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Doctor insights on: What Are The Advantages And Disadvantages Of Turp Versus Laser Surgery For Bph

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What are the advantages and disadvantages of TURP versus laser surgery for bph?

What are the advantages and disadvantages of TURP versus laser surgery for bph?

Too long: It is not possible in 400 characters to list all the pros & cons of TURP and HoLEP (holium laser enucleation of the prostate).The end result is about the same. What is more important is which one the surgeon is more experienced in. I am sure this is not for you since you are only 31. ...Read more

Dr. James Krick
309 Doctors shared insights

Bph (Definition)

BPH is abbrev of benign prostate hyperplasia, which is a general, confusing, clinical term for men's trouble to void although it is a pathological term to describe microscopic increase in number & size of glandular cells in the prostate, starting as early as age 30. For better use, LUTS is proposed to replace BPH. More? Go to ...Read more


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What are the differences between TURP and laser surgery?

What are the differences between TURP and laser surgery?

TURP vs laser TUVP: Main differences occur with the surgeon's experience. Both procedures (mandated by insurers) must be scheduled/performed on an "outpt" basis, and may leave you with a Foley catheter for ~ 1 week. Reports suggest longer post-operative discomfort following laser tuvp. Also, no tissue is typically obtained for review with a laser procedure, unless the surgeon is performing a laser "resection.". ...Read more

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Is retrograde ejaculation an outcome of the evolve BPH laser surgery, or just a possible side effect? If so what are the chances? Of it happening?

Is retrograde ejaculation an outcome of the evolve BPH laser surgery, or just a possible side effect? If so what are the chances? Of it happening?

See below: Retrograde ejaculation is a common side effect of all bladder outlet procedures designed to improve flow of urine that has been impaired by enlarged prostate. It is slightly less common in some of the newer procedures like laser and microwave therapy, but is still possible. Importantly, even man who experience this side effect have a normal sensation of orgasm, just little/no ejaculation. ...Read more

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I have been diagnosed with BPH. In 2004 I had a TUNA. In 2010 I had a laser TURP. The condition has returned. What else can I do to fix my BPH?

I have been diagnosed with BPH. In 2004 I had a TUNA. In 2010 I had a laser TURP. The condition has returned. What else can I do to fix my BPH?

BPH treatment: Both of the treatments you describe can inadequately address the problem in very large prostates by failing to remove enough prostatic tissue. For very large prostate glands, transurethral resection of the prostate or even an open suprapubic prostatectomy is often required to fully address the problem. You may want to consider seeking out a urologist experienced in these surgical techniques. ...Read more

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I get a BPH surgery TURP 3 days ago it was successful surgery but there is still blood in urine with bad burn when urinate any risk will I be better?

I get a BPH surgery TURP 3 days ago it was successful surgery but there is still blood in urine with bad burn when urinate any risk will I be better?

Check: Initial part of stream bloody is acceptable 3 days after TURP for BPH.You must be asking for sobody else as you are w8.There is no sush thing as TURP for BPH on a 28 year old. It does not say where you are in the world. Check with the surgeon who did the TUR. ...Read more

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For enlarged prostate surgery, which method heals faster? Is it better for a faster and less bloody to perform TURP so that the result is the inability to ejaculate?

For enlarged prostate surgery, which method heals faster? Is it better for a faster and less bloody to perform TURP so that the result is the inability to ejaculate?

I: I am not exactly sure what you are asking here. There are different procedures available for urinary symptoms. The most minimally invasive procedures are in-office procedures like tumt or tuna. These are procedures done in the office with minimal anesthesia. These generally have quick recoveries. However, they generally do not work as well as more invasive procedures. Some patients are able to maintain their ejaculate.

Photoselective vaporization of the prostate or laser surgery is certainly less bloody than a traditional TURP but it does cause frequently cause a loss of ejacuate. You are able to go home the day of your procedure as well. There is some argument as to whether or not this procedure is as good as a turp.

Turp remains the gold standard treatment for urinary symptoms. However, it is the most invasive, requires a hospital stay and has the highest rate of bleeding requiring blood transfusion. This will definitely wipe out your ejaculate as well. ...Read more

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My uncle just undergone TURP for enlarged prostate gland. Post surgery he has hypotonic bladder. Is it curable!? What is the treatment

My uncle just undergone TURP for enlarged prostate gland. Post surgery he has hypotonic bladder. Is it curable!? What is the treatment

Difficult problem: If recent there may still be recovery, the first step in treatment is a good evaluation, usually with urodynamic studies to determine if it is truly a weak bladder vs a persistent obstruction. If the bladder is weak, but he can void and does not experience repeat infections then it may be best to do nothing beyond behavioral strategies. The only real treatment is a catheter, preferably self-cath. ...Read more

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About laser surgery?

About laser surgery?

Laser surgery: Can you give us a little more information? Not quit enough given to be able to help you. ...Read more

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How hard is laser surgery for acne?

How hard is laser surgery for acne?

Not Difficult: Many of the new lasers for acne are not painful or inconvenient. They have been developed to either reduce the bacterial colony counts, oil gland size, or oil excretion. Clinical trials show improvement with reduction of acne lesional size and number; however, complete clearance is rare. ...Read more

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When is laser surgery used for acne scarring?

When is laser surgery used for acne scarring?

Inactive acne: When the acne is under control, depressed facial scars or raised back scars are very responsive to fractionated laser. The healing is fast and predictable. Repeat sessions increase improvement. ...Read more

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Can you have sex after cervical laser surgery?

Can you have sex after cervical laser surgery?

Not for about 2 week: You should avoid intercourse, tampons or douching for about 2 weeks. Usually that is the time of a post operative visit, at which time your doctor can examine the cervix to see if it has healed sufficiently to resume intercourse. Having intercourse too soon after surgery can increase your risk of infection or bleeding. ...Read more

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Would acne laser surgery remove my acne for good?

Would acne laser surgery remove my acne for good?

No: Even in the 21st century, acne can only be managed until it self-cures on its own. If topical benzoyl peroxide 5% 2x/day hasn't cleared you in two weeks, your personal physician will work with you to find the right prescription-strength treatment. If you're offered isotretinoin, it will clear you for at least several months though it's not for the faint-hearted. ...Read more

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For acne laser surgery removal, what should I do?

For acne laser surgery removal, what should I do?

Acne laser: Speak with a dermatologist. I don't believe lasers are the treatment for acne. ...Read more

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Are steroid shots better than laser surgery for keloids?

Are steroid shots better than laser surgery for keloids?

Not Sure.: Both are acceptable treatments for Keloids. Both treatments have their advocates. Keloids are difficult to treat and what works for one may not work for another. It is an issue that should be discussed with a plastic surgeon. I have seen excellent result with both and I have seen treatment failures with both. Decision to treat should be carefully weighed. Treatment can make some worse. ...Read more

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What are the side effects of secondary cataract laser surgery?

What are the side effects of secondary cataract laser surgery?

There are a few: Yag laser capsulotomy is done when a person develops opacification of the posterior capsule following cataract surgery. The procedure of opening the capsule is done to improve the vision. Side effects are not common, but include inflammation, retinal detachment and cystoid macular edema, together with transient elevation of intra-ocular pressure. ...Read more

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How much can it cost to have a mole removed by laser surgery?

How much can it cost to have a mole removed by laser surgery?

Depends: Price varies greatly depending on the type of laser used, skill level of the physician, whether performed by doctor or nurse, geographic region. In my practice the cost can range from $150 to $1500 or more per trestment depending on the size of the mole or birthmark and how many lasers I need to use. ...Read more

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What can you tell me about laser surgery for ocular hypertension?

What can you tell me about laser surgery for ocular hypertension?

Lowers Pressure: First, Ocular hypertension is a condition when the intraocular pressure is elevated but there is no glaucoma damage. Very high pressure can result in AION (eye stroke). Prolonged elevated pressure increases the risk of developing glaucoma. An SLT laser lowers pressure, improving the fluid drainage, and is repeatable. The laser treats the drain site in the eye. ...Read more

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What to do if I have a lot of acne is there like laser surgery or something?

Real Rx: Forget the lasers for now and get with your personal physician. If topical benzoyl peroxide 5% 2x/day has not cleared you after two weeks, your personal physician will add prescription-strength meds, or for tough cases refer you to a dermatologist who can write for isotretinoin. You owe it to yourself to make the phone call. Do this before you end up with a lot of scars. ...Read more

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Has anyone had fraxel laser surgery for skin problems, and was it good and effective?

Has anyone had fraxel laser surgery for skin problems, and was it good and effective?

Scars,: This is effective for depressed or raised scars from acne, surgical scars, vertical wrinkles on the lip, and wrinkles on the cheeks, and lower eyelids. Healing with the fractionated ervium is 3-4 days, although redness may persist for 1-2 weeks. The results are permanent and worthwhile. ...Read more

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What do you recommend if I have -3, -3.5 power in my both eyes. Is that can be cured by laser surgery?

What do you recommend if I have -3, -3.5 power in my both eyes. Is that can be cured by laser surgery?

Maybe: The prescription you indicated is definitely within the range of powers that can usually be treated by laser vision correction surgery. This assumes your cornea and eyes are otherwise healthy. See an ophthalmologist for a consultation to be sure. ...Read more

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I have cataracts and corneal scarring 10 years after laser surgery. What to do if difficult to remove cataracts?

I have cataracts and corneal scarring 10 years after laser surgery. What to do if difficult to remove cataracts?

Surgery: If the corneal scarring is not bad, the cataracts can most likely be operated on and your vision improve. All this needs to be determined by the eye surgeon. ...Read more

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Please suggest, which operation is better and more effective for tongue tie with less pain? 1. Laser surgery or 2. Scissor surgery

Please suggest, which operation is better and more effective for tongue tie with less pain? 1. Laser surgery or 2. Scissor surgery

Laser: Laser will usually cauterize as it cuts - more sterile, less bleeding, less swelling, less discomfort afterwards. Should apply barrier such as petroleum jelly to incision to prevent reattachment. ...Read more

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Can Muro 128 cause permanent changes in vision when used at week 2-3 post PRK laser surgery? I'm experiencing scattered vision around lights. (week 4)

Can Muro 128 cause permanent changes in vision when used at week 2-3 post PRK laser surgery? I'm experiencing scattered vision around lights. (week 4)

No effect: Muro 128 can be useful for eye dryness. It will not alter the effect of LASIK vision correction. IF your ophthalmologist indicates that you need Muro 128, then use it as directed. ...Read more

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Afterkidneystone laser surgery how to back to normal?

Afterkidneystone laser surgery how to back to normal?

Depends.: If the stone was completely fragmented and no ureteral stent was placed, recovery tends to be quick, 1-2 days. Some patients, despite this, can have a significant amount of pain or discomfort requiring pain medication. Residual stone disease, residual ureteral edema, ureteral stent pain, and urinary symptoms may persist and prolong recovery. ...Read more

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Any suggestions on which type of laser surgery would be good for me?

Any suggestions on which type of laser surgery would be good for me?

Laser surgery?: This depends on what type of surgery you will be having. IS is skin resurfacing, removal of a lesion, surgery on your arteries, or one of many other types of laser surgeries? What are you trying to treat? ...Read more

Dr. Michael Michaels
166 Doctors shared insights

Benign Prostatic Hyperplasia (Definition)

Benign prostatic hyperplasia (hypertrophy) is an enlargement of the prostate gland in males that can constrict the male urethra leading to retention of urine, feelings of urgency, etc. If severe enough, it can be treated with ...Read more


Dr. James Krick
47 Doctors shared insights

Transurethral Prostate Resection (Definition)

This isbtoo surgical removal through a resectoscope to remove the enlarged ...Read more