GreenLight Laser Prostate Vaporisation (PVP)

GreenLight photoselective vaporisation uses a 532 nm laser, whose green light is strongly absorbed by blood-rich tissue, to vaporise the obstructing part of an enlarged prostate through the urethra. The tissue is turned to vapour rather than cut out.

It relieves obstruction to a degree close to TURP with very little bleeding, which is why it is favoured for men who take anticoagulants. Because tissue is vaporised, little or nothing is available for pathology, and it is slower and less complete in very large glands.

What GreenLight Laser Prostate Vaporisation (PVP) involves

Under spinal or general anaesthetic, a laser cystoscope is passed to the prostate with saline running continuously. A side-firing fibre is held about a millimetre from the surface and swept slowly back and forth, creating bubbles as the tissue vaporises. The surgeon works from the bladder neck downward, opening a channel through the middle lobe and then each side lobe until a wide cavity reaches the capsule, stopping above the sphincter. The 180 watt XPS system with its cooled MoXy fibre is the current version. Bleeding vessels are sealed with a lower-power setting. A catheter is inserted, often for less than 24 hours.

Who is a good candidate for GreenLight Laser Prostate Vaporisation (PVP)?

Suitable for most men needing prostate surgery for benign enlargement, with particular advantages for some.

• Bothersome symptoms or retention with a prostate up to roughly 80 to 100 ml
• Men taking warfarin, direct anticoagulants or antiplatelet drugs that cannot be stopped safely
• Those with heart or lung disease for whom a short stay and minimal blood loss matter
• Men wanting a short catheter time

Es ist normalerweise nicht die richtige Wahl, wenn:

• Very large prostates, where laser enucleation is more efficient and durable
• When prostate tissue is needed for analysis because cancer is suspected
• Active urinary infection
• Men who place high priority on preserving ejaculation
• Bladder failure where removing obstruction would not restore voiding

Technikoptionen

• Standard vaporisation: Sweeping ablation of tissue layer by layer. Suits small and medium glands.
• Vapo-incision or vapo-enucleation: The laser cuts out larger pieces that are then vaporised or removed; used for bigger prostates and gives some tissue for pathology.
• Comparison with HoLEP: Holmium enucleation removes more tissue and suits any size; GreenLight is quicker to learn and excellent for bleeding control.

Was passiert während Ihrer Behandlung

Operating time is 30 to 90 minutes depending on gland size. Many men go home the same day or after one night. The catheter is commonly removed the next morning, sometimes later in men who were in retention.

Vorbereitung auf Ihre Reise

Planen Sie 5 bis 7 Tage in Istanbul. Ihr Chirurg überprüft Fotos und Ihre Krankengeschichte, bevor Sie buchen, und Sie treffen sich persönlich am Tag vor der Operation zur Untersuchung, Markierung und Zustimmung mit einem professionellen Dolmetscher.

• Stoppen Sie das Rauchen und Nikotin mindestens vier Wochen vor und nach der Operation; es ist die größte vermeidbare Ursache von Wundproblemen
• Erzählen Sie dem Team von allen Medikamenten und Ergänzungen, die Sie einnehmen; Blutverdünner, einige Kräuterprodukte und Hormonbehandlungen müssen möglicherweise auf Anraten Ihres Arztes unterbrochen werden
• Vereinbaren Sie, dass jemand mit Ihnen reist oder erreichbar ist, und halten Sie die ersten Tage zu Hause frei von Arbeit und Heben
• Buchen Sie einen veränderlichen Rückflug; Ihr Chirurg bestätigt, wenn Sie fit sind

Genesung und Ergebnisse

Burning and urgency are the main complaints and can last 2 to 6 weeks because a heated surface layer has to shed. Small amounts of blood or tissue flecks in the urine are normal. Light activity is fine within days; avoid straining, cycling and sex for 2 to 3 weeks. Blood thinners are managed according to your cardiologist's advice and are often continued throughout.

• Zurück zur alltäglichen Aktivität: 1 bis 2 Wochen
• When results show: Flow improves immediately; irritation settles over 2 to 6 weeks
• How long they last: Many years; durability best in small to medium glands

Sicherheit, Risiken und Revisionspolitik

Bleeding risk is low. Irritative symptoms afterwards are the most frequent complaint.

• Burning, urgency and frequency for several weeks
• Retrograde ejaculation in roughly a third to a half of men
• Harninfektion
• Temporary retention needing the catheter to be replaced
• Delayed bleeding at 1 to 3 weeks, more likely on anticoagulants
• Urethral stricture or bladder neck contracture
• Re-treatment for regrowth, somewhat more often than after enucleation

Jeder schriftliche Vorschlag wird durch Clinic-Y gibt an, was die Klinik abdeckt, wenn eine Korrektur erforderlich ist. Fragen Sie danach, bevor Sie buchen, nicht danach.

Cost of GreenLight Laser Prostate Vaporisation (PVP) in Türkiye

Clinic-Y does not publish a single price for GreenLight Laser Prostate Vaporisation (PVP), because the honest figure depends on your case. What moves it:

• The single-use laser fibre, sometimes more than one for big glands
• Prostate volume and theatre time
• Tagfall oder Übernachtung
• Pre-operative cardiology or haematology review for men on anticoagulants

Senden Sie Ihre Fotos oder Berichte und Sie erhalten geschrieben, All-inclusive Vorschläge von geeigneten Teams, Seite an Seite. Die Überprüfung Ihres Falls ist kostenlos.

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