SRM Doctors Restore Urinary Health in Cardiac Patient Using Holmium Laser Technique

Chennai: SRM Global Hospitals has successfully restored urinary function in a 74-year-old male patient from Iraq suffering from obstructive urinary symptoms caused by Benign Prostatic Enlargement (BPE), a non-cancerous enlargement of the prostate gland common among older men.

Considering the patient’s severe coronary artery disease and his reliance on blood-thinning medication, the urology team selected advanced holmium laser technology to remove the enlarged prostate tissue, minimizing the risks associated with traditional invasive surgery.

The procedure, known as Holmium Laser Enucleation of the Prostate (HoLEP), is a minimally invasive laser surgery technique that provides advantages such as minimal bleeding, shorter hospitalization, and faster recovery compared to the conventional Transurethral Resection of the Prostate (TURP).

The surgery was led by Dr Anand Krishnamoorthy and Dr M Deepak, Senior Consultant Urologists, with support from Dr Varun C, Senior Consultant Anaesthetist. Pre-surgical cardiac assessment and management were conducted by Dr T R Muralidharan, Cardiologist.

According to Dr P Sathyanarayanan, President of SRM Global Hospitals, this case reflects the hospital’s integrated approach to complex clinical scenarios. The procedure involved advanced laser technology, continuous monitoring, and effective coordination among multiple specialties.

Despite the patient’s high cardiac risk, the surgery was completed successfully through detailed pre-operative planning and real-time intra-operative management.

The collaboration of specialists urologists performing the procedure, cardiologists overseeing cardiac care, anaesthesiologists ensuring stabilization, and the ICU team handling postoperative recovery demonstrates SRM Global Hospitals’ dedication to patient safety and excellence in complex care.

Dr Anand Krishnamoorthy explained that the patient presented with severe urinary symptoms, elevated PSA levels, and confirmed benign prostate enlargement. Pre-surgical evaluation revealed significant cardiac blockages, but after careful consideration and preparation, the team proceeded with the Holmium Laser Enucleation of the Prostate.

The tissue removal was achieved with minimal bleeding and ensured a rapid recovery. The patient was discharged in stable condition and continues to do well under routine follow-up.

Discussing BPE, Dr Anand noted that the condition affects nearly 50 to 60 percent of men over 60 years of age. It arises mainly from hormonal changes associated with aging, leading to prostate tissue growth.

He added that common warning signs such as frequent night-time urination, weak urine flow, straining, or incomplete bladder emptying should prompt timely medical evaluation. Regular health check-ups after the age of 50 and the management of blood pressure, sugar, and cholesterol levels can help curb prostate-related complications.