Holmium TURP
Steps Involved in IVF:
Procedure Description
Holmium laser transurethral resection of the prostate (HoLEP), commonly known as Holmium TURP, is an advanced, minimally invasive surgical technique used to treat benign prostatic hyperplasia (BPH), a condition characterized by an enlarged prostate. The procedure involves using a high-powered holmium laser to remove or "enucleate" obstructive prostatic tissue that blocks the flow of urine. It is considered a step forward in the evolution of prostate surgeries due to its precision, minimal invasiveness, and quicker recovery time compared to traditional TURP.
Holmium TURP uses the holmium laser’s cutting and coagulation abilities to resect and simultaneously vaporize obstructive tissue. The holmium laser’s wavelength allows it to penetrate tissue with minimal absorption in water, making it highly effective in targeting only the affected prostatic tissue. A morcellator is then employed to fragment and remove the excised tissue, allowing for a clear passage and alleviating symptoms such as frequent urination, urinary retention, and weak stream.
The technique is widely considered an optimal choice for patients with moderate to severe BPH symptoms. Its effectiveness in removing large amounts of tissue, low blood loss, and reduced catheterization time have made it a preferred choice among urologists. Holmium TURP is particularly favored for larger prostates, where traditional TURP might prove less efficient. The procedure’s ability to preserve the surrounding structures and achieve a precise result has contributed to its growing popularity.
Procedure Duration
The duration of Holmium TURP varies based on the size of the prostate and the patient’s individual anatomy. Typically, the procedure can take anywhere from 45 minutes to 2 hours. The process can be broken down into several phases: preparation, enucleation, and morcellation.
Preparation Phase:The procedure begins with anesthesia, which can either be general or spinal, depending on the patient's health status and preference. Once anesthetized, the patient is positioned, and the urologist uses a resectoscope—a tube-like instrument—to access the prostate through the urethra. This eliminates the need for external incisions.
Enucleation Phase:The urologist uses the holmium laser to carefully enucleate the obstructive portions of the prostate gland. The laser’s precision allows for the removal of excess tissue without affecting the healthy surrounding structures. This stage is crucial for ensuring a comprehensive resection and preventing potential re-growth of obstructive tissue.
Morcellation and Recovery Phase:After enucleation, a specialized instrument called a morcellator is used to break down and extract the excised tissue. Post-procedure, a catheter is typically placed in the bladder to allow urine drainage and facilitate healing. Most patients have the catheter removed within 24 to 48 hours. Hospital stays are generally short, with many patients discharged within 1 to 2 days. The total recovery period, where patients can expect to return to normal activities, ranges from 1 to 2 weeks, though some mild symptoms such as urgency or frequency of urination may persist for a short time.
Benefits
- Minimally Invasive: Holmium TURP is performed without external incisions, resulting in less pain and faster healing.
- Effective for Larger Prostates: Particularly suited for treating larger prostates that may be challenging with other techniques.
- Reduced Bleeding: The laser’s coagulative ability minimizes blood loss during and after surgery.
- Shorter Catheterization Time: Patients typically need a catheter for a shorter period, promoting faster recovery.
- Long-Term Relief: Offers a durable solution to BPH symptoms, with a low risk of recurrence over time.
Potential Destinations
1. Turkey
Turkey has become a leading medical tourism destination for urological procedures, offering high-quality services at competitive prices. The country's hospitals are equipped with modern technology, and Turkish urologists are often trained abroad, ensuring adherence to global best practices. Medical tourists also benefit from comprehensive care packages and attractive recovery destinations.
2. India
India stands out as a cost-effective destination for Holmium TURP. With advanced medical facilities and internationally trained surgeons, the country has developed a reputation for excellent urological care. The extensive network of hospitals, many with specialized urology departments, ensures high availability and prompt access to the procedure for international patients.
3. Germany
Known for its robust healthcare infrastructure, Germany offers Holmium TURP with state-of-the-art equipment and a focus on precision and patient safety. German hospitals prioritize the use of minimally invasive techniques and have stringent standards for quality control. With its world-class healthcare system, Germany is an ideal destination for those seeking the highest level of care.
4. Thailand
Thailand has long been a popular destination for medical tourism due to its affordable pricing, advanced healthcare services, and emphasis on patient experience. The country boasts a number of internationally accredited hospitals that provide Holmium TURP, combined with experienced medical staff and luxurious recovery environments to enhance the healing process.
5. United Arab Emirates (UAE)
The UAE, particularly Dubai and Abu Dhabi, has emerged as a leading medical tourism hub offering Holmium TURP. The region has invested heavily in healthcare infrastructure, bringing in top surgeons and high-tech medical equipment. Medical tourists in the UAE can expect high-quality care, cultural sensitivity, and a seamless experience.
Risks & Considerations
- Infection: Despite being minimally invasive, there is a small risk of urinary tract infections or bladder infections, which can be managed with antibiotics.
- Bleeding: While Holmium TURP significantly reduces the risk of bleeding compared to traditional TURP, minimal bleeding can still occur during or after the procedure.
- Temporary Urinary Symptoms: Some patients may experience temporary symptoms such as burning sensation during urination, urgency, or frequency post-surgery. These usually subside within a few weeks.
- Retrograde Ejaculation: A common side effect is retrograde ejaculation, where semen enters the bladder instead of exiting through the urethra. While harmless, it may affect fertility and sexual experience.
- Anesthesia Risks: As with any surgery involving anesthesia, there is a risk of complications related to anesthesia, such as allergic reactions or breathing difficulties.
How to Choose the Right Doctor and Hospital
When seeking Holmium TURP abroad, it is crucial to select a doctor and hospital with extensive experience in the procedure. Look for a urologist who has performed numerous Holmium TURP surgeries and is up to date with the latest advancements in laser technology. The doctor should be board-certified, and ideally, have an affiliation with recognized urological associations.
In addition to the surgeon’s expertise, the hospital’s accreditation and facilities should be evaluated. Opt for a hospital that has international accreditation, as this reflects adherence to global standards of care and safety. Look into the hospital's track record for urological procedures, patient outcomes, and post-operative care to ensure the best possible 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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