Why it's doneBy Mayo Clinic staff
Prostate laser surgery helps reduce urinary symptoms caused by BPH. Urinary symptoms caused by BPH can include:
- Frequent, urgent need to urinate
- Difficulty starting urination
- Slow (prolonged) urination
- Increased frequency of urination at night (nocturia)
- Stopping and starting again while urinating
- The feeling you can't completely empty your bladder
- Urinary tract infections
Laser surgery may also be done to treat or prevent complications due to blocked urine flow, such as:
- Recurring urinary tract infections
- Kidney or bladder damage
- Inability to control urination (incontinence) or an inability to urinate at all (urinary retention)
- Bladder stones
- Recurring blood in your urine
A number of procedures are available to treat BPH, but laser surgery has several potential advantages over other methods, such as transurethral resection of the prostate (TURP) and open prostatectomy. The advantages generally include:
- Lower risk of bleeding. Because there is a low risk of bleeding with laser surgery, it can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
- Shorter or no hospital stay. Laser surgery can be done on an outpatient basis or with just an overnight hospital stay. Other prostate treatments, such as open prostatectomy or transurethral resection of the prostate (TURP), may require a longer hospital stay.
- Quicker recovery. Recovery from laser surgery generally takes less time than recovery from TURP or open surgery.
- Less need for a catheter. Procedures to treat an enlarged prostate generally require use of a tube (catheter) to drain urine from the bladder after surgery. With laser surgery, a catheter is generally needed for less than 24 hours.
- More-immediate results. Improvements in urinary symptoms from laser surgery are noticeable right away, while it can take several weeks to months to see noticeable improvement with medications.
- Management of benign prostatic hyperplasia (BPH). American Urological Association. http://www.auanet.org/education/clinical-practice-guidelines.cfm. Accessed April 16, 2013.
- Gravas S, et al. Critical review of lasers in benign prostatic hyperplasia (BPH). BJU International. 2011;107:1030.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://www.mdconsult.com/das/book/body/208746819-6/0/1445/0.html. Accessed April 16, 2013.
- Lee J, et al. Advances in laser technology in urology. Urology Clinics of North America. 2009;36:189.
- Rieken M, et al. Complications of laser prostatectomy: A review of recent data. World Journal of Urology. 2010;28:53.
- Ahyai SA, et al. Meta-analysis of functional outcomes and complications following transurethral procedures for lower urinary tract symptoms resulting from benign prostatic enlargement. European Urology. 2010;58:384.
- Gnessin E, et al. An update on holmium laser enucleation of the prostate and why it has stood the test of time. Current Opinion in Urology. 2011;21:31.
- Prostate enlargement: Benign prostatic hyperplasia. National Institute of Diabetes and Digestive and Kidney Diseases. http://kidney.niddk.nih.gov/kudiseases/pubs/prostateenlargement. Accessed April 16, 2013.
- McVary KT, et al. Update on AUA Guideline on the Management of Benign Prostatic Hyperplasia. Journal of Urology. 2011;185:1793.
- Cunningham GR, et al. Surgical and other invasive therapies of benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed April 16, 2013.
- Preparing for your operation and recover. American College of Surgeons. http://www.facs.org/patienteducation/surgery.html. Accessed April 16, 2013.
- Humphreys MR (expert opinion). Mayo Clinic, Phoenix, Ariz. May 22, 2013.