Laser surgery can sometimes be an alternative to TURP for treatment of prostatic enlargement. The purpose of prostate surgery is to relieve difficulties with voiding, and restore voiding after urinary retention when a catheter has already been inserted. Laser surgery and other new techniques for treating BPH are particular interests of Mr Feneley.
Greenlight ™ Laser Photoselective Vaporisation of the Prostate (PVP) is an effective operation for benign prostatic hyperplasia, and can sometimes be done as a day case procedure. It avoids the risk of erectile dysfunction that can occur after transurethral resection of the prostate (TURP). It may still cause retrograde ejaculation whereby semen flows backwards into the bladder at orgasm, but may be less likely to do so than TURP. In many cases, the urethral catheter can be removed as soon as the anaesthetic has worn off.
Thulium Cyber 150 ™ (Thulium) VapoResection and VaporEnucleation of the Prostate are new developments in laser technology that builds on older laser surgical techniques of enucleation and vaporisation. This laser system is available at UCLH, which is a global teaching centre for this operation carried out by Mr Feneley, and is not widely available elsewhere in the UK. Prostate tissue can be removed very effectively by these techniques with advantage of shorter period of catheterisation and hospital admission, and post-operative recovery.
Mr Feneley is experienced in these laser techniques and can advise on their use and individual suitability for these operations. These operations are not yet approved by NICE or widely available within the NHS or privately in the UK.
For further advice on laser prostate surgery, please call us on +44 (0)20 3651 6065 to book an appointment, with Mr. Mark Feneley at The London Clinic, 120 Harley Street, London, W1G 7JW
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