Holmium Laser in Urology
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What is LASER?
What is holmium laser?
What are the other lasers used in Urology?
What are the various roles of Holmium laser in Urology?
Holmium laser for Urinary calculi.
Holmium laser for strictures.
Strictures are narrowing in the urinary passages. Strictures can happen in the ureter, bladder neck and urethra. Holmium laser excision of urethral and ureteric strictures is a simple day care procedure with good results in-patients with recurrent strictures. The results with holmium laser are expected to be better as the healing after holmium laser excision is by elastosis.
Pelvi-ureteric junction obstruction is a narrowing at the site where the ureter joins the kidney. This can be congenital (birth defect) or acquired (after operation). This obstruction can be treated by holmium laser using both retrograde and antegrade endoplelotomy.
Holmium laser for prostate enlargement.
The advantages of HoLEP over the standard transurethral resection of Prostate (TURP) are:
- Significantly reduced need for blood transfusion (<0.1%).
- No restriction on the size of prostate to be removed (upto 250 GMS can be enucleated)
- Patients with cardiac pace makers, anticoagulants, and other medical risk factors can be treated.
- No risk of TUR syndrome (a life threatening complication of TURP).
- Smaller urethral catheter (18-20Fr) without traction or irrigation for less than 24 hours in more than 90% patients.
- Hospitalization for 36 hours.
- Lesser risk of urethral stricture and bladder neck contracture.
- Reduced risk of post prostatectomy impotence (sexual dysfunction).
- Holmium laser can treat associated strictures, stones or superficial bladder tumors.
Is Holmium laser an established technology?
What the experts have to say about laser?