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Interstitial Laser Coagulation of Prostate

Minimally invasive thermal therapy for benign prostatic hyperplasia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Interstitial Laser Coagulation of Prostate?

Interstitial laser coagulation (ILC) of the prostate is a minimally invasive thermal ablation technique for benign prostatic hyperplasia (BPH). Diode or Nd:YAG laser fibers are inserted directly into prostatic adenoma tissue under transurethral guidance, generating coagulative necrosis at controlled temperatures.

The procedure is suitable for patients unfit for surgery, those on anticoagulation or with high comorbidity. Although less effective than holmium laser enucleation (HoLEP) or photoselective vaporization, ILC offers low bleeding risk, outpatient performance and preserved sexual function. Reabsorption of necrotic tissue and luminal expansion occur over 4-12 weeks.

Symptoms

Lower urinary tract symptoms (LUTS) due to BPH
Increased urinary frequency and nocturia
Weak urinary stream and intermittency
Sensation of incomplete bladder emptying
Acute or chronic urinary retention
Prostate volume 30-60 mL on imaging
High bleeding risk on anticoagulation

Risk Factors

Age over 60
Family history of BPH
Metabolic syndrome and obesity
Diabetes mellitus
Sedentary lifestyle
Cardiovascular disease requiring anticoagulation
Untreated chronic urinary retention

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Bothersome LUTS unresponsive to medical therapy
  • Recurrent urinary tract infections from retention
  • Hematuria attributable to BPH
  • Bladder stone or diverticulum formation
  • Acute urinary retention requiring catheterization
  • Patient intolerance for transurethral resection

Treatment Methods

01
International Prostate Symptom Score (IPSS) assessment
02
Uroflowmetry and post-void residual measurement
03
Trial of alpha-blocker and 5-alpha reductase inhibitor
04
Cystoscopy and prostate volume estimation
05
Local anesthesia or sedation in outpatient setting
06
Cystoscopic placement of laser fibers into prostatic adenoma
07
Coagulation of multiple lobes per protocol
08
Foley catheter for 3-7 days postoperatively
09
Follow-up uroflowmetry and IPSS at 6 weeks and 3 months

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.