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Endoscopic & Laser Prostate Surgery

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Endoscopic Urinary Stone Surgery

The prostate is a small organ about the size of a walnut. It lies below the urinary bladder (where urine is stored) and surrounds the urethra (the tube that carries urine from the bladder). The prostate makes a fluid that helps to nourish sperm as part of the semen (ejaculatory fluid). Prostate problems are common in men at age of 50 year and older

For the patient of benign prostatic hyperplasia (BPH) many endoscopic prostate surgery are common in practice. These endoscopic prostate surgery are following.

  • Transurethral resection of the prostate (TURP)
    a surgeon inserts a resectoscope into the urethra. The resectoscope is a tool that allows a surgeon to see the enlarged prostate gland. The surgeon then place a cutting loop through the resectoscope to remove small pieces of the prostate gland tissue. As he runs an electrical current through the cutting loop the prostate gland is cut in small pieces (chips). After finishing cutting away chips, the surgeon will flush the urethra and the bladder to remove the tissue that has been extracted from the prostate. Finally, a catheter is inserted to allow the passage of urine out of the body. When the catheter is removed a few days later, the patient passes urine with wider channel.
  • Holmium laser enucleation of the prostate (HoLEP)
    In this procedure, a laser is used to cut and remove the excess prostatic tissue that is blocking the urethra. After enucleating prostate tissue, another instrument (morcillator) is put to cut and suck the enucleated prostate tissue into small pieces and thus prostate is easily removed in this procedure bleeding is very minimal. So HoLEP can be an option for men who have a severely enlarged prostate or risk of bleeding
  • Bi Polar TURP
    This procedure is similar to TURP but here a newer technology is used to decrease the fluid absorption.This procedure is very patient friendly and suitable for patient with large prostate, Patient with risk of bleeding and patient with cardiac disease
  • Laser Bladder Neck Incision
    Bladder Neck Incision is a surgical procedure where the cause of obstruction above prostate at bladder neck here.Bladder neck is incised sharply with laser at 5 & 7 O clock position to widen the bladder neck
  • Transurethral Incision of the Prostate (TUIP)
    This procedure is used when urinary symptoms are caused by an small size enlarged prostate. A resectoscope is inserted through the urethra and prostate is cut in one or two small grooves to open the urinary channel and to allow urine to pass through more easily.
  • Incomplete bladder emptying
  • Nocturia, which is the need to urinate two or more times per night
  • Dribbling at the end of your urinary stream
  • Incontinence, or leakage of urine
  • The need to strain when urinating
  • A weak urinary stream
  • A sudden urge to urinate
  • A slowed or delayed urinary stream
  • Painful urination
  • Blood in the urine

Dr Amit K. Devra is expert in endoscopic & LASER prostate surgery He is well known in Noida & Ghaziabad and has performed more than 400 successful endoscopic prostate surgery.

  • Transurethral resection of the prostate (TURP)
  • Holmium laser enucleation of the prostate (HoLEP).
  • Bi Polar TURP.
  • Laser Bladder Neck Incision
  • Transurethral incision of the prostate (TUIP)
  • Lower risk of bleeding. Laser surgery can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
  • Shorter Hospital stay. Laser surgery can be done on an outpatient basis or with just an overnight hospital stay.
  • Quicker recovery. Recovery from laser surgery generally takes less time than recovery from TURP or open surgery.
  • Less need for a catheter. Procedures to treat an enlarged prostate generally require use of a tube (catheter) to drain urine from the bladder after surgery. With laser surgery, a catheter is generally needed for less than 24 hours.
  • More-immediate results. Improvements in urinary symptoms from laser surgery are noticeable right away. It can take several weeks to months to see noticeable improvement with medications.
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