Most Advanced Urology Treatment in India

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World Most Advanced Urology
Treatment in India
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Minimally Invasive Laser Prostate (TURP) Surgery
in India
Transurethral Resection of Prostate or
T.U.R.-Prostate or T.U.R.P. is a treatment of
choice if the enlarged prostate gland compresses
on the urethra resulting in obstruction of
urinary outflow. In the TURP, the glandular
tissue is removed in small chips or pieces as
opposed to Radical Prostatectomy where the
prostate gland is removed in it's entirety.
T.U.R.P. is an endoscopic procedure where the
prostate gland can be visualized while it is
being resected.
Prostatic surgery or Prostatectomy comprises
other form of surgery such as Suprapubic
prostatectomy, Transurethral resection of the
prostate(TURP), Open prostatectomy, Laser
prostatectomy, Transurethral needle
ablation,(TUNA).
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Laser Prostate (TURP) Surgery in India
 Laser Prostatectomy Laser prostatectomy or Laser
for prostatic surgery is recently developed
minimally invasive treatment modalities for
patients having BPH i.e benign prostatic
hyperplasia or benign prostatic hypertrophy. The
term Benign prostatic hyperplasia or benign
prostatic hypertrophy means increase in size of
the prostate gland in the men above 50 years of
age. Laser Prostatectomy is used mainly to remove
the prostate gland when there is no cancer in it
but its size enlarges due to which it creates
problem in the urinary tract. Laser prostatectomy
is a short and easy procedure, usually after
which the patient can return to their home on the
day of operation itself.
Procedure for laser prostatic Surgery Patients
who has a history of BPH are recommended by their
doctors to undergo laser prostatic surgery as
because they cannot be treated by the medical
therapy. Before the surgery the patients has to
undergo several preoperative measurements like
American Urologic Association symptom score,
Uroflowmetry, Prostate-specific antigen and
Transrectalultrasonography (TRUS)
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Types of Most Advanced Minimally Invasive Laser
Prostate Surgery in India
1) Greenlight Laser Treatment For Benign
Prostatic Hyperplasia The GreenLight Laser
treatment therapy is the most effective, novel
and advanced technique for the treatment of an
enlarged prostate, which is clinically referred
to as Benign Prostratic Hyperplasia (BPH). 2)
Holmium Laser Holmium laser enucleation of the
prostate (HOLEP) is a minimally invasive
treatment for benign prostatichyperplasia (BPH).
Its short- and long-term outcomes are superior to
those associated with transurethral resectionof
the prostate and suprapubic prostatectomy. HOLEP
is performed transurethrally, using a holmium
laser to separate the plane between the adenoma
and the prostate capsule
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Conventional vs Laser Prostatectomy/ TURP
The Laser TURP procedure is much more advanced
beneficial than the conventional procedure. The
differences in the two are For the conventional
TURP, the resectoscope, a combined visual and
surgical instrument is used, whereas the Laser
procedure involves use of advanced laser energy
to cut excess gland, thus there is no loss of
blood shorter hospitalization is required
Blood thinning agents have to be stopped a week
to 10 days before the procedure for conventional
TURP, which puts the heart at risk, whereas the
laser TURP is done with the blood thinning agents
on board, which is highly beneficial for cardiac
patients. Conventional TURP allows tissue
removal at only 1gram/min, whereas laser can
vaporize tissue as fast as 3-4 grams/ min. For
prostates larger than 100gm, open surgery is
required in case of conventional TURP, whereas
lasers can effectively perform surgery in such
large prostate cases
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