Holmium Laser Technology

Holmium Laser Technology

Holmium Laser treatment with the High Power Lumenis Holmium Laser machine has emerged as the new "GOLD STANDARD" in the India for treating Enlarged Prostate (BPH) as well as Stones in the Kidney, Bladder, Ureter and Urethra (Urinary Passage)

It is the latest technology used in the west over last 5 years with excellent results and now is most widely used in India. In Bangalore Sreelakshmi hospital is one of the pioneers to use this technology with very good outcome.

For Enlarge Prostate

Holmium Laser Enucleation of Prostate (HoLEP) is also known as Holmium Laser Prostatectomy is the best laser treatment for kidney stone. HoLEP is aimed to remove the central part of prostate gland which enlarges due to ageing and causes pressure on urethra (urine passage).The High Power Holmium Laser separates the central part of prostate from the surrounding fibrous covering (capsule) and this procedure is nearly bloodless as the laser beam when cuts the gland also seals the blood vessels. The separated part of the prostate is then pushed into urinary bladder and is cut by a special machine (Morcellator) into smaller pieces and then sucked out of the body. The smaller pieces of the prostate are sent for biopsy to detect prostate cancer.

Advantages of HoLEP (Holmium Laser) vs. TURP (TransUrethralResction of the Prostate-Endoscopy)

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

Advantages of HoLEP (Holmium Laser) vs. Other Lasers

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 Prostate Removed	82 - 91%	32 - 51 %
Treatment Cost	Economical	Expensive

 

For Ureteric stone

In this procedure, the world's thinnest 4.5 Frureteroscope is passed under anesthesia per urethra into bladder and ureter up to the stone. Small stones are pulled out with various instruments and bigger stones are fragmented with high power LumenisPowersuite 100w Holmium laser machine into smaller pieces which subsequently pass naturally

Advantages of URS with Holmium Laser vs. URS with pneumatic lithotripter

URS with Holmium Laser	URS with Pneumatic Lithotripter
Minimal chance of upward migration of stone during treatment	High chance of upward migration of stone during treatment
Very effective for soft as well as hard stones	Less effective for hard stones
No mucosal injury or bleeding during treatment	Some mucosal injury or bleeding during treatment
Reduced need for D J stent	Higher need for D J stent
Used with rigid and flexible URS	Used only with rigid URS

 

For Kidney stone

PCNL is a keyhole surgery for removal of kidney stones in which instruments with small diameter are used for smaller kidney punctures. Laser, pneumatic and ultrasound devices are used in the process to fragment stone and there is very less bleeding in the process. With High Power Holmium laser machine, even hard and large are fragmented quickly with less bleeding.

The PCNL treatment is highly advantageous as it has a history of resulting into complete clearance in over 95% cases and the patient can be home in as little as 48 hours.

Advantages

• Reduce hospital stay
• Complete clearance in over 90% cases in single session
• With Holmium Laser, even large and hard stone is fragmented quickly with higher precision and less bleeding
• Faster recovery
• Painless treatment
• Strong clinical evidence

 

Sree Lakshmi Hospital has a dedicated team of urologists, nephrologists, Lithotripsy experts, anaesthetists and imaging specialists to plan your treatment.

We are one of the pioneers in Bangalore to use holmium laser for Kidney stone and prostate with very high success rate.

Located in Bangalore, CV Raman nagar, it is accessible by road and metro both Indranagar and Byappanahalli  as a nearest metro station.

For more details please visit www.sreelakshmihospitals.com