Laser OIU

Laser OIU at Excel Advanced Urology Centre

Laser OIU at Excel Advanced Urology Centre, Greater Kailash 1, New Delhi, is carried out by Dr Ashish Saini, MCh (Urology), AIIMS New Delhi.

What is Laser OIU?

Laser Optical Internal Urethrotomy (OIU) is a minimally invasive surgical procedure used to treat urethral strictures. Urethral stricture is a condition where the urethra, the tube that carries urine from the bladder out of the body, becomes narrowed due to scarring or inflammation. This narrowing can cause difficulty with urination, decreased urine flow, urinary retention, and other symptoms. Laser OIU is typically performed as an outpatient procedure under local or general anaesthesia. It is often preferred over traditional surgical techniques like open urethral reconstruction because it is less invasive and associated with fewer complications.

What is Urethroplasty?

Every case is different. Discuss your options with your urologist.

Dr. Ashish Saini

Dr. Ashish Saini

Doctors Info on Laser OIU

Dr Ashish Saini is a highly experienced urologist in Delhi, specializing in the treatment of urethral stricture using the Laser OIU procedure. This procedure is particularly suitable for:
  • Short urethral stricture (less than 10 mm in length)
  • Urethral stricture caused by trauma
  • Urethral stricture resulting from prior surgery
  • Idiopathic stricture (without any known cause)

Youtube videos of Dr Ashish Saini

Every case is different. Discuss your options with your urologist.

Initial Examination

  • During your consultation visit, you will undergo a comprehensive examination and receive detailed explanations regarding the procedure. The following tests will be conducted:
    • Urinalysis and Urine Culture
    • Blood Tests for preoperative assessment
    • Uroflowmetry
    • Micturating Cystourethrogram (MCU) X-ray
    • Retrograde Urethrogram (RGU) X-ray
    • A Urethroscopy is scheduled to precisely determine the location and extent of the narrowed segment.
  • Day of the Procedure
    • Kindly be informed that you will be required to refrain from consuming any food or beverages for a minimum duration of 10 hours prior to your scheduled surgical procedure. An intravenous line will be established to facilitate the administration of preoperative antibiotics. Subsequently, the anaesthesiologist will conduct a comprehensive medical history assessment to determine the most appropriate anaesthesia technique for your case.
  • Will I be Awake during the procedure? The level of your consciousness during the surgical procedure will depend on the type of anaesthesia employed.
    • General anaesthesia: This method induces a state of complete unconsciousness throughout the surgical procedure, ensuring that you will not retain any memory of the event.
    • Regional anaesthesia (e.g., Spinal or Epidural): This technique involves the precise placement of a needle into your back to administer anaesthetic medication. This will effectively numb the lower half of your body from the waist down. While you will remain awake during the procedure, you will experience a state of drowsiness and will not perceive any pain during the surgery.
  • Procedure
    • During the procedure, a cystoscope, a specialized medical instrument equipped with a camera, will be carefully inserted into the urethra to enable visualization of its internal structure on a monitor.
    • The surgeon will meticulously examine the urethra using the cystoscope to precisely locate the stricture and evaluate its severity.
    • Upon identification of the stricture, a laser fibre will be skilfully introduced through the cystoscope. This laser emits concentrated light energy, allowing for the precise vaporization and removal of the scar tissue responsible for the stricture. The surgeon passes the laser fibre through the telescope
    • Throughout the procedure, the surgeon will continuously monitor the urethra’s condition and make necessary adjustments to the laser settings to ensure accurate and effective treatment.
    • Once the stricture has been successfully addressed, the laser and cystoscope will be carefully removed from the urethra, completing the procedure.
  • After the Procedure You will be moved to the postoperative recovery room with the catheter in place. Dr Ashish will evaluate your condition and provide detailed instructions for post-operative care. Most men go home within a day; the catheter is usually kept for a few days. Please feel free to ask any questions you may have.
Advantages of Laser OIU?

Advantages of Laser OIU?

  • Reduced blood loss
  • Shorter hospital stays
  • A catheter is usually needed for a few days after the procedure.
  • Works best for short (under 1.5 cm), first-time bulbar strictures; recurrence is common after repeat procedures.

Side effects of Laser OIU

  • Hemorrhage – In rare instances, small blood clots may form and require irrigation through the catheter.
  • Urinary Tract Infection (UTI) – This may manifest as a burning sensation during urination, frequent urination, and an intense urge to urinate. Typically, a few days of antibiotic treatment can resolve this issue.
  • Incontinence – While uncommon, incontinence may occur.
  • Stricture Recurrence – In some cases, strictures may recur after several years, necessitating additional surgical intervention.

Is Laser OIU Safe

Yes, but it’s important to note that redo procedures and those for longer strictures tend to have a higher incidence of failure.

When Laser OIU is needed?

Laser OIU is a widely recognized and highly effective treatment for urethral stricture, which can lead to obstructive urination patterns.
  • Obstructive symptoms may include:
    • Straining (the need to push to initiate urination)
    • Hesitancy (delayed onset of urination after the urge to urinate)
    • Slow or diminished force of the urine stream
    • A thin or forked (split or spray-like) stream
    • Intermittence (urine stream that starts and stops)
    • Sensation of incomplete emptying
  • Irritative symptoms may include:
    • Increased frequency of urination
    • Urgency to urinate
    • Nocturia (getting up at night to urinate)to urinate).

What would disqualify me from Laser OIU Surgery?

  • Urinary tract infection.
  • Any medical condition, such as uncontrolled hypertension, diabetes, or heart disease, that poses a risk during anaesthesia.

How much Laser OIU cost in Delhi?

The cost of Laser OIU is determined by several factors, including the severity of the affected area, which influences the size of the graft, the duration of the surgery, and the length of the postoperative stay. These factors can contribute to the overall cost of the procedure. It is advisable to consult with the doctor to obtain a precise estimate of the expenses involved.

Why choose Excel Advanced Urology Centre for Laser OIU Surgery?

Excel Advanced Urology Centre always prioritizes patient safety, comfort, and satisfaction throughout the treatment process. Dr. Ashish Saini possesses a remarkable history of achieving successful results and holds substantial expertise in the treatment of urethral conditions. With exceptional surgical outcomes and competitive pricing, our facility offers prompt surgical scheduling, minimizing patient wait times.

Dr. Ashish Saini

Dr. Ashish Saini

Meet your Urologist

Dr Ashish Saini is a urologist and andrologist at Excel Advanced Urology Centre, Greater Kailash 1, New Delhi. MBBS and MS (General Surgery), King George’s Medical College, Lucknow; MCh (Urology), AIIMS New Delhi.

Before your visit

Bring any previous reports, scans and a list of your current medicines. Your urologist will explain the diagnosis, the treatment options and their risks before any decision is made.

All treatments carry risks and results vary between patients. Your urologist will explain the options and risks that apply to you.