Mr Naval Singh Yadav, from Alwar had prostate surgery done somewhere else a year ago, but severe obstructive symptoms persisted. Kidneys got swollen so much that his renal function deteriorated fast and serum creatinine reached 5.5 mg%
Tests revealed he had bladder neck contracture with obstructing residual prostate
Laser surgery was done ( revision holep with bladder neck incision ) ; Catheter removed 7th post op day ; He had excellent follow with no residual urine and creating came down to 3.5 mg%. Gradually his kidney function is expected to improve further.
Laser surgery is much safer than conventional technique in chronic renal failure patient