Holmium Laser Internal Urethrotomy

Holmium Laser Internal Urethrotomy is a minimally invasive surgical procedure used to treat urethral strictures. It is performed under general or spinal anaesthesia to ensure patient comfort throughout the procedure. The primary tool used in this technique is a holmium laser, which emits a high-powered laser beam that can precisely cut and vaporise tissue.

During the procedure, a cystoscope is inserted into the urethra to visualise the stricture. The cystoscope has a built-in channel through which the holmium laser fiber is passed. The laser fiber is carefully advanced through the narrowed area of the urethra, and the laser energy is applied to the stricture. The laser energy is used to precisely incise and vaporise the scar tissue, enlarging the lumen of the urethra and restoring normal urine flow. The surgeon can control the depth and extent of the laser incision, ensuring that only the strictured tissue is targeted while preserving the surrounding healthy tissue. One of the advantages of Holmium Laser Internal Urethrotomy is its ability to provide real-time visualisation of the surgical site. The surgeon can monitor the procedure through the cystoscope, ensuring accurate targeting of the stricture and minimising the risk of damage to the surrounding structures. After the laser incision is made, a urethral catheter is usually inserted to facilitate urine drainage and maintain the patency of the urethra during the healing process. The catheter is typically left in place for a few days to allow the urethra to heal properly.

Holmium Laser Internal Urethrotomy is effective for treating short and uncomplicated urethral strictures. It offers several advantages over traditional surgical techniques, such as a lower risk of bleeding and fewer complications. The procedure is generally associated with minimal discomfort and a shorter recovery period compared to more invasive procedures. Holmium laser internal urethrotomy offers numerous advantages, including minimal discomfort, shorter recovery time, and a lower risk of complications compared to traditional surgical techniques. It is important to note that  Holmium Laser Internal Urethrotomy may have limitations in treating long or complex strictures, as the success rate may be lower in such cases. The procedure may need to be repeated if the stricture recurs over time, the success rate may vary depending on the length and complexity of the stricture.

At MASSH, we understand the importance of patient comfort and safety. The procedure is performed under general or spinal anaesthesia to ensure a pain-free experience. Our dedicated team monitors each patient closely, ensuring their well-being throughout the entire process. Following the procedure, our urologists may place a urethral catheter to facilitate urine drainage and promote proper healing. Our comprehensive aftercare includes regular follow-up appointments to monitor progress and address any concerns. Experience the benefits of holmium laser internal urethrotomy at MASSH. Contact us today to schedule a consultation and take the first step towards effective treatment and improved urinary function. Trust in the expertise of MASSH to provide you with outstanding care and redefine the standard of urological treatments.