Historically, urological surgeries for kidney stones or prostate enlargement required large abdominal incisions, substantial blood loss, prolonged hospitalization, and painful postoperative recovery. Today, the field of urology has undergone a high-tech revolution.
At National Urology Center in Janakpur, under the leadership of Gold Medalist Dr. Arun Shah, we bring state-of-the-art Minimally Invasive Laser Urology to the Madhesh Province—allowing patients to receive world-class surgical care without traveling to Kathmandu or India.
What is Laser Urology?
Laser urology utilizes high-intensity, precisely calibrated medical lasers—most notably the Holmium:YAG laser and Thulium Fiber Laser (TFL)—transmitted through ultra-thin, flexible optical fibers. These fibers are passed through natural urinary openings (endoscopy) or tiny keyhole punctures directly to the target tissue or kidney stone.
Because laser energy is absorbed within a fraction of a millimeter in water, it vaporizes stones and seals blood vessels instantly with zero damage to surrounding healthy organs.
Key Laser Procedures Offered at National Urology Center
1. Retrograde Intrarenal Surgery (RIRS) for Kidney Stones
RIRS represents the pinnacle of stone management technology. A highly flexible ureteroscope (thinner than a pencil) is introduced through the urethra and bladder up into the intricate collecting system of the kidney.
- How it works: Once the stone is visualized on a high-definition monitor, a Holmium laser fiber fires rapid pulses of optical energy, shattering the stone into fine, dust-like particles that wash out effortlessly.
- Why patients love it: Complete absence of surgical cuts or scars on the skin, virtually zero blood loss, and discharge within 24 hours.
2. Mini-PCNL (Percutaneous Nephrolithotomy) for Large Stones
When a kidney stone is too massive (such as staghorn stones over 2 to 3 cm) for RIRS, Mini-PCNL is utilized.
- How it works: Rather than a 15-cm open surgical cut, a miniature keyhole tract (less than half an inch) is established directly into the kidney under X-ray and ultrasound guidance. Miniaturized nephroscopes and laser lithotripters break and aspirate the stone fragments safely.
3. HoLEP (Holmium Laser Enucleation of the Prostate) for BPH
For men suffering from severe urinary obstruction due to benign prostate enlargement, HoLEP is the gold-standard surgical treatment globally.
- How it works: The laser fiber peels away the entire overgrown adenoma lobe of the prostate—much like peeling the segments of an orange—pushing it into the bladder where a specialized morcellator instrument vacuums it out.
- Why it’s revolutionary: Extremely low re-treatment rate, immediate restoration of strong urinary flow, and safe execution even in elderly patients with heart pacemakers or those taking anticoagulant blood thinners.
Why Choose Laser Surgery Over Traditional Open Surgery?
| Feature | Traditional Open Surgery | Minimally Invasive Laser Surgery | | :--- | :--- | :--- | | Skin Incision | Large (10–15 cm scar) | Zero (Natural orifice) or Keyhole (less than 1 cm) | | Blood Loss | Significant (Transfusion often needed) | Minimal to None (Instant vessel coagulation) | | Hospital Stay | 5 to 7 days | 24 to 48 hours | | Pain Level | Severe postoperative pain | Mild discomfort | | Return to Work | 3 to 6 weeks | 3 to 5 days |
Bringing Super-Specialty Care to Janakpur
Our mission at National Urology Center is to make state-of-the-art medical technology accessible and affordable to every community in Nepal. You no longer have to endure the physical stress and financial burden of medical tourism for complex urological procedures.
To consult with Dr. Arun Shah and discover if laser surgery is appropriate for your urological condition, book an appointment at our Janakpur clinic today.
