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How Safe is Green Light Laser Surgery for BPH?

Jonathan
11/13/08

Are side effects common with Green Light Laser Surgery?

Can it result in incontinence? - If so, what % of surgeries do?

If it does result in incontinence, can it be treated?

 

Many thanks.

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Answers (7)
Tom
Monday, December 22, 2008

I am 63 years old and had Green Light Surgery on Dec 12 after being on Flow Max for serveral years. I was a bit conserned with the comments I had read on several forums but concluded you only see the bad comments . I had a young Dr that had preformed Aprox 700 of these surgeries and I trusted him . I knew it would not be fun but I wanted relief form the constant sense of urgency and getting up at night several times. I was willing to accept retrograde ejulaction with assurance that in would not reduce my pleasure. I was in the hospitial one night as I had alot of bleeding . I had a cather for the time I was in the hospitial. When they removed the cather I was able to go right away with a fair amount of bleeding and moderate discomfort. I was on antibotics and stoolsoftner as you dont want to get bound up at this stage of recovery.I had burning in the head of the penis

 

After the fourth day of taking it easy ( I was kind of tired) the bleeding became MUCH less and only at the end of the stream . The ugrency was worse than before the surgery and I still had a lot of discomfort when going and just after for about ten min. Stream was disapointing

 

One Week out the sense of urgency improved alot as the Dr explained the blatter needed time to adjust and the prostrate is just a little pissed at you (no Pun intended). Bleeding was just slightly at the end of stream and the stream was much stronger . Mornings erections returned and I waas getting friskie.

 

Day 12 Things are greatly improved .Did not get up once last night and stream is very strong. Very little discomfort left and no signs of bleeding. Ask the Dr about sex and he indicated that when I felt comfortable enought doing it it would be ok . I will take the plung soon .

 

I am very happy with the results of this surgery . Any surgery has risk but it is a matter of Risk to reward and So far The rewards are great . Also with any surgery you need to give the body a chance to recover . I still expect some small amount of bleading for several months . Different people recover at different rates . Good luck if you are anticipating this surgery and dont listen to all the Negitive stuff there is lots of good results.

re: How Safe is Green Light Laser Surgery for BPH?
Rick
Tuesday, November 24, 2009 at 02:20 PM

Can you recommend a doctor?

 

Thanks

Rick, 52 years old with BPH

 

bfly11@windstream.net

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Jay Motola
Jay Motola
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Urologist

Jay Motola, M.D., F.A.C.S. has been practicing general urology since...

Friday, January 23, 2009

Green Light Laser is one of the most common minimally invasive procedures that are performed for relief of the symptoms that are associated with BPH. The effects of this procedure are very similar to those that are achieved with the more traditional TURP (transurethral resection of the prosate) but is associated with fewer side effects, shorter periods of catheterization, quicker recovery, and no need for hospitalization. In essence, the effects of the laser can easily be compared to removing the pulp of an orange and leaving the rind behind.


Less than 1% of patient will experience erectile dysfunction after the procedure, and 1/3 of the patients have retrograde ejaculation after the procedure. Some of the common side effects include mild burning with urination. Although incontinence can occur with this procedure, it is very uncommon, especially when it is performed by an experienced Urologist.

re: How Safe is Green Light Laser Surgery for BPH?
Rick
Tuesday, November 24, 2009 at 02:22 PM

Can you recommend an experienced doctor. I live near Cincinnati, but will consider traveling if needed.

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re: How Safe is Green Light Laser Surgery for BPH?
Tatiana
Monday, December 14, 2009 at 10:47 AM

Dear Sir,

 

My husband has just (four days ago) has a Green Light Laser. The catheter was removed after 46 hours. Currently he has no pain, almost no bleeding. Even the morning erection is in the place. However the flow of urine is close to one (or even in some cases worse) then it was before the surgery.

Our doctor says that this is because of a small part (scar tissue). And he tells us that this scar could go away utself. And if no after two months another surgery should be done

 

Could you please tell if this is a normal thing (because currently my husband is very nervous and even thinking that the quality of the surgery was law)

Please please help

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re: How Safe is Green Light Laser Surgery for BPH?
Roger
Saturday, December 19, 2009 at 02:14 PM

How do I find and experienced surgeon - what guidelines would you use 

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Jonathan
Monday, January 26, 2009

Thank you Tom and Dr Jay Matola for your answers.

I did have the surgery on October 19 2008 and all went very well.

I was in hospital overnight and after I urinated twice without the catheter was allowed home.

One thing is worrying me: if I don't urinate when I feel the usual urge to it reaches a point of extreme urgency - not the normal kind that I had before the onset of BPH. In fact if I don't rush then I know that I will be in trouble.

Is this normal?

Apart from that, the flow is far better than it was but the urination is shorter (in time) than it was before BPH, and I do wake up once at night.

Will these symptoms go away (it has now been 3 months) or should I go back to my urologist?

 

jackie10021
Monday, June 01, 2009

I had BPH Green light prostate surgery 8 weeks ago.  I still get up at least twice a night at urinate and I'm still leaking during the day (unless I'm seated) I have been wearing Depends for 2 months.  Will it ever get better?  Is there somewhere I can go for relief??

someone
Monday, September 28, 2009

Bob
Wednesday, October 14, 2009

Who and where are top practitioners of green light laser surgery for BPH in the Boston area?

re: How Safe is Green Light Laser Surgery for BPH?
Bill H.
Friday, November 27, 2009 at 05:39 PM

I would not reccomend green light laser to anyone unless it was a mild problem.  My doctor in Connecticut did green light on me because I could not urinate at all.  I was 100% blocked and my bladder had retained 5 times the normal amount.  I was cathetar for 41/2 months.  After the green light I still was only urinating 20% on my own and 80% through the super pubic cathetar.  He told me that it probably would not get any better because the bladder was so distented.  After returning to Florida for the winter, I found a urologist in Daytona that told me the green light had only done 1/2 the job.  He did the rotor rooter surgery and after 5 days I was going 100% on my own and off the cathetar.  From what I have learned over the past months is that the green light laser is a high promotion in New England. 

 

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Belltower
Sunday, February 07, 2010

what are the complications of this surgery

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