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Laser Applications and stone management in Yeshawanthpur, Bangalore

Laser Applications (holmium and thulium) for prostate and stone management

Laser Applications and stone management in Yeshwanthpur

An enlarged prostate, also known as benign prostatic hyperplasia (BPH), could be the cause of moderate to severe urinary problem symptoms that can be relieved by prostate laser surgery. 

Urinary flow from the bladder is restricted when the prostate, which surrounds the urethra, is enlarged. During the surgery, a scope is inserted into the tube carrying urine from the bladder, generally through the tip of the penis (urethra). Through the scope, a laser delivers energy that causes the prostate's extra tissue to shrink or remove, allowing urine to pass freely. Lasers used in the procedure generate precise and intense heat utilising concentrated light. 

The following BPH-related urinary symptoms can be lessened with prostate laser surgery,

  • Feeling to urinate urgently

  • Difficulty in starting urination

  • Slow urination (prolonged)

  • Frequent night-time urination 

  • Urinating repeatedly and then stopping

  • The sensation that you are unable to completely empty your bladder

  • Infections of the urinary tract

Various types of prostate laser surgery are,

  • Holmium laser ablation of the prostate (HoLAP)

  • Holmium laser enucleation of the prostate (HoLEP)

  • Photoselective vaporisation of the prostate (PVP)

  • Thulium laser enucleation of the prostate (ThuLEP)

Difference between Holmium and Thulium lasers

Endoscopic enucleation of the prostate techniques includes both thulium laser enucleation (ThuLEP) and holmium laser enucleation (HoLEP). While holmium emits pulsed energy, thulium emits a continuous laser wave, which is the main distinction between the two elements. 

Which one is an effective procedure?

Although no incisions are needed, HoLEP is similar to open prostate surgery. The whole prostate tissue that can obstruct urine flow is removed during a HoLEP procedure, and a severely enlarged prostate may be treated with it as a possibility. The European Association of Urology (EAU) and American Urological Association (AUA) guidelines recommend this technique as the gold standard for BPH surgical treatment. 

ThuLEP, on the other hand, a similar technique for prostatic adenoma enucleation, was first proposed by Herrmann and colleagues in 2010. The thulium laser has a tissue penetration depth of 0.25 mm compared to the 0.4 mm penetration depth of tissue in the holmium laser. The available research demonstrates that ThuLEP can produce outcomes comparable to those of HoLEP with the same efficacy and safety. According to claims, the Thulium laser is the safest and most efficient laser procedure in terms of minimal blood loss, rapid tissue removal, and prostatic resection versatility. 

Which procedure to choose?

The recommended kind of laser surgery is practically based on a number of variables, including,

  • The dimensions of the prostate

  • Patient's well-being

  • The types of laser equipment that are available

  • Doctor's expertise

Advantages of laser surgery

When compared to other BPH treatment options, laser applications and stone management in Yeshawanthpur, Bangalore can have a number of benefits, such as:

  • Urinary symptoms improve almost immediately after laser surgery

  • Reduces the possibility of bleeding

  • A single overnight hospital stay is all that is necessary for laser surgery to be performed

  • Improved recovery time is achieved

Preparing before a surgery

Patients are advised to stop taking medications that increase the risk of bleeding several days before surgery, such as,

  • Blood thinners

  • Pain killers

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