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