Laser Prostatectomy (PVP)
Laser PVP surgery has emerged as a minimally-invasive alternative to TURP for benign prostatic hyperplasia (BPH). With PVP, laser energy is used to vaporize prostate tissue that is obstructing the urethra and bladder neck and causing the symptoms of BPH. This is also known as “Greenlight Laser Prostatectomy.” During this outpatient procedure, a scope is inserted through the tip of the penis into the urethra. A special fiber optic device at the tip of the scope then delivers laser light energy that vaporizes the portion of the prostate that is obstructing the urethra and bladder.
Since the tissue is vaporized rather than shaved or cut away, there is minimal blood loss with PVP when compared with standard prostate surgeries such as transurethral resection of prostate (TURP). Studies by the Mayo Clinic have also shown that PVP results in effective restoration of urine flow for many years, and few of the men developed serious long lasting side effects.
One side effect of PVP is retrograde ejaculation, or ejaculating into the bladder rather than through the penis; however this can be a side effect of traditional surgery or medical therapy as well.