79 Year Old Patient Treated With Holmium Laser Prostatic Surgery Successfully at Fortis Hospital and Kidney Institute



A doctor at Fortis Hospital and Kidney Institute, Rashbehari Avenue successfully performed Holmium Laser Prostatic Surgery to treat a 79 year old man patient. The patient was suffering from a condition called Benign Prostatic Hyperplasia (BPH) that resulted in his prostate to enlarge 11 times its normal size. The team of doctors who performed the surgery was led by Dr Shrinivas Narayan, Consultant Urologist, Fortis Hospital and Kidney Institute, Rashbehari Avenue in Kolkata.

Benign Prostatic Hyperplasia (BPH) is a common disorder among men, especially among senior citizens. Its symptoms may include frequent and urgent need to urinate, difficulty in starting urination, slow or prolonged urination, and infrequent flow of urine.

Mr Jitesh Sarkar from South Dinajpur in West Bengal was complaining about urinary trouble over a period of time. He went into acute urinary retention.In order to provide immediate relief, Foley Catheterization was done to relieve his retention. He thereafter needed prostate surgery to void normally. The uniqueness about his condition is that the prostate has grown to 224 gms; i.e. 11 times the normal size (20 gms). Given the advance age of the patient and his poor cardiac condition, an open surgery was not a safe option. Hence he was advised to undergo laser prostatic surgery i.e HoLEP Holmium Laser Enucleation of Prostate. Entire HoLEP procedure took 100 min. No blood transfusion was needed as it is a bloodless procedure. Post the surgery, the urinary catheter was removed after 36 hours and he could pass urine normally and he was discharged in 48hrs.

Laser surgery has several advantages such as shorter hospital stay, early return to work, no need for blood tranfusion. HoLEP can treat prostate gland of any size but TURP can only treat glands up to 75 to 80 gm.

Priyanka Dutta

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