Laser Prostate Surgery: The new thing in town at Kelina Hospital.
Holimium Laser Enucleation of the Prostate (HoLEP) is the new thing in town. Traditional Minimal Access procedure for the prostate has been Transurethral Resection of the Prostate (TURP). TURP can either be monopolar (where hypotonic solutions are used for irrigation) or Bipolar (where there are fewer or no complications like TURP syndrome because normal saline is used for irrigation). In Kelina Hospital, we have been doing bipolar TURP since 2011. TURP is better than open surgery because there is less bleeding and there is no wound on the body after surgery. Patients go home earlier. Bipolar TURP is better and safer than monopolar because there is less bleeding and also little chance of TURP syndrome. TURP also takes out bigger glands. Kelina Hospital has 2 machines for bipolar TURP, Autocon II and Autocon III. Our Autocon III was the first in Africa when we bought it. Typically, patients stay in the hospital for 3 days after surgery, if they are to go home without catheter.
HoLEP is the new thing in town. Kelina Hospital launched the 120 Watts Holmium Laser this year. 120 Watts is the highest level of Holmium Laser so far, worldwide. Only one company makes 120 Watts Laser. Ours was the first in the whole of Africa. The honorable Minister of Health of Nigeria was represented in our launching. In one month, we have successfully done 10 HoLEP procedures. The last patient was done day before yesterday and he went home yesterday with excellent urine control and no bleeding. The advantage of HoLEP over TURP is that prostate glands of any size can be taken out. Also, laser cuts without bleeding. So the need for blood transfusion is even less than when bipolar TURP is done.
For patients with prostate problems disturbing urine flow, HoLEP is the new thing in town. Patients can have surgery today and go home today or tomorrow.