19.02.2026
Laser surgery has transformed urology treatment across Nagpur, Vidarbha, Central India, and Maharashtra, offering precise, minimally invasive options for kidney stones, enlarged prostate (BPH), urethral strictures, and bladder stones.
Holmium Laser Enucleation of Prostate (HoLEP)
HoLEP uses a Holmium laser to remove obstructing prostate tissue through the urethra, ideal for glands over 80 grams where TURP risks excessive bleeding. The laser vaporizes and morcellates tissue in one session, preserving sexual function while relieving urinary obstruction. Ketki Nursing Home & Urology Hospital reports 1,386 successful HoLEP procedures with 99% success rates and minimal reoperation needs.
Thulium Laser Prostatectomy (THUFLEP & DILEP)
Thulium fiber lasers provide continuous vaporization for precise prostate enucleation, particularly effective for large glands or patients on blood thinners. THUFLEP (209 cases) and DILEP (20 cases) at Ketki Nursing Home & Urology Hospital demonstrate lower irrigation needs and faster operating times compared to Holmium systems. These techniques dominate laser BPH treatment searches in Maharashtra due to day-care feasibility.
Retrograde Intra-Renal Surgery (RIRS)
RIRS employs flexible ureteroscopes and Holmium lasers to fragment kidney stones up to 2 cm within the renal calyces, avoiding percutaneous tracts. With 285 RIRS cases recorded, this method excels for lower pole stones common in Central India stone belts, achieving 85-95% single-session clearance.
Laser Urethrotomy & Lithotripsy
Cold knife or laser urethrotomy (3,262 VIU cases) incises short bulbar strictures endoscopically, while cystolithopexy lasers (291 cases) pulverize bladder stones completely. These procedures minimize recurrence when combined with post-operative self-calibration protocols.
Laser vs Traditional Surgery Comparison
| Procedure | Laser Success Rate | Hospital Stay | Recurrence Risk |
| Prostate (HoLEP/THUFLEP) | 99% | 1 day | <2% at 5 years |
| Kidney Stones (RIRS) | 90% clearance | Same day | 5-10% |
| Urethral Stricture (Laser VIU) | 70-80% initial | Day care | 30% at 2 years |
| Bladder Stones | 100% | 1 day | <5% |
Laser techniques reduce blood loss by 70%, cut hospital stays from 5 days to under 24 hours, and enable same-day discharge for 80% of Vidarbha patients.
Technology at Ketki Nursing Home
High-power Holmium:YAG and Thulium fiber lasers paired with 4K flexible ureteroscopes and morcellators support complex Central India caseloads. C-arm fluoroscopy ensures real-time navigation for RIRS and stricture work, positioning Nagpur as Maharashtra’s laser urology hub.
