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GreenLight Laser PVP · Photoselective Vaporization of Prostate in Bangkok
GreenLight Laser uses a high-power 532-nm laser to vaporize obstructing prostate tissue with near-zero blood loss. Also known as PVP (Photoselective Vaporization of Prostate), it's the go-to BPH option for men on blood thinners, men with cardiac comorbidities, and patients who want a shorter recovery than TURP without giving up effective tissue removal.
Medically reviewed by Dr. Noppon Arunkajohnsak (Win), Board-certified Urologist
9 years of experience
Our solutions
Why patients choose GreenLight Laser PVP
What Our Patients Say
The difference was night and day. I hadn’t felt a strong stream like that in years.
I was nervous about surgery, but the relief was almost instant. Sleeping through the night feels incredible again.
Book your consultation today.
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How to Prepare for GreenLight Laser PVP
Cardiac clearance
Pre-op assessment with your cardiologist if you are on anticoagulants or have heart disease.Urine culture
Treat any urinary tract infection before surgery.Prostate imaging
Recent ultrasound or MRI to confirm size and rule out cancer.Blood thinners can usually continue
Unlike TURP, GreenLight is safe to perform without stopping aspirin or clopidogrel · confirm with your prescribing doctor.Fast pre-surgery
No food or water for 6-8 hours before the procedure.Plan for short admission
Most patients are discharged the same day or after one night.
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What Happens During GreenLight Laser PVP
Anesthesia
Spinal or general anesthesia. Most patients choose spinal.Cystoscope insertion
A thin scope is passed through the urethra under direct vision.Laser vaporization
The 532-nm GreenLight laser vaporizes obstructing prostate tissue in a controlled sweep. Tissue is destroyed, not removed in chunks.Catheter placement
A urinary catheter is placed for 24-48 hours.Total operating time
Typically 45-90 minutes depending on prostate size.Discharge
Same day or after one night. Patients on anticoagulants resume them immediately.
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Explore Our Topics
About GreenLight Laser PVP
Boston Scientific GreenLight XPS Laser
Current-generation 180W laser system · faster vaporization, safer in larger prostates than older 80W/120W systems.
Specialist BPH Surgeons
Our urology team is trained in GreenLight, HoLEP, TURP, Rezum, UroLift, and iTind · we recommend the right tool for your prostate size and risk profile.
Safe for Anticoagulated Patients
GreenLight is the safest BPH surgery if you take blood thinners · we coordinate with your cardiologist to avoid unnecessary medication stops.
Private, Discreet Recovery
Confidential care, WhatsApp recovery support, English-language follow-up.
Frequently asked questions
How is GreenLight different from TURP?
GreenLight uses a high-power 532-nm laser to vaporize prostate tissue, offering near-zero blood loss. This means you can often avoid stopping blood thinners, unlike TURP which uses electrical energy to cut tissue and typically requires discontinuing anticoagulants for several days. While both procedures effectively relieve BPH symptoms, GreenLight often results in a shorter catheterization time and hospital stay for you. Recovery is generally quicker, but both offer similar symptom improvement for medium-sized prostates.
Is GreenLight safe if I take blood thinners?
Yes, GreenLight is considered the gold standard BPH option for men on blood thinners like aspirin, clopidogrel, or DOACs who cannot safely stop them. The laser's precise energy seals blood vessels as it vaporizes tissue, significantly minimizing bleeding risk during and after your procedure. This allows you to continue your essential medication regimen without interruption, providing a safer surgical option when compared to traditional methods that require stopping anticoagulants.
What prostate size is GreenLight best for?
GreenLight is highly effective for prostates ranging from 30 to 100 grams. Within this range, you can expect excellent symptom relief and a good safety profile. For very large prostates exceeding 100 grams, Holmium Laser Enucleation of the Prostate (HoLEP) is generally more efficient. HoLEP allows for more complete tissue removal in larger glands, which often translates to more durable and long-lasting results for you in those specific cases.
Will I lose ejaculation after GreenLight?
Retrograde ejaculation, where semen enters the bladder instead of exiting the penis, occurs in roughly 30-60% of GreenLight patients. This rate is lower than the 60-70% seen with TURP but higher than some minimally invasive options like Rezum or UroLift. While not harmful, it means you may experience a "dry orgasm." We will discuss this potential side effect and its implications for your sexual health during your consultation.
How much does GreenLight cost in Bangkok?
The total cost of your GreenLight procedure in Bangkok will depend on several factors. These include your choice of anesthesia, the size of your prostate which dictates surgical time, and the length of your hospital admission. To receive an accurate and personalized quote tailored to your specific needs, we highly recommend booking a consultation with our specialists. They will assess your condition and provide a clear breakdown.
What are the success rates and long-term outcomes for GreenLight Laser PVP?
GreenLight boasts high success rates for improving BPH symptoms, with studies showing significant relief from urinary issues for many years. Most patients experience sustained improvement in urine flow and reduced urgency. Long-term studies indicate that the need for re-treatment is low, with many men enjoying durable results for 5-10 years or more. You can expect a substantial and lasting improvement in your quality of life.
What anesthesia options are available for GreenLight Laser PVP?
For your comfort during GreenLight Laser PVP, we offer several anesthesia options. You can typically choose between general anesthesia, where you are completely asleep, or spinal anesthesia, which numbs the lower half of your body while you remain awake or lightly sedated. Your surgeon and anesthesiologist will discuss these choices with you, considering your health status and preferences, to ensure the safest and most comfortable experience possible.
What should I expect during my GreenLight consultation?
During your consultation, you will meet with our urologist to discuss your symptoms and medical history. We will perform necessary tests like a urine flow study, prostate exam, and possibly a PSA blood test or ultrasound. This helps us accurately diagnose your condition and determine if GreenLight is the best option for you. You'll have the opportunity to ask questions and make informed decisions about your treatment plan.
What are the logistics for international patients traveling for GreenLight in Bangkok?
For international patients, we recommend arriving in Bangkok at least 2-3 days before your procedure for pre-operative assessments. You can typically fly home 3-5 days after surgery, once your catheter is removed and you've been cleared by your surgeon. We offer follow-up support via WhatsApp or video calls for your convenience, ensuring continuity of care even after you return home.
THE SAFEST BPH LASER FOR HIGH-RISK PATIENTS
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Dr. Noppon Arunkajohnsak (Win)
- Experience
- 9 years
Dr. Noppon is a board-certified urologist trained at Siriraj Hospital, Mahidol University. With over 9 years of experience, he focuses on urological consultation and men's health, providing discreet, evidence-based, patient-centred care.

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