Prostate Laser Surgery

Tour Length: 8 Days 7Nights

Pre-Operative

Require medical images/Initial assessment

Pre-Operative: Require medical images/Initial assessment

Several days before surgery, your doctor might recommend that you stop taking medications that increase your risk of bleeding, such as:

Blood thinners such as warfarin (Coumadin) or clopidogrel (Plavix)
Nonprescription pain relievers such as aspirin, ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve, others)

You are likely to be prescribed an antibiotic to prevent urinary tract infection.

Arrange transportation because you won’t be able to drive yourself home after the procedure that day or generally if you have a catheter in the bladder.

Before surgery you will be given either general anesthesia — which means you’ll be unconscious during the procedure — or spinal anesthesia, which means you’ll remain conscious. Exactly what you can expect during and after prostate laser surgery varies depending on the particular type of laser and technique used.

Surgery

Procedure takes approximately 1 to 2 hours

A narrow fiber-optic scope is inserted through the tip of your penis into the urethra. The laser inserted through the scope is used to destroy, vaporize or cut out the prostate tissue blocking urine flow. Depending on the procedure, your doctor might also use instruments to remove cut pieces of prostate tissue from the bladder.

Pre-Operative

Aftercare as standard within our packages

You’ll likely have a urinary catheter in place because of swelling that blocks urine flow. If you’re unable to urinate after the tube is removed, your doctor might reinsert the catheter to allow you to heal or give you catheters that you can insert on your own a few times a day until swelling goes down and you can urinate normally.

You might also notice:

Blood in your urine. It’s normal to see blood for a few days to weeks after the procedure. Call your doctor if the blood in your urine is thick like ketchup, bleeding appears to be worsening or blood clots block your urine flow.
Irritating urinary symptoms. You might feel an urgent or frequent need to urinate, or you might have to get up more often during the night to urinate. Most men experience burning, especially at the tip of their penis and near the end of urination. With some types of laser surgery, these symptoms can last for weeks or even months depending on how you heal and the size of your prostate.
Difficulty holding urine. Incontinence can occur because your bladder is used to having to push urine through a urethra narrowed by enlarged prostate tissue. For most men, this issue improves with time.

Depending on the type of prostate laser surgery you have, you might go home afterwards or need to stay in the hospital overnight.

Your doctor is likely to recommend that you:

Take it easy. Avoid strenuous activity, such as heavy lifting, until your doctor approves it.
Hold off on sex. Your doctor might recommend waiting a week or two after the procedure. Ejaculating too soon can cause pain and bleeding.
Take medication as prescribed. If your doctor prescribes antibiotics, take the full course.

Transfers: To Hotel, Hospital and the Airport

4-Star Hotel: Receive a 4-star accommodation depending on availability

Escort Interpreter: Greet you and help to check in and admit

Obtaining a visa (extra charge)
Booking airline tickets (extra charge)
Recreational tours (extra charge)
VIP services (extra charge)
Insurance and legal services (extra charge)

Prostate Laser Surgery FAQ’s:

Are there any potential complications with laser prostate surgery?

As with any surgery, there is a minor risk of potential complications. However, laser prostate surgery is still a much safer alternative to the traditional operation.

In a small proportion of men, excessive scar tissue may form a stricture, which causes the bladder neck or urethra tube to narrow in the first few months after surgery. Often this can be dealt with in the Urologist’s office by simply passing dilators. In 1% of cases, a repeat trip to the operating room might be necessary to cut away very tough scar tissue.

What will it be like after laser prostate surgery?

Once the prostate channel has healed, your urinary flow will be stronger, easier to start and you’ll empty well.

The extra muscle your bladder has grown to push urine past an obstructing prostate will slim down again. After a few months the bladder can stretch more, and the strong urge to pass urine frequently or at night will ease off. Most older men will still awake once at night to go to the bathroom.

What about sex after laser prostate surgery?

Thulium laser surgery has very little effect on erections, as the nerves to the penis run along the outside of the prostate, away from where the channel is carved out.

Opening up the bladder neck area does usually cause retrograde or ‘backward’ ejaculation. This is harmless, and the semen will simply flush out with the next urination.

Overall, laser prostate surgery should have very little effect on your sex life.

Prostate Laser Surgery Prostate Surgery