Prostate Laser Treatment

I am now 8 months out from Dr. Karamanian's surgery, the MRI-guided Focal Laser Ablation (FLA). I continue to be incredibly thankful for the new life that it has given me. The burden of frequent urination was significantly degrading my quality of life. I chose Dr. Karamanian because of the considerable precision (lower risk) that he offers with this unique procedure versus the (higher) risks related to other options. The MRI guidance is what cemented my decision, because reducing risk of incontinence and reduced sexual function to the lowest possible level was primary in choosing which procedure to use. Additionally, any biopsies needed are completed with the same precision and then the exact area is ablated. The personal focus and care that both Dr. Karamanian and Donnie give is really wonderful. They made sure that all my questions were answered in pre-op meetings, post-op checkups, and later followups. I rapidly resumed activities and after the requisite recovery period ran 5k the next day, started skiing and running, and worked up to a 50k race 5 months post surgery. From a function standpoint, my urination went from frequent, urgent, low volume, weak, and strained to something I have not experienced for decades - strong stream, comfortable bladder control, full emptying, and the confidence not to worry about having a bathroom always accessible. My sexual function was not disrupted at all. The extreme precision that the MRI affords allows the surgeon to ablate the needed prostate areas without damaging surrounding tissues and nerves. My procedure was to reduce the size of my prostate, and to biopsy an area of question. The biopsy benefits from the same precision to assure exact targeting of the area of concern and then immediate ablation of the same exact area rather than a separate needle biopsy procedure. In my opinion, the TURP or GreenLight alternatives could not provide the precision to reduce risk of damage to the nerves controlling continence and sexual function, nor the biopsy precision that the MRI/FLA delivers. The specter of incontinence and sexual dysfunction were too great for me. The MRI guidance gave me the confidence to go into this surgery with the lowest risks possible. I am incredibly thankful to Dr Karamanian and team and so pleased with the result.

I couldn't be happier with the outcome of my laser oblation procedure. My PSA was rising and the non targeted biopsy showed Gleason 3+4 7. My local urologist just wanted to remove my prostate. He didn't really care that I would have to deal with all the side effects and may never be normal again. I had my procedure with the Prostate laser center in Houston. They were very caring and wonderful through the whole procedure. As I stand here today 2 years later, I am 100% normal with no side effects. I feel so blessed that I was able to have this option and would highly recommend Prostate Laser Center in Houston.

I was diagnosed in November 20 23 with prostate cancer 3+4 Gleason scale went to memorial Sloan where they recommended a radical prostatectomy at that time I had a few colleagues who had just gone through this procedure. They were all dealing with serious sexual and incontinent side effects lasting a very long time I researched the prostate laser center spoke with their team. They told me I was a candidate. I had the procedure performed in April 20 24. Their team is extremely professional Dr Karmanianis amazing. He goes into great detail to explain the procedure and what to expect and what was an accomplished after nurse Donny is always available for a follow up phone call or any questions and is extremely helpful and Arianna and the team at the front desk were extremely responsive to any questions I had before and after the procedure I am now one year out from the procedure I have had MRI and PSA‘s performed at six month and one year intervals. My PSA has dropped from 4.4 to 1.39 all MRI scans show no lesions and no cancer and I feel great. Best of all I have had no side effects sexually or with incontinence. I have now recommended this procedure to another friend of mine who was diagnosed with prostate cancer. He also went down to the prostate laser center and has had the same experience as I both he and I are thrilled with the fact that this procedure was available, and the we were able to choose this path as opposed to radical prostatectomy and all of the side effects that come with that Which can really change the quality of your life I could not speak more highly of Dr Karmanian and his team and I highly recommend MRI guided focus laser ablation for anyone who is in this situation and extremely grateful that I had found out about it and was able to choose this option

I can't say enough good things about Dr K and his staff. I have been in prostrate cancer remission since my FLA procedure almost 7 years ago. I get an MRI every year which Dr K reads and contacts me to discuss. I have told countless men about the procedure and tell them to contact the Prostate Laser Center.