How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Arun Phophalia Your Own Question
Dr. Arun Phophalia
Dr. Arun Phophalia, Doctor (MD)
Category: Health
Satisfied Customers: 35437
Experience:  MBBS, MS (General Surgery), Fellowship in Sports Medicine
Type Your Health Question Here...
Dr. Arun Phophalia is online now
A new question is answered every 9 seconds

What are the pros and cons of TUNA and KTP Greenlight Laser

Resolved Question:

What are the pros and cons of TUNA and KTP Greenlight Laser to treat an enlarged prostrate?
Submitted: 9 years ago.
Category: Health
Expert:  Dr. Arun Phophalia replied 9 years ago.


While the choice of procedure in benign prostatic hyperplasia is dependent on size of prostate, bladder neck problems, symptoms and severity of them, age, associated co-morbid conditions, physician and patient's preference, so no procedure can be considered over all superior to other. Pros and cons of both the procedures is mentioned;


1) Transurethral needle ablation (TUNA) is offered as one of the less-invasive surgical treatment modalities.

2) TUNA can be performed in an outpatient or clinic setting with local anesthesia and oral sedation.

3) The cost is less in terms of the direct cost of the procedure and recovery time.

4) The intra operative and postoperative morbidity and mortality rates are significantly lower with TUNA.

5) TUNA is associated with fewer sexual side effects and less bleeding.

The long-term outcomes may not be durable of TUNA.

KTP greenlight Laser:

1) Bleeding is insignificant.

2) Done as out-patient basis and the patients are discharged on the same day.

3) The urinary catheter may need to be kept for just a few hours.

4) If the patient is on blood thinning medicines, procedure can be done without stopping anticoagulants, if adequate precautions are taken.

5) An advantage of this technique is that it can be offered to anyone regardless of age, symptoms, configuration of the prostate, or severity of symptoms.

6) Patients do not experience any adverse effect on potency.

7) The procedure can be performed with a regional or local anesthesia.

Can't be done in patients in whom coagulopathies that are not reversible

Active infections if present, procedure can't be done.

Prostates larger than 80 gms, not helpful.

Tissue for biopsy and histopathological examination may not be available.

Your follow up questions are welcome.

Dr. Arun

Dr. Arun Phophalia and 2 other Health Specialists are ready to help you