The second type of laser treatment that I do and offer is greenlight vaporisation of the prostate.
This is very good for small prostates, and offers excellent haemostatic capabilities1, 2.
The laser fires from the side, we put the resectoscope in, and it vaporises the tissue.
At the end, you have a usually clear channel, and patients can void and pass urine through this.
Although some studies have shown good outcomes2, there is a concern that the re-operation rate might be quite high with the greenlight vaporisation technique4, and I use it selectively in patients with smaller prostates, or patients who are on anti-coagulation therapies.
So it’s another treatment that I use, and I tailor the treatment according to the patient.