Holmium Laser Lithotripsy
Steps Involved in IVF:
Procedure Description
Holmium Laser Lithotripsy is a minimally invasive procedure used to treat kidney stones. It is highly effective in breaking down kidney stones of various sizes and compositions using a specialized laser. The procedure uses a flexible or rigid ureteroscope to visualize the stones, followed by the emission of high-powered laser pulses to fragment the stones into smaller pieces. This laser technology is precise, offering both patients and practitioners an efficient way to manage stones without the need for incisions.
The process starts with inserting the ureteroscope, a thin, tube-like instrument equipped with a camera and light, into the urethra, through the bladder, and up into the ureter or kidney. The holmium laser, which emits energy pulses, is then used to break the stones into smaller fragments, which can either be left to pass naturally through urination or removed using a basket device. Unlike older methods of stone treatment, such as extracorporeal shock wave lithotripsy (ESWL), Holmium Laser Lithotripsy offers a more precise approach to directly fragment the stone.
The holmium laser is highly versatile, capable of fragmenting stones of all compositions — whether they are made of calcium oxalate, uric acid, struvite, or cystine. This makes it an excellent option for those with stones that are hard, large, or resistant to other forms of treatment. Additionally, it’s effective for treating stones located in various parts of the urinary tract, including the kidney, ureter, and bladder.
Procedure Duration
The duration of Holmium Laser Lithotripsy can vary based on factors such as the size, location, and number of stones. Typically, the procedure can take anywhere from 30 minutes to 2 hours. However, if the stones are larger or present in multiple locations, the surgery may take longer. The length of time also depends on whether the stones are to be left to pass naturally or need to be removed through an additional retrieval process.
During the procedure, the patient is usually under general or spinal anesthesia. The ureteroscope is inserted, and the surgeon locates the stones using real-time imaging. Once the laser is applied, the stones are fragmented, with the tiny fragments either left in place to pass on their own or extracted using a basket device. The procedure is minimally invasive and usually does not require any incisions, reducing the risk of complications.
Recovery time for Holmium Laser Lithotripsy is relatively short. Most patients can return to their normal activities within a few days, although there may be some discomfort and blood in the urine for a short period post-procedure. In general, patients are advised to drink plenty of fluids to help pass the remaining stone fragments and avoid strenuous activity for at least a week. The chances of requiring an overnight stay in the hospital are low, and the risk of infection is significantly reduced compared to more invasive procedures.
Benefits
- Minimally Invasive: No incisions are needed, as the procedure is done through natural urinary pathways.
- Effective for All Stone Types: The holmium laser can break down stones of any composition and density.
- Quick Recovery Time: Most patients can resume normal activities within a few days, with minimal post-operative pain.
- Precise Stone Removal: The laser allows for the targeted fragmentation of stones without damaging surrounding tissues.
- Reduced Hospital Stay: The procedure is typically performed as an outpatient surgery, minimizing the need for extended hospital stays.
Potential Destinations
- India India is recognized for its advanced urology departments and cost-effective treatments. The use of state-of-the-art technology, experienced medical professionals, and affordability make India a top destination for Holmium Laser Lithotripsy. Patients can also find English-speaking staff, which adds to the convenience of international travelers.
- Turkey Turkey has rapidly become a medical tourism hub, offering high-quality care at affordable rates. With many internationally accredited hospitals and experienced urologists, Turkey ensures patients receive advanced treatments. Additionally, the country's strategic location makes it easily accessible for patients from Europe, Asia, and the Middle East.
- Thailand Thailand's healthcare sector is known for its hospitality, world-class infrastructure, and cutting-edge technology. Medical tourists often choose Thailand for its holistic approach to healthcare, comprehensive treatment packages, and competitive pricing. The medical facilities here provide top-notch care in modern settings.
- Mexico For North American patients, Mexico offers proximity, affordable healthcare, and experienced specialists in urology. The country has a growing number of hospitals offering Holmium Laser Lithotripsy and other advanced procedures, making it a practical choice for those looking for efficient and cost-effective treatments close to home.
- United Arab Emirates (UAE) The UAE boasts ighly advanced medical facilities, particularly in cities like Dubai and Abu Dhabi. The country’s healthcare system is known for its excellence in service, rapid adoption of new technologies, and luxury healthcare experiences. The UAE is an ideal choice for those seeking the latest in medical treatments coupled with comfort and high-quality care.
Risks & Considerations
- Infection: Though the procedure is minimally invasive, there is still a small risk of developing a urinary tract infection. Antibiotics are often prescribed to mitigate this risk.
- Ureteral Damage: The insertion of the ureteroscope or the laser energy itself can potentially cause damage to the ureter, though such complications are rare and generally manageable.
- Bleeding: Minor bleeding is common after the procedure, especially while passing stone fragments. It usually resolves on its own, but persistent bleeding should be evaluated.
- Residual Stone Fragments: Small pieces of stones may be left behind after fragmentation, requiring follow-up treatment or additional procedures to ensure complete clearance.
- Pain and Discomfort: Post-procedure pain, especially when passing stone fragments, is common. Patients are usually advised to stay hydrated and may be given pain relief medications.
How to Choose the Right Doctor and Hospital
When seeking treatment for kidney stones using Holmium Laser Lithotripsy, it is essential to choose a qualified and experienced urologist who specializes in laser-based stone removal. Look for a doctor with a track record of successful outcomes and who can discuss the entire procedure, its benefits, risks, and post-operative care in detail. Checking the credentials and professional affiliations of the urologist can also provide insight into their expertise.
Choosing the right hospital is equally critical. Opt for facilities that have modern equipment, such as high-resolution ureteroscopes and holmium lasers. International accreditations from recognized healthcare bodies can be a positive indicator of the quality of care provided. Additionally, make sure that the hospital offers comprehensive pre- and post-procedure care, ensuring a smooth medical tourism experience.
To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote
Patients are advised to seek hospitals that are accredited by Global Healthcare and only work with medical tourism facilitators who are certified by Global Healthcare Accreditation or who have undergone certification from the Certified Medical Travel Professionals (CMTP). This ensures that the highest standards in the industry are met. GHA accredits the top hospitals in the world. These are the best hospitals in the world for quality and providing the best patient experience. Click the link to check out hospitals accredited by the Global Healthcare Accreditation: https://www.globalhealthcareaccreditation.com
Frequently Asked Questions
What actually happens during hyperstimulation of the ovaries?
The patient will take injectable FSH (follicle stimulating hormone) for eight to eleven days, depending on how long the follicles take to mature. This hormone is produced naturally in a woman’s body causing one egg to develop per cycle. Taking the injectable FSH causes several follicles to develop at once, at approximately the same rate. The development is monitored with vaginal ultrasounds and following the patient’s levels of estradiol and progesterone. FSH brand names include Repronex, Follistim, Menopur, Gonal-F and Bravelle. The patient injects herself daily.
What happens during egg retrieval?
When the follicles have developed enough to be harvested, the patient attends an appointment where she is anesthetized and prepared for the procedure. Next, the doctor uses an ultrasound probe to guide a needle through the vaginal wall and into the follicle of the ovary. The thin needle draws the follicle fluid, which is then examined by an embryologist to find the eggs. The whole process takes about 20 minutes.
What happens to the eggs?
In the next step, the harvested eggs are then fertilized. If the sperm from the potential father, or in some cases, anonymous donor, has normal functionality, the eggs and sperm are placed together in a dish with a nutrient fluid, then incubated overnight to fertilize normally. If the sperm functionality is suboptimal, an embryologist uses Intracytoplasmic Sperm Injection to inject a single sperm into a single egg with an extremely precise glass needle. Once fertilization is complete, the embryos are assessed and prepared to be transferred to the patient’s uterus.
How are the embryos transferred back to the uterus?
The doctor and the patient will discuss the number of embryos to be transferred. The number of successfully fertilized eggs usually determines the number of eggs to be placed in the uterus. Embryos are transferred to the uterus with transabdominal ultrasound guidance. This process does not require anesthesia, but it can cause minor cervical or uterine discomfort. Following transfer, the patient is advised to take at least one days bed rest and two or three additional days of rest, then 10 to 12 days later, two pregnancy tests are scheduled to confirm success. Once two positive tests are completed, an obstetrical ultrasound is ordered to show the sac, fetal pole, yolk sac and fetal heart rate.
Embryoscope©
Built into this technology there is a microscope with a powerful camera that allows the uninterrupted monitoring of the embryo during its first hours of life. In this way, we can keep a close eye on the embryo, from the moment when the oocyte is inseminated and begins to divide into smaller and smaller cells, until it can be transferred to the uterus.
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