We at Sri Ramakrishna Hospital, Department of Urology are equipped with the first and only 100 watts Holmium Laser machine available in the entire Kongu Region. We have done Holmium Enucleation of Prostate (HoLEP) for the prostate size from 90 gm to 260 gm in one endoscopic surgery with excellent results associated with negligible complications. Normally prostate sizes more than 120 gm requires open surgery for complete removal of the prostate. In our hospital one 260 gm, one 160 gm and one 140 gm prostates were successfully operated with HoLEP avoiding open prostate surgery. Open prostate surgery is associated with increased risk of bleeding, post operative pain, long hospital stay, delay in return to work and normal life also leaves patient with lower abdominal scar all these problems are avoided with HoLEP. Patients on blood thinners (antiplatelet drugs) for cardiac, neuro and vascular problems are much benefitted with HoLEP as these drugs can be restarted on the very next day. HoLEP is a boon to the patients with BPH who need surgical intervention.
What is Benign Prostatic Hyperplasia (BPH)
Prostate is a Male accessory gland of size 20 gm located just below the bladder and around the urethra. Prostate gland enlarges in size after the age of 40 years. Degree of enlargement varies from individual to individual; it is independent of food habits and lifestyle.
What are the symptoms of BPH
Patients with enlarged prostate may experience one or many of the below symptoms. Symptoms dont have any correlation with the size of the prostate.
Slow stream of urine
Straining to pass urine
Interrupted Urination
Feeling incomplete emptying of bladder
Night time frequent urination
Urge to urinate
Urge incontinence
Burning urination
Blood in the urine
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What are the complications a patient may experience with BPH
Acute Urinary Retention
Sudden inability to pass urine or empty the bladder. A catheter needs to be inserted into the bladder to help drain the urine.
Recurrent Urinary Infection
Presence of retained urine in the bladder increases the risk of urinary tract infection.
Renal Failure
Increased residual urine in the bladder increases the pressure in the bladder, ureter and to the kidneys. Leads to a condition called obstructive uropathy, if not treated on time patient will end up in renal failure which may be reversible may not be reversible.
Chronic Urinary Retention
Patients with BPH symptoms if not addressed early they will gradually accumulate urine in large quantity more than the capacity of the bladder. Eventually the bladder will lose its emptying capacity and will end up in a lifelong indwelling urinary catheter. In those patients surgery for the enlarged prostate may not be helpful.
Bladder Stones: One or multiple stones may be formed in the stagnant urine.
Holmium Laser Enucleation of Prostate (HoLEP)
HoLEP is highly advanced endoscopic surgical procedure done for the patients with enlarged prostate who need surgical intervention. Not all the patients with BPH need surgery. About 70% to 80% of the BPH patients do well with medical treatment which is to be continued for life like wearing spectacle for vision. Approximately 20% to 30% of patients with BPH will need surgery.
HoLEP is a type of laser prostate surgery in which anesthesia is given and the patient stay calm and relaxed. Antibiotic given to avoid the risk of infection. A surgical instrument called resectoscope with LASER working element is inserted through the urethra connected to camera which helps to have magnified vision of surgical field. High power Holmium Laser is then passed through the working element and used to detach the entire prostate from its outer shell called prostatic capsule.
During detachment of prostate bleeding vessels are simultaneously sealed. Prostatic tissue detached into the bladder. After the laser process a morcellator is used to suck the tissue out of bladder. Once the tissue is removed resectoscope is removed and a urinary catheter inserted into the bladder and then the patient is kept under observation for couple of hours to a day or two.
What are the advantages of HoLEP
No Pain
No cut No scar
No bleeding
No Fluid absorption No volume Overload status
Quick recovery
Early Return to work
Early restart of blood thinners (Antiplatelets)
Entire prostate being removed and Long term relief
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These advanced procedures at Sri Ramakrishna Hospital are performed by Urology Experts who are dedicated to providing personalized care while ensuring the best outcomes.
With state-of-the-art facilities and a team of experienced professionals, Sri Ramakrishna Hospital ensures patients receive the highest quality care in a comfortable and supportive environment. Individuals experiencing symptoms of an enlarged prostate can seek medical attention while making an informed decision about the procedure.
About Sri Ramakrishna Hospital
Sri Ramakrishna Hospital has attained an iconic reputation since its inception in 1975. Situated in the heart of Coimbatore city, this hospital has in many ways became a part of medical history. In fact, it has been an integral part of the healthcare revolution of modern India. Established and run by the SNR Sons Trust, Sri Ramakrishna Hospital treats several lakhs of patients each year.
From providing the most advanced medical procedures to treatments for everyday ailments, they bring relief to patients from all walks of life using state-of-the-art technology and cutting-edge surgical and medical techniques to deliver outstanding results.
