More importantly, studies have indicated that those dramatic symptomological improvements are durable, for approximately a five-year follow-on period.

No other treatment for benign prostatic hyperplasia (BPH) has been shown to offer that combination of immediate and long-lasting symptom relief while providing significant uroflow results and resulting in minimal side effects … if any. The other minimally invasive treatment options for benign prostatic hyperplasia (Transurethral Microwave Thermotherapy or TUMT and Transurethral Needle Ablation or TUNA) require compromises, in one form or another. In terms of overall efficacy, treatment durability or risk of potential postoperative complications. The advent of photoselective vaporization has done away with those compromises, patient’s symptoms can now be significantly reduced and their flow rates considerably improved with a safe, simple and effective treatment. By contrast, PVP is a fast, outpatient procedure that offers patients’ symptom relief and a positive uroflowometry outcome.

GreenLight Laser Photoselective Vaporization of the Prostate (PVP) – Benefits

  • BPH is diagnosed in roughly 40% of men in their 50s and in 90% of men in their 80s.
  • PVP patients are typically able to resume low-stress activity within 2 to 3 days.
  • Patients are usually able to return to a vigorous activity level within 4 to 6 weeks.
  • Postoperative complications from PVP are infrequent and mild when they do occur.
  • 30% of PVP patients do not need a postoperative catheter.
  • PVP has not been shown to pose a risk of postoperative impotence.
  • PVP has been shown to reduce the occurrence of retrograde ejaculation in patients.
  • The re-operation rate with PVP, over 5 years, is lower than that of other treatments.
  • Photoselective vaporization of the prostate (or GreenLight Laser PVP) is an outpatient surgical procedure emerging as a desirable alternative to the traditional surgical answers to BPH.

More importantly, photoselective vaporization of the prostate offers patients long-term benefits …Even 5 years out; patients who’ve undergone GreenLight Laser PVP continue to experience persistent improvement of their urinary flow rates and fewer symptoms of urinary obstruction. PVP really is that safe and effective.

If You’re a Candidate for TURP, TUNA or TUMT …You’re a Candidate for PVP

If you’re a patient with a bladder outlet obstruction due to benign prostatic hyperplasia (BPH) and you’re a candidate for older minimally invasive procedures such as transurethral microwave thermotherapy, transurethral needle ablation or for surgical procedures such as transurethral resection of the prostate (or TURP) you’re a candidate for GreenLight Laser PVP. It really is that simple. However, patients who’ve been diagnosed with obstructive prostate glands larger than “250 cm3” typically aren’t suitable candidates for GreenLight PVP or for standard transurethral surgical solutions to BPH. They are commonly treated using an open surgical procedure.

It’s also worth noting that patients suffering from neurogenic bladder disorders (or detrusor over activity) in addition to BPH are more likely than others to experience urinary control problems after being treated with photoselective vaporization, just as they would following transurethral resection. Therefore, they generally aren’t considered candidates for either procedure.

A BPH Treatment That Works

Even though you have choices for your BPH treatment, with the advancements being made with Green Light laser therapy, it’s conclusive enough to say that it is currently the latest and best treatment for BPH.

Many thanks to Rob Jundt for great information.



About yuan ade sukma, MD

I'm an Indonesian doctor. I Believe that science and knowledge do not belong to anyone in the world. Science and knowledge is meant to be shared to make the world a better place to live. But if you find any material posted here is violating any copyrights, feel free to contact me and I will delete that. I believe that someday my blog can change the world. I BELIEVE in the POWER of WORDS! Do you..?
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12 Responses to Green Light Laser Surgery, The Latest Therapy for Benign Prostate Hyperplasia (BPH)

  1. Pingback: What is TUMT, (Trans Urethral Microwave Thermotherapy) with Videos | Yuan Ade Sukma's Blog

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  3. terry says:

    Had it done 12/13/11 In central fl. Incompenent nurse filled cath ballon with 90 ml instead of 30ml stoped almost all flo for two days When removed it gushed out all over table hit my feet. All sorts of problems since. Improvement at this time NO. All basic urination the same as before plus problems of extra pressure on bladder and kidneys for 2 days. Be carefull out their the help can do more damage than the Dr. when poorly trained

    • Sorry to hear that,i hope that you will get better soon. Post operative healing process isn’t quite pleasant and sometimes the symptoms get even worse than the problems itself, but i’m sure eventually you will get improvement as soon as your body is getting recovered. Wish you the best

  4. boulderiter says:

    Thanks and much appreciate the extensive info and video. I’m considering this procedure and this helps with the prep and question I would want answered first. After reading the one comment, I’ll be looking for the most experienced urologist available.

  5. Paul says:

    I am a 67 year old male who had this procedure done on May 16/12.
    I stayed in hospital over nite [ normal procedure here ] I had the catheter in place until May 21/12
    I have been free flowing since that time. I do build up in the blader but there is a continus drip, I have to wear protection all the time. During the nite while in bed I do get up to go to the bath room a couple time and I remain dry all nite. As soon as I get up it starts dripping again.Dose this correct
    with time. There does not appear to be any more clots and i am taking pills for a bladder infection.
    Is this normal?

    • urinary incontinence maybe the side effect of this procedure, but usually it will gradually disappear, but sometimes it takes time until months (4-6 months). KEGEL exercise may reduce that, also you may reduce your fluid intake, and wear incontinence pants,

      These measures also may be helpful:

      Increase fiber in your diet to avoid being constipated.
      Quit smoking to reduce coughing and bladder irritation.
      Avoid alcohol and caffeinated beverages which overstimulate your bladder.
      Avoid any foods or beverages that irritate your bladder.
      Closely monitor your blood sugar if you have diabetes.
      Lose weight if needed.

      hope it helps 🙂

  6. Iva says:

    My husband also had this surgery and he has to wear depends every night his surgery was in April and it has been 5 months should he get better or does he need to see another dr.

    • It is also depends on the size of the prostate glands that removed doing the surgery. The more the prostate glands removed during the surgery usually the recovery period gets longer. You better see the doctor who did the surgery and ask him for more information.

  7. Earle Rheaume says:

    Sir or Madam,

    I am 71 years old and had Transurethral Green Light Laser Therapy about three months ago. Since then I relocated and have not contacted a new Urologist. While the procedure was successful and my urine flow is excellent I have a few minor problems. They include;

    1. Inability to completely empty my bladder. The results include soiled under shorts.
    2. When I cough or blow my nose I have some leakage.
    3. After I have stopped a few minutes later I have an urge to urinate again. Up to about
    eight drops are released.

    What can I do to solve these minor problems?

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