Best Prostate laser surgery Cost in India
How Much Does Prostate Laser Surgery Cost in India?
[Many potential patients for surgery are concerned to Know about Prostate laser surgery cost In India? The average cost of Prostate laser surgery In India usually starts $3500 however, it may go up to as much as $8000. It depends on the hospital charges and the fee charged by the surgeon. This price usually does not cover post-operational therapy and medicine. Additional costs also involve the diagnostics before the surgery and pre-operational consultations.]
What is Prostate Laser Surgery?
✅ Prostate laser surgery is used to relieve moderate to severe urinary symptoms caused by an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH).
✅ During prostate laser surgery, your doctor inserts a scope through the tip of your penis into the tube that carries urine from your bladder (urethra). The urethra is surrounded by the prostate. A laser is passed through the scope. The laser delivers energy that is used to shrink or to remove the excess tissue that is blocking the urethra and preventing urine flow.
Types of Prostate Laser Surgery
- Photoselective vaporization of the prostate (PVP). A laser is used to melt away (vaporize) excess prostate tissue to enlarge the urinary channel.
- Holmium laser ablation of the prostate (HoLAP). This procedure is similar to PVP but uses a different type of laser.
- Holmium laser enucleation of the prostate (HoLEP). A laser is used to cut and remove the excess tissue that is blocking the urethra. Another instrument is then used to cut the prostate tissue into small pieces that are easily removed. HoLEP can be an option for men who have a severely enlarged prostate.
How does Prostate laser surgery work?
✅ Prostate Laser surgery works in a similar way to the TURP procedure. It is just as effective at eliminating the symptoms of an enlarged prostate, and restoring your quality of life. But instead of cutting pieces of the prostate away with a hot electrical wire loop, a laser both cuts and instantly vaporises parts of the enlarged prostate, gently widening the urinary channel.
✅ The main advantage of laser prostate surgery is that the blood vessels in the prostate are instantly ‘welded’ shut as they are cut. That means there is minimal bleeding during surgery, and less chance of secondary bleeding after surgery as well – a common problem with the TURP operation.
✅ What’s more, the advanced laser used by Greenlight Urology offers an even smoother, more controlled and more powerful operation than some other lasers. And after prostate laser surgery, a catheter may only be required for a few hours, as opposed to a few days with a TURP procedure.
So when you want the gold standard in prostate laser surgery, choose Greenlight Urology.
Why is a Prostate Laser Surgery Done?
✅ Prostate laser surgery helps reduce urinary symptoms caused by BPH, including:
- Frequent, urgent need to urinate
- Difficulty starting urination
- Slow urination
- Increased frequency of urination at night
- Stopping and starting again while urinating
- The feeling you can’t completely empty your bladder
- Urinary tract infections
- Unable to empty the bladder
✅ Laser surgery might 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 or an inability to urinate at all
- Bladder stones
- Blood in your urine
Benefits of Prostate Laser Surgery?
- Lower risk of bleeding. Prostate Laser surgery can be a best 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 hospital stay. Prostate Laser surgery can be done on an outpatient basis or with just an overnight hospital stay.
- Quicker recovery. Recovery from Prostate laser surgery usually 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 Prostate 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. It can take several weeks to months to see noticeable improvement with medications.
Diagnosis for Prostate Laser Surgery
✅ Your Surgeon will start by asking detailed questions about your symptoms and doing a physical exam. This initial exam is likely to include:
- Digital rectal exam: Urologist will inserts a finger into the rectum to check your prostate for enlargement.
- Blood test: The results can indicate kidney problems.
- Urine test: Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms.
- Prostate-specific antigen (PSA) blood test: PSA is a substance produced in your prostate. PSA levels increase when you have an enlarged prostate. However, elevated PSA levels can also be due to recent procedures, infection, surgery or prostate cancer.
- Neurological exam: This brief evaluation of your mental functioning and nervous system can help identify causes of urinary problems other than enlarged prostate.
After that, your doctor might recommend additional tests to help confirm an enlarged prostate and to rule out other conditions.
✅ These additional tests might include:
- Urinary flow test: You urinate into a receptacle attached to a machine that measures the strength and amount of your urine flow. Test results help determine over time if your condition is getting better or worse.
- Postvoid residual volume test: This test measures whether you can empty your bladder completely. The test can be done using ultrasound or by inserting a catheter into your bladder after you urinate to measure how much urine is left in your bladder.
- 24-hour voiding diary: Recording the frequency and amount of urine might be especially helpful if more than one-third of your daily urinary output occurs at night.
✅ If your condition is more complex, your doctor may recommend:
- Transrectal ultrasound: An ultrasound probe is inserted into your rectum to measure and evaluate your prostate.
- Prostate biopsy: Transrectal ultrasound guides needles used to take tissue samples (biopsies) of the prostate. Examining the tissue can help your doctor diagnose or rule out prostate cancer.
- Urodynamic and pressure flow studies: A catheter is threaded through your urethra into your bladder. Water — or, less commonly, air — is slowly injected into your bladder. Your doctor can then measure bladder pressure and determine how well your bladder muscles are working.
- Cystoscopy: A lighted, flexible cystoscope is inserted into your urethra, allowing your doctor to see inside your urethra and bladder. You will be given a local anesthetic before this test.
- Intravenous pyelogram or CT urogram: A tracer is injected into a vein. X-rays or CT scans are then taken of your kidneys, bladder and the tubes that connect your kidneys to your bladder (ureters). These tests can help detect urinary tract stones, tumors or blockages above the bladder.
Before Prostate Laser Surgery
You have to follow certain guidelines, before the surgery and Urologist will explain what preparations need to be done, before prostate laser surgery. Some of the pointers highlighted by the doctors are as mentioned.
- Food and the medication: Ensure that you should inform your surgeon about any earlier prescriptions, over-the-counter medicines or supplements that you are taking.
This is very important because if patient is taking any blood-thinning medications, such as clopidogrel (Plavix), warfarin (Coumadin) etc. or any OTC pain killer medications such as aspirin, ibuprofen (Advil, Motrin IB) or naproxen sodium, your surgeon will ask to stop these medicines because take reduce the chances of recovery.
- Arrangements after the procedure: The doctor will inform the patient about the time of stay in the hospital after the procedure. Patients have to arrange for the vehicle and a companion as they would not be able to drive back home themselves after the procedure.
- Activity Restrictions: Patients might not be able to return to work for about two weeks after the procedure. However, the time of restraint would depend upon the type of laser surgery the patient has undergone.
Fasting before the procedure: Your Surgeon will ask the patients not to eat or drink anything, the night before the procedure.
During Prostate laser surgery
- The prostate laser surgery will perform under general anesthesia.
- Prostate laser surgery can take around 30 minutes to 2 hours to complete, depending on the size of the enlarged prostate. Your surgeon will explain the procedure to the patients in detail.
- During the procedure, a narrow fiber-optic scope is inserted through the tip of the penis into the urethra. The procedure is performed through the natural body openings and hence, no cuts are required on the outside of the body.
- The laser is inserted through the scope and the laser can destroy, vaporize or cut the part of the prostate that blocks the urine flow.
- The doctors will remove the cut out pieces of the prostate tissue from the bladder by using instruments.
After the procedure:
- The patients may have the urinary catheter attached to the bladder, as the urine path is blocked by swelling, right after the procedure.
- The catheter will remain attached to the bladder for 1-2 days until the patients can urinate naturally.
- The patients might see blood in the urine for a few days to one week after the surgery. However, if the blood is thick then the blood may clot and block the urine flow. Patients should inform the doctor in such a situation.
- Some patients may experience a burning sensation at the tip of the penis while urinating or increased frequency of urination, especially at night. These symptoms will arise depending on the types of laser treatment and the size of the enlarged prostate.
- Patients may also feel difficulties holding urine, however these symptoms improve with time.
- Patients should not do strenuous activity such as weight lifting, for some days, after the procedure. In the case of HoLEP procedure, doctors might ask the patient to take rest for two weeks, however in PVP procedure, one week rest is sufficient for patients.
- After the surgery, patients are asked to avoid sexual intercourse, as having an orgasm (ejaculating) within a few days may cause pain and bleeding.
- Doctors may prescribe antibiotics or other medications after the procedure and the patients are advised to take the full course of medicine.
Results after Prostate Laser Surgery
✅ Prostate laser surgery improves urinary flow for the majority of men. Results are often long-lasting and effective for the prostate laser surgery price paid by the patient. However, in some cases, the laser surgery is unable to remove all of the prostate tissue blocking urine flow or the tissue grows back, and there arises a need for further treatment.
✅ Prostate laser surgery shows fewer serious long-term complications, as compared to the other traditional surgeries. Some side-effects and complications, arising out of prostrate laser surgery, are highlighted below.
Risks of Prostate Laser Surgery
- Temporary difficulty in urinating: The patient might have difficulty in urinating right after the procedure as a tube is inserted into the penis to carry urine out from the bladder
- Urinary tract infection: Urinary tract infection is common in any prostate procedure as a catheter is placed. The patients may require antibiotics to treat the infections.
- Narrowing of the urethra: Patients may get scars on the inside, after prostate surgery and these scars can block urine flow (Stricture Urethra), requiring additional treatment
- Retrograde ejaculation or dry orgasm: Prostate surgery can cause dry orgasm or retrograde ejaculation, which means that the semen enters in the bladder rather than penis during sexual climax. This is not harmful for the patient, however this would prevent a patient from becoming a father.
- Erectile dysfunction: After prostate laser surgery, there is a small risk of erectile dysfunction as compared to the other traditional surgeries
- Follow-up treatment: Some patients require follow-up treatment, after the prostate laser surgery because sometimes, all tissues are not destroyed or the prostate gland might grow again, after the surgery.
- Incontinence of urine: No control over urine leakage.
Frequently asked questions prostate laser Surgery
Q. What will it be like after laser prostate surgery?
A. Once the prostate channel has healed, your urinary flow will be stronger, easier to start and you’ll empty well.
The extra muscle your bladder has grown to push urine past an obstructing prostate will slim down again. After a few months the bladder can stretch more, and the strong urge to pass urine frequently or at night will ease off. Most older men will still awake once at night to go to the bathroom.
Q. Are there any potential complications with laser prostate surgery?
A. As with any surgery, there is a minor risk of potential complications. However, laser prostate surgery is still a much safer alternative to the traditional TURP operation.
In a small proportion of men, excessive scar tissue may form a stricture, which causes the bladder neck or urethra tube to narrow in the first few months after surgery. Often this can be dealt with in the Urologist’s office by simply passing dilators. In 1% of cases, a repeat trip to the operating room might be necessary to cut away very tough scar tissue.
Q. How long does it take to recover from prostate laser surgery?
A. It often takes up to 6 weeks for this to get better. After you have healed, you may have less trouble urinating. You may have better control over starting and stopping your urine stream. And you may feel like you get more relief when you urinate.
Q. What is laser prostate surgery?
A. Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate.
Q. How does prostate surgery affect you sexually?
A. If you’ve had radical prostatectomy, you will no longer ejaculate when you orgasm. This is because the prostate and seminal vesicles, which make some of the fluid in semen, are both removed during the operation. Instead you may have a dry orgasm – where you feel the sensation of orgasm but don’t ejaculate.
Q. Does viagra work after prostate removal?
A. Vital Information: Viagra is an effective treatment for impotency in men who have their prostate removed. For men whose nerves have been spared, the drug improves the ability to have an erection by nearly 60%, but the effectiveness drops to 20% in those with no nerves spared.
Q. How long does laser prostate surgery last?
A. Prostate laser surgery can take around 30 minutes to 2 hours to complete, depending on the size of the enlarged prostate. Doctors will explain the procedure to the patients in detail.
Best Prostate Laser Surgeon In India
Dr Vikram Sharma
Director , MBBS, MS 30 years of experience Gurgaon , India
Dr sanjay Gogoi
Director , DNB, MCh, MS, MBBS 20 Years of Experience New Delhi , India
Dr. Rajeev Sood
Chairman, MBBS, MS, DNB 35 ears of Experience Gurugram, India
