2610 994479, 2613 603969, 6932480650
Rio, 26504, Achaia, Greece View Location
Laser Vaporization of Benign Prostatic Hyperplasia

  • Indications
  • Minimally invasive treatment of benign prostatic hyperplasia
    • Patients not amenable to TURP or laparoscopic Adenomatectomy
    • No restriction on prostate size, however smaller sizes (< 60 g) are ideal for this technique
    • Patients receiving anticoagulant therapy
  • The KTP laser is well suited to prostate resection as the emitted wavelength (532nm) has a high affinity to hemoglobin and to prostatic tissue. This ensures a virtually “bloodless” surgical field.

  • Methods
  • Introduction of cystoscope
    • Special model with extended “beak” to prevent laser damage to optical system
  • Visualization of prostate, seminal colliculus, and uteral orifices
  • Introduction of laser fiber – (staff and patient should wear protective glasses)
    • fiber should always be kept straight outside of cystoscope sheath
    • fiber should be rotated with gentle swinging motion
    • blue triangle (opposite laser beam exit point) should be kept in view to minimize laser damage to optics

    • Create central trough to facilitate scope movement and to serve as a landmark

    • Widen and deepen central trough
    • Vaporize lateral lobes
    • Vaporization of tissue should be performed until fibers of the prostatic capsule are seen
    • Create a level plane between the bladder wall and the bed of the resected prostate
    • Create a level plane between the bladder wall and the bed of the resected prostate
    • Check for unimpeded flow when removing cystoscope
    • Place catheter for one day
Clinical Videos
Laser vaporization for BPH