El Camino Hospital Los Gatos is the only hospital in Northern California to acquire the newest and most sophisticated GreenLight XPS laser technology, making it available to urologists 24/7. We are one of only four centers of education for GreenLight Laser in the country and perform the highest volume of BPH GreenLight laser procedures in California.
The GreenLight XPS for Photoselective Vaporization of benign prostatic tissue (BPH) is an innovative laser treatment that combines the effectiveness of transurethral prosthetic resection with the safety and ease of a minimally invasive procedure. Unlike original laser and thermal technologies, The immediately removes enlarged prostatic tissue using the high-powered Green Lite of the GreenLight XPS. The laser energy vaporizes and precisely removes obstructing prosthetic tissue in a virtually bloodless procedure. Most patients treated with the GreenLight XPS are released from hospital within a few hours of the procedure and are allowed to return home without a catheter and can return to normal non-strenuous activity within days.
How does GreenLight XPS work? A thin fiber is inserted into urethra through a cystocope. The fiber, under direct vision, delivers the laser energy for Photo Selective Vaporization of the Prostate (PVP) and precisely removes the prosthetic tissue that obstructs the passage of urine. The physician is able to safely view and control the treatment area.
Pre and Post Operative Guidance
The information below is designed to help you prepare for your GreenLight XPS procedure and a recovery. Here are some of the key pre-and postoperative instructions your doctor will likely ask you to follow. It is important to remember, however, that each person is unique, and, therefore, your physician may provide you with additional or different instructions. If you have any questions or concerns, be sure to contact your urologist.
Before your scheduled procedure, ask your doctor to write prescriptions for any medications you will be required to take following your procedure. You should try to fill these prescriptions before your procedure so that you have them on hand.
The night before your procedure, you may eat and drink as usual. However, if you are scheduled to have your procedure before noon the following morning, do not take anything by mouth after 12:00 midnight the night before. If your procedure is in the afternoon your urologist and anesthesiologist may allow you to have a clear liquid breakfast.
Wear comfortable, loose-fitting clothing on the day of your procedure.
Arrange for transportation home; you may not drive or operate dangerous equipment for 48 hours after the anesthetic. If your doctor has indicated that you will need to stay overnight in the facility, be sure to arrange for someone to pick you up the next morning.
Post-Procedure - Patient Instructions
Take pain medication as directed by your doctor. At times Tylenol or non-steroidal anti-inflammatory may suffice.
Your doctor may determine that you need a catheter to drain your bladder postoperatively. Catheters are generally removed within 24 hours of the procedure. Follow your doctor's instructions. Wash around a catheter with soap and water and rinse very well with clear water.
Do not strain when having a bowel movement. Irregular bowel habits may occur after the procedure until you are fully recovered. If this occurs, increase your fluids and fiber and if symptoms persist for more than 2 days call your urologist.
You may experience urinary urgency and/or frequency for the first month following surgery. These symptoms are normal as the prostate and bladder heal from the urinary obstruction.
You may have a small amount of bleeding upon urination. If you notice blood clots in the urine, this is normal and should be relieved by increasing your fluid intake. If bleeding and clots persist, contact your urologist.
Call your doctor if you experience any complications or have further questions or concerns. Your urologist is there to help and answer your questions.