The London Clinic, 120 Harley Street, London, W1G 7JW


Prostate Enlargement & Prostatectomy

As men get older, problems related to the prostate can set in resulting in symptoms like difficulty with voiding or pain. The prostate enlarges with age and urinary tract symptoms can develop, and become increasingly tiresome especially at night. Prostate enlargement, a non-cancerous condition can sometimes be treated initially with medication. But when medication proves ineffective, the standard surgical option is a procedure called transurethral resection of the prostate. With modern technological advancements, laser prostatectomy can be the preferred option with fewer side effects.

Benign prostatic hyperplasia & surgery

Prostate enlargement, also known as benign prostatic hyperplasia (BPH), constricts the urethra, obstructs urine flow and causes urinary tract issues. These include:

  • Bladder outlet obstruction.
  • Painful urination.
  • Blood in the urine.
  • Incomplete voiding.
  • Decreased urine flow.
  • Urinary tract infections.
  • Increased night time urine frequency.

Traditional Vs modern treatments for BPH

For decades transurethral resection of the prostate (TURP), and open prostate surgery(retorpubic prostatectomy) have been standard treatment options.  But side effects and complications can arise, and include:

  • Erectile dysfunction.
  • Incontinence.
  • Infections.
  • Bleeding.

These operations are considered major surgery, needing catheterization, more than overnight hospitalization, sometimes blood transfusions, and can have complications.  Laser prostatectomy is a modern surgical procedure, often quicker, and sometimes a better option.

Prostate laser surgery

In the last decade or so, new surgical options have been developed.  Using the latest cutting edge technology, prostate laser surgery has revolutionized the scenario, with few side-effects and quicker recovery. Using laser, obstructing prostate tissue is removed with very little blood loss. Laser vaporization (e.g. ‘Greenlight ™ Laser Prostatectomy) can be done as a day surgery. But there can be side effects and long-lasting complications, so it is very important to get balanced and experienced advice beforehand.

Today there are newer developments in laser surgery techniques bringing further improvements and advantages. One such technique is known as Thulium Cyber 150 ™ (Thulium) VaporEnucleation of the prostate, with which tissue can be cut and removed with great safety, precisions and efficiency.

Advantages of laser prostatectomy

Recently studies have shown that laser prostatectomy can be equivalent to TURP for improving symptoms, with fewer side effects and the advantages. These include:

  • Shorter surgery duration.
  • Shorter hospital stay.
  • Less costly.
  • Less catheter time.
  • Less risk with bleeding.
  • Quicker recovery from surgery.
  • Quicker and immediate improvement of symptoms.
  • Less invasive procedure.

Post-operatively also, there was increased urine flow, less urinary retention and less need for catheters.

Go for the advanced laser prostatectomy

This advanced laser prostatectomy procedure can be an advantage to patients who are on medications like warfarin. The latest techniques reduce the surgery time and blood loss.  Eminent surgeons like Mr. Mark Feneley offer advanced surgical options like Greenlight™ Laser Photoselective Vaporisation of the Prostate (PVP) Thulium Laser VapoResection of the Prostate and Transurethral Resection of the Prostate, for effective treatment of prostate problems.