Less blood loss due to laser treatment
In benign prostate enlargement, treatment with modern laser techniques not only leads to fewer complications than transurethral resection (TURP) but also has a significantly lower risk of bleeding. This is a great advantage especially for patients who need anticoagulant drugs such as aspirin (ASS) or Marcumar for therapeutic reasons.
If a benign prostate hyperplasia (BPH) medications do not lead to the desired success or if repeated urinary tract infections occur, surgery is usually required to eliminate the urinary tract disorder. The standard procedure for surgical therapy continues to be the classic peeling of the prostate gland with an electric loop (transurethral prostate resection/TURP).
Despite the constant improvement of technology, complications can still occur. The most frequent bleeding occurs during and after the procedure, which sometimes requires a blood transfusion,"explains Dr. Derakhshani, urologist at the West German Prostate Center. Other possible complications include congestion of the urethra, infertility due to ejaculation in the back of the bladder, and in rare cases impotence or permanent urinary incontinence.
Laser: Gentle and safe
Modern laser procedures such as the treatment with the Greenlight laser or diode laser are far more gentle than the transurethral prostate resection. Excess tissue of the prostate is vaporized with a powerful laser. The advantage is a significantly lower risk of bleeding and the avoidance of life-threatening TUR syndrome.
Basically, every man with an enlarged prostate benefits from laser therapy. However, especially in patients who take blood thinning drugs, laser treatment should definitely be considered,"said Dr. Derakhshani. At the same time, the risk of developing thrombosis or embolism is significantly lower than with TURP, as the anticoagulant drugs can be taken again earlier.
Diode lasers particularly powerful
With the innovative diode laser, even patients with a large prostate can be treated without any problems. In addition, the shorter duration of treatment enables a gentler anaesthesia procedure, which places less strain on the cardiovascular system of the patient. In recent years, the West German team has gained experience with the powerful 180-watt diode laser in more than 3,000 patients. With a follow-up period of up to 14 years and excellent results," sums up Dr. Derakhshani.