Common Problems

• Stones
• BPH
• Stricture urethra

Renal stones

• ESWL
• Renal & upper ureteric stones less than 2 cm
• Non-operative non anesthesia modality
• Success rates around 85 % stone clearance
• No substantial side effects
• No admission required
• Age no bar

BPH

• Transurethral resection of the prostate (TURP)
• TURP –a most common procedure
• Due to good cautery, Camera etc up to 200 gm prostates can be resected
• The problem of bleeding & TURP syndrome
• LASER can take care of these problems

Advantages of Thulium LASER

• Minimal blood loss- only 15 to 20 % of TURP
• No TURP syndrome as Normal saline used as an irritant
• A catheter can be removed within 24 hours
• Discharge within 24 to 36 hours
• Even patients on Ecosprin & clopidogrel- safe
• Post-op recovery better
• Even large glands up to 200 gms can be resected

 

Stricture Urethra

• Visual internal Urethrotomy
• LASER Urethrotomy
• Barbagly’s Urethroplasty using buccal mucosal grafts
• The full-length urethra can be repaired through a perineal incision
• Success rates around 90 % long term