Posted On Jan 05, 2023
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Consultant - Urology and Andrology and Kidney transplant Surgeon
5 min read
Holmium laser enucleation of the prostate is a minimally invasive procedure done for enlarged prostates in men. Men over 50 tend to have prostate enlargement, which can result in a variety of issues, including painful urination, urinary incontinence, infection, and blood in the urine. Medication is typically used to treat people with enlarged prostates. Experts usually recommend Holmium laser enucleation of the prostate if the symptoms do not improve with medicine or if they are very severe. This Holmium laser enucleation of the prostate is a relatively minimally invasive procedure carried out utilizing Holmium lasers with 550-micron fibers.
The advantages of Holmium laser enucleation also known as laser prostatectomy, typically include very little to almost no bleeding, quick recovery, a short hospital stay, the removal of the catheter in a day or two, and the ability to return home as soon as possible in 24 to 48 hours. Additionally, the patient will be awake throughout the surgery, which is performed while under regional anesthesia. The abdomen is not sliced, and there are no stitches there either. Since the recovery is quicker and the majority of patients do well, they can go home early after the treatment and recover quickly. This procedure of holmium laser enucleation in Mysore is carried out by an endoscopy, also known as a cystoscopy, which is passed through the urinary passage. Following this operation, patients can resume their regular activities within a few days or a week and engage in regular sexual activity.
Due to the quick recovery and minimal bleeding, this treatment can be performed on very elderly patients who are 95 to 100 years old, including those who have ischemic heart disease. There is no prostate size restriction for this treatment, so it can be performed on people who have very large prostates, have had bypass surgery, has urinary infections, or are currently taking blood thinners. Individuals whose prostate weighs 200 g or 300 g or who are not in good enough health to undergo procedures requiring general anesthesia, such as TURP, open prostatectomy, or laparoscopic prostatectomy, can benefit from this procedure. This procedure can be done under regional anesthesia. Additionally, there won't be any electrolyte imbalance because ERV uses regular saline as a fluid. As a result, patients prone to hyponatremia, electrolyte imbalance, or frailness can also benefit from this treatment and expect a quick recovery.
In conclusion, holmium laser enucleation of the prostate is a unique technology and a minimally invasive surgery routinely carried out in our hospital by the best urologist in Mysore on a day-to-day basis. And because there is very little bleeding during this treatment, individuals with enlarged prostates who are unable to pass urine through a catheter and who are ineligible to undergo traditional procedures can undergo this procedure safely, recuperate quickly, and resume their regular activities as soon as possible.
Department of Urology
Manipal Hospitals, Mysore
5 min read