Laser Treatment

Laser Treatment for Kidney Stones

  • Urinary incontinence
  • Kidney stone
  • Prostate Cancer
  • Bladder Cancer
  • Benign prostatic hyperplasia
  • Hematuria
  • Overactive bladder
  • Kidney Cancer
  • Prostatitis
  • Interstitial cystitis
  • Other Laser Surgeries
  • Uterus
  • Uro-Gynaecology Operation
  • Gall Bladder
  • Hepato-Biliary Operation
  • Appendix
  • Gastro Enterology Operation
  • Tumour & Cancer Surgeries
  • Tonsillectony ENT Operation
  • Cosmetic Laser Surgeries
Particulars HoLEP TURP
Size of Gland Any Size Not greater than 80 grams
Hospitalization 1 - 2 days More then 4 days
Catheter Less than 24 hours 48 - 72 hours
Irrigation Normal saline Glycine
Blood Loss Minimal loss (15 ml o 50 ml] More than 300 ml
Patients on anticoagulants, aspirin and with heart valves and coronary stents Safe High Risk
Recovery Very Soon Few Weeks
Risk of stricture, bladder neck contracture & impotence Insignificant High Risk
Particulars HoLEP Other Lasers (Greenlight,PVP, Thulium, etc.)
Biopsy to detect Prostate Cancer Possible Not Possible
Published Laser RCT 8 2 (Greenlight); 0 (Thulium)
Amount of Enlarged 82 – 91% 32 – 51 %
Treatment Cost Economical Expensive

Extracorporeal Shock Wave Lithotrispy (ESWL) uses highly focused electro magnetic waves projected from outside the body to crush kidney stones anywhere in the urinary system. The stone is reduced to sand-like particles that can pass in the urine. Large stones may require more than one sessions. It can be used for patients of all age groups and those who have heart and breathing problems. However, the procedure is contraindicated for pregnant women. ESWL by 4th generation “SIEMENS LITHOTRIPTER” with ultrasound attachment helps to treat even radioluscent stones, which are not visible in normal fluoroscopy Lithotripters.

Percutaneous Nephrostolithotomy (PCNL) is performed under epidural or spinal anaesthesia. Percutaneous ( through skin) removal of kidney stones (lithotomy) is accomplished through the most direct route. A telescope along with the mechanical lithotripter in inserted to break the stone into fine particles so as to achieve a stone-free status in large and complicated stones. This procedure usually requires hospitalization, and most patients resume normal activity within 2 weeks.

Ureterorenoscopic Lithotrispy with Holmium Laser is performed under epidural and spinal anaesthesia to treat stones located in the middle or lower ureter. A small, fiberoptic instrument (ureteroscope) is passed into the ureter. Large stones are fragmented using 100-Watt Coherent Holmium Laser. The laser fragments the stone into sand like particles, which are then flushed out through the natural urinary passage. The advantage of Holmium Laser is its ability to fragment stones of all compositions with precision. Thus, it is the most effective laser for the treatment of urinary stones. Patients are generally admitted on the same day of the treatment and are discharged next day, which means only 24 hours of hospitalization is required.

Hi – tech laser treatment for kidney stones

& Prostate Through

Gold standard 100 Watt Holmium laser Machine

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