Dr. Alejandro Nolazco, Chief of the British Hospital’s Urology Service, explains that 80 % of adult men after the age of fifty undergo a slow and gradual increase in the size of the prostate gland, which is known medically as Benign Prostatic Hypertrophy. As it progresses, it presses on the urethra –tube which empties the bladder- provoking symptoms such as increasing frequency of urination both by day and at night, difficulty is starting the process and slower emptying.  The extreme situation is a complete blockage, which is a medical emergency.

An alternative to surgery has been the introduction of Laser therapy, which is minimally invasive and with quick results. The latest generation of this type of equipment, the LIFE SLV 980nm, a Diode Laser known as Evolve, has been acquired by the British Hospital. Both Dr. Nolazco and Dr. Featherston, one of his Staff members, have trained with this equipment in the United States, and have already undertaken this procedure locally with very good results. 

The procedure is done under general anesthesia, and lasts about 1 hour, during which the slim Laser fiber is introduced into the urethra, and as it vaporizes the enlarged prostatic tissue, it coagulates and seals the blood vessels, avoiding any bleeding in the surrounding tissues. After finishing, catheter is left in the bladder for 1 or 2 days, and the patient may return home the day after the procedure.

These 2 surgeons and their team have also successfully performed at the British Hospital radical laparoscopic prostatic surgery for cancer of the prostate, which has enormous benefits to the patient, in terms of fewer complications, much less postoperative pain and a speedier return home.

Dr. John D.C. Emery