THULIUM LASER VAPORESECTION: A BOON FOR PATIENTS WITH HEART DISEASE( ESPECIALLY PATIENTS ON ECOSPRIN/ ANTICOAGULANTS)

A 70 year old gentleman came to us with refractory urinary retention.He has triple vessel CAD and was drug eluting stent for the same.

He had a moderate prostatomegaly ( 50 gm ) and the cardiologist insisted on continuation of antiplatelet agents( Ecosprin/  clopidogrel).

We took him up for the Thulium LASER prostatectomy .In such cases we usually go for vaporesection rather than the routine enucleation procedure. In certain cases we even do the vaporization( especially in older patients where the main aim is getting the channel rather than prostatic tissue for histopathological analysis).

The surgery went on well without any bleeding or peri-operative cardiac events. The catheter was kept for 48 hours and then it was removed. The patient passed urine successfully.

We have done around 270 such patients with a very favorable outcome.