Laser surgery with ejaculation preservation
From the age of 30 onwards there is an imbalance in testosterone production, which causes half of all men to grow a disproportionate area of the prostate (the transition zone).
The prostate surrounds and embraces the urethra. The enlargement of the prostate can cause symptoms in men from the age of 40 onwards, due to the obstruction it causes to the outflow of urine.
This is the most common condition in our speciality in men over 45 years of age. Its frequency increases with age and more than 80% of men have some kind of prostate problem during their lives.
Details of ejaculatory preservation prostate treatment
What problem does this treatment solve?
Urinary problems caused by prostate obstruction
Areas to be treated
Prostate
What does the pre-operative consist of?
Blood tests with PSA and coagulation tests, urinalysis, electrocardiogram and visit to the anaesthesiologist.
What is the approximate duration of the procedure?
60 min depending on prostate size
Equipment
Greenlight Laser Generator 120w
Does it require anaesthesia?
Spinal or general depending on the individual patient and at the discretion of the anaesthetist.
Does it require admission or is it ambulatory?
1 day of hospitalisation
How should the patient be cared for after the operation?
Discharge without catheter in most cases (98%) to go home.
Rest 4 days at home
Approximate recovery time
2 weeks for a light activity
4 weeks normal life
Does it leave scars?
No scarring, operated through the urethra
What results should the patient expect?
Urinating without difficulty, with a stronger stream and in a more pleasurable way. Frequency of urination may take some time to reduce.
Complementary treatments
Post-operative medication is sometimes necessary to reduce urinary discomfort.
Frequently asked questions about prostate vaporisation with ejaculation preservation
What are the advantages of ejaculation-sparing surgery for the patient?
The aim of the operation is to preserve certain areas of the prostate that are involved in the closure of the ejaculatory apparatus, so that the semen is expelled forwards through the urethra.
How does it differ from the photovaporisation technique?
As certain parts of the prostate tissue are preserved, this tissue may give worse deobstructive results.
What results can be expected?
With a good selection of cases, our team is obtaining excellent deobstructive results, with results to date of preserved ejaculation in 100% of cases.
What patient profile is suitable for this modality?
We apply this technique to prostates smaller than 40 cc.