with Dr. Giovanni Ferrari
Green laser is a new surgical technique used for BPH therapy and recognized in the European guidelines as a first choice in patients at high risk of bleeding. This technique is becoming commonplace with a 40% increase in patients treated worldwide last year. The power of the Green laser is linked to its technical-physical characteristics: the laser works on a wavelength of 532nm and is therefore able to interact with hemoglobin, ensuring excellent hemostasis quality. The side-fire feature of the laser fiber also enables interaction with the prostate tissue with 90-degree inclination so as to achieve hemostasis quickly and under vision. The excellent view also allows you to perform a targeted action with a decrease in the risk of incontinence and impotence. The green laser is very versatile and we currently know at least 4 techniques for its use.
We present the case of a 62-year-old patient with a long history of obstructive and irritative BPH related symptoms. Prior to surgery, the patient presented with an IPSS of 26, a total PSA of 5.3ng / ml and a Qmax of 6ml/sec. The prostate volume was 62cc with a 36cc adenoma. Therapy with warfarin was suspended before surgery while continuing therapy with Aspirin. The goals of therapy are: to improve the patient's subjective symptoms, to reduce the IPSS, and to increase the Qmax with low risk of bleeding and reduced hospitalization times.
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