Prostate Laser Surgery

This procedure is designed for men with moderate to severe urinary symptoms caused by an enlarged prostate, including those with very large glands (over 175 ml). It is particularly beneficial for patients who take blood-thinning medications, have kidney failure, or are elderly and seeking a safer alternative to traditional open surgery.

During the procedure, a surgeon inserts a thin scope through the tip of the penis into the tube that carries urine. A laser is then passed through the scope to remove obstructing tissue. Because there are no external incisions, patients generally experience less bleeding than traditional surgery. A temporary urinary catheter is usually inserted to help drain the bladder during initial healing.

Recovery is generally faster than traditional 'TURP' or open surgery. While some patients return home the same day, others may require an overnight stay. Initial side effects can include temporary urinary urgency or blood in the urine. Most patients experience significant symptom relief within one month, though elderly patients may see a slightly slower reduction in urinary bother compared to younger patients.

Costs vary significantly based on geographic location, facility type, and insurance coverage (Medicare typically covers these procedures for BPH).