Greenlight Laser Prostatectomy Surgery for Enlarged Prostate in NYC – Greenlight PVP and GreenLEP
Dr. Alex Shteynshlyuger is a board certified urologist in NYC with extensive experience treating men with enlarged prostate using Greenlight laser.
What are the Advantages of Greenlight Laser?
Greenlight laser has been used for treatment of enlarged prostate and BPH for over 10 years. It has a number of advantages over other treatment options for BPH including very good effectiveness in treatment of symptoms of enlarged prostate.
The Greenlight procedure can be performed on outpatient basis, with the patient going home the same day. Patients with large prostates, including those with prostate size larger than 100 grams, may be treated with Greenlight laser.
Two commonly performed procedures with Greenlight laser are Greenlight photovaporization of prostate (PVP) and Greenlight laser enucleation of prostate (GreenLEP).
Treatment with Greenlight Laser is associated with less blood loss than with TURP (transurethral resection of the prostate).
Effectiveness of Greenlight Laser
Studies persistently show that Greenlight Laser improves urinary stream and improves quality of life. Men with frequent urination can expect to run to the bathroom less often. Men with sensation of incomplete bladder emptying are usually helped as well. Men who experienced bleeding from the prostate before surgery are usually cured as well.
Greenlight PVP vs GreenLEP (laser enucleation)
Both Greenlight photovaporization of prostate (PVP) and Greenlight laser enucleation of prostate are effective in treating symptoms of enlarged prostate. Greenlight PVP is simpler to perform and more urologists are comfortable using it. GreenLEP requires more advanced skills to perform and only some urologists perform GreenLEP. For large prostates, GreenLEP allows removal of greater amount of prostate tissue which leads to improved urine flow. In addition, laser enucleation of prostate retrieves prostate tissue for microscopic analysis. About 5-10% of men who undergo prostate surgery are found to have incidental prostate cancer in the removed prostate tissue.
Dr. Alex Shteynshlyuger is one of the few urologists in New York area trained in performing laser enucleation of prostate (LEP) as well as photovaporization of prostate (PV)
Recovery after Greenlight Laser
Depending on the size of the prostate and the extent of the procedure as well as the underlying anatomy and severity of preoperative symptoms some men may not need a catheter after surgery. Other men may require a urinary catheter for a few days to up to a few weeks. There may be some blood in urine after surgery for the first few days to a few weeks. Most men can return to office type work within days after surgery. Men who perform physical work may need to take a few weeks off to recover.
Read about risks and complications of Greenlight Laser.
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