Overview

Laser PVP surgery is a minimally invasive treatment for an enlarged prostate. The procedure uses a laser to perform photoselective vaporization of the prostate (PVP).

During laser PVP surgery, a tube with an imaging system (cystoscope) is inserted into the penis. A surgeon places a laser through the cystoscope to burn away (vaporize) excess tissue that is blocking urine flow through the prostate.

Unlike traditional prostate surgery, laser PVP surgery avoids cutting or scraping tissue. As a result there's generally less blood loss — which can make laser PVP surgery a good option for men who have blood-clotting conditions or who take blood thinners.

PVP is one of several minimally invasive treatment options for an enlarged prostate, a condition known as benign prostatic hyperplasia (BPH). Like other minimally invasive treatments, PVP can offer faster recovery and symptom relief compared with traditional prostate surgery.

Read more about benign prostatic hyperplasia (BPH) and prostate laser surgery.

Mayo Clinic's approach

July 20, 2016
References
  1. Wein AJ, et al., eds. Minimally invasive and endoscopic management of benign prostatic hyperplasia. In: Campbell-Walsh Urology. 11th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed May 11, 2016.
  2. Cunningham GR, et al. Transurethral procedures for treating benign prostatic hyperplasia. http://www.uptodate.com/home. Accessed May 11, 2016.
  3. de la Rosette J, et al. Clinical Research Office of the Endourological Society Global GreenLight Laser Study: Outcomes from a contemporary series of 713 patients. International Journal of Urology. 2015;22:1124.
  4. Jaeger CD, et al. Holmium laser enucleation (HoLEP) and photoselective vaporization of the prostate (PVP) for patients with benign prostatic hyperplasia (BPH) and chronic urinary retention. BJU International. 2015;115:295.
  5. Brown A. Allscripts EPSi. Mayo Clinic, Rochester, Minn. March 24, 2016.