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Photoselective Vaporization of Prostate (GreenLight)

Laser Treatment for BPH

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 Photoselective Vaporization of Prostate (GreenLight)?

Endoscopic laser surgery using 532-nm wavelength (GreenLight) absorbed selectively by hemoglobin.

Vaporizes prostatic tissue with 1-2 mm penetration depth, providing simultaneous hemostasis.

Modern systems: 80W (early), 120W HPS, 180W XPS (current standard).

Outpatient or short-stay procedure; alternative to TURP especially in anticoagulated patients.

Symptoms

Targeted symptoms: lower urinary tract symptoms (LUTS) of BPH.
Weak urinary stream, hesitancy, intermittency.
Frequency, urgency, nocturia.
Incomplete bladder emptying, sense of post-void residual.
Acute urinary retention, recurrent UTIs.
Mild hematuria from BPH.

Risk Factors

Indications: moderate-severe LUTS unresponsive to medication; prostate volume 30-150 mL.
Particularly useful in patients on anticoagulants/antiplatelets (excellent hemostasis).
Alternative to TURP, HoLEP, or open prostatectomy.
Contraindications: prostate cancer (relative), neurogenic bladder.

When to See a Doctor?

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

  • Failed medical therapy (alpha-blockers, 5-ARIs).
  • Recurrent UTIs or urinary retention.
  • Bladder stones, hydronephrosis from BPH.
  • Renal impairment from BPH.
  • Patient preference for surgical solution.

Treatment Methods

01
Preoperative: PSA, urinalysis/culture, uroflowmetry, residual urine, prostate volume (TRUS).
02
Anesthesia: spinal or general; outpatient feasible.
03
Cystoscope with side-firing laser fiber; saline irrigation (no TUR syndrome risk).
04
Vaporize tissue from bladder neck to verumontanum, creating channel.
05
Postoperative catheter 12-24 hours; some perform catheter-free.
06
Outcomes: comparable to TURP for IPSS/Qmax improvement; shorter catheter time.
07
Complications: dysuria, irritative voiding (common, transient), retrograde ejaculation 30-50%, UTI, bladder neck contracture (5%).
08
Anticoagulants can typically be continued (key advantage).
09
Follow-up uroflowmetry, PSA, IPSS at 3, 6, 12 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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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.