What to Expect: Recovery after Laser Enucleation of Prostate for Treatment of BPH Symptoms in NYC
by Dr. Alex Shteynshlyuger, a board-certified urologist and specialist in the treatment of enlarged prostate, BPH and urinary retention. He is one of the first urologists in the US and NYC to offer Urolift and prostate enucleation, an alternative to traditional TURP as a treatment for enlarged prostate.
Recovery After Prostate Enucleation with Laser: What You Need to Know
These notes are applicable to patients who undergo prostate surgery at New York Urology Specialists. Consult your surgeon if your surgery is done elsewhere.
Recovery after laser enucleation of the prostate is typically relatively uneventful for most patients. It is important to understand that while laser enucleation of the prostate can be done with various lasers the recovery processes is the same, whether the procedure is done with Holmium laser (HoLEP), Greenlight laser (GreenLEP), Thulium laser (ThuLEP), ProTouch laser or Evolve laser.
When is it Safe to Go to Work and to Exercise after Prostate Enucleation?
Men may return to office work within a few days after laser enucleation of the prostate or once they feel comfortable. If you have a catheter and are comfortable working with it, you may return to work with the catheter.
Men may go to the gym 2 weeks after prostate enucleation. It is advisable not to engage in strenuous running such as marathon running or biking in the first 3-4 weeks after the procedure. If you have a catheter, wait until the catheter is removed before returning to the GYM.
When is it Safe to Travel after Prostate Enucleation?
While we prefer that patients stay around if possible for about 6-8 weeks after the procedure, it is not always possible. In general, it is safe to travel within 2-4 weeks after the procedure but we recommend that patients do not travel outside the United States or to areas where access to high-quality medical care is not available in the first 6 weeks after prostate surgery of any type.
While complications after prostate enucleation are not common and are usually minor such as UTI, blood in urine, or burning with urination and urinary frequency, they are easier dealt with if we can see the patient in our office.
When Can I Have Sex after Laser Enucleation of Prostate With Greenlight, Holmium, Thulium or Protouch Laser?
Men can resume sexual activity 1 month after catheter removal or 1 month after there is no blood in urine. Usually, it is safe to resume sexual activity 6 weeks after surgery.
How Long Can I Expect to Have Burning and Frequent Urination?
Burning with urination occurs after any prostate surgery. Symptoms typically improve significantly in the first 1-2 weeks and typically disappear by 6-8 weeks after surgery. Similar timeline applies to urinary frequency and urge to urinate.
Patients with Severe Urgency and Urge Incontinence Prior to Surgery
Many patients with severe urinary urgency and urge incontinence as well as urinary retention with overflow incontinence have very high pressures in the urinary bladder during urination. Often, immediately after surgery, these symptoms may persist or occasionally get worse. Typically, this exacerbation of symptoms is a temporary problem caused by the urinary bladder persistently trying to push hard despite the fact that there is no longer blockage from the prostate that needs to be overcome.
Typically, it takes 2-3 months for the bladder to be retrained to realize that it does not need to push as hard to empty urine. After laser enucleation of the prostate, urge incontinence and stress-induced urge urinary incontinence improve and resolve within 1-3 months after the procedure.
Occasionally, patients are treated with medications for overactive bladder such as Myrbetriq, oxybutynin or Vesicare. If symptoms persist beyond 2-3 months without significant improvement, cystoscopy and urodynamics may need to be performed and if detrusor hyperactivity is noted, Botox injections or InterStim may be considered.
Where is the Laser Enucleation Procedure Performed?
Laser enucleation procedures performed at a Maimonides Medical Center as well as New York Presbyterian Brooklyn Methodist Hospital. For patients with smaller prostates and good health, the procedure can be performed in our office or at Gramercy Surgical center.
Why Choose New York Urology Specialists for Treatment of Urinary Retention Caused by Enlarged Prostate?
- All treatment is performed by a Board-certified urologist experienced in treating men with symptoms of BPH using medical therapy, minimally invasive therapies, lasers and open surgery.
- We are one of the few practices in the region to offer a full range of options for treatment of BPH.
- We offer BPH treatment options under local anesthesia which avoids the risks, costs, and recovery from general anesthesia. Most men are able to return to office work and other normal activities the next day.
- Extensive Experience: Hundreds of men treated successfully using medical therapy, Urolift, lasers for BPH (Holmium, Thulium, Evolve, Greenlight lasers), Bipolar TURP, traditional TURP, open suprapubic prostatectomy, robotic suprapubic prostatectomy for BPH.
- We treat men with BPH who have heart problems (hypertension, CAD, CHF), renal failure (ESRD) on hemodialysis, men on blood thinners such as aspirin, Lovenox, Coumadin (Warfarin), apixaban, rivaroxaban (Xarelto).
When it comes to experience and innovation – New York Urology Specialists are a step ahead. Better Science Means Better Care. We specialize in minimally invasive highly effective treatment for symptoms of enlarged prostate and BPH. Many treatment procedures are performed in the convenience and privacy of office settings under local anesthesia.
Medicare and major insurances accepted. We offer affordable rates and financing options.
Schedule an Appointment with Dr. Shteynshlyuger:
Dr. Alex Shteynshlyuger is a fellowship trained board-certified urologist with expertise in evaluation and treatment of urinary problems in men. He uses modern effective and proven treatment methods including prostate enucleation and Urolift for BPH. He is highly recommended by top primary care physicians in the New York area.
He has successfully performed hundreds of prostate procedures in adults. Urolift procedures are performed in the office under local anesthesia, in a surgical center and affiliated hospitals under anesthesia.
We offer affordable, highest-quality urology care with or without insurance. Find out our office hours or directions to our office. We offer weekday, weekend and evening office hours.