Diabetes and Benign Enlarged Prostate

Diabetics are prone to reduced contraction of bladder wall an this leads to in efficient emptying of urine from the bladder. Ultimately these patients can retain more urine and surgery at that stage will not give good result. Endoscopic laser prostate surgery is advised early in Diabetics with residual urine to get good results after surgery. Holmium laser enucleation of prostate is the most advanced technique in the treatment of Benign enlarged prostate.

It offers many advantages to the patient

1. painless procedure

2. No blood loss

3. safe in cardiac patients , elderly and those taking blood thinners

4 Smooth recovery

5.patient can return home early and return to work early

How is the procedure done ?

  • Procedure is done through natural passage ( Urethra),
  • There is no cutting
  • Entirely endoscopy procedure

How is the procedure done?

Patient is fully assessed earlier by relevant investigations to confirm the diagnosis and the need for surgery. Their fitness is assessed with help from physician, cardiologist and Anesthetist patient is admitted previous evening or in the early morning before surgery Endoscopy is passed to check the urethra, Bladder and Prostate. Special instrument called Resectoscopy is passed which has a channel to pass laser fiber. Most powerful 100 watts Holmium laser is used Prostate is enucleated and the prostate is broken into small pieces using a morcellator. A catheter is placed to drain the urine and is usually removed 24 hours later

What to expect after surgery?

Initially urinary frequency, urgency can be present and usually settles in few weeks. Small percentage of patients may experience mild stress leak which settles in a week Patients can take care of themselves and can go for short walk and enjoy normal diet

Laser Prostate Surgery


Authored by Dr N Anandan