What is Holmium Laser Lithotripsy (HLL)?

Holmium Laser Lithotripsy (HLL) is a new minimally invasive surgery in urology to break urinary stones in the kidney, ureter, or bladder into tiny pieces for easy removal or natural passage. The Holmium-YAG laser technology has become an option that is very effective against all types of stones, irrespective of the chemical composition or hardness. It has enjoyed precision and safety over the years and is among the most preferred options in modern urology.

Why Does Holmium Laser Lithotripsy Need to Be Done?

If urinary stones remain untreated, they can lead to enormous pain and complications. The procedure is justified when:-

Stones are large enough to obstruct the natural passage
Mainly, Stones are obstructing the flow of urine, eliciting pain, infection, or damage to the kidneys
Recurrent urinary tract infections are related to stones.
Other conservative or medical management has failed
Stone (s) symptoms include hematuria, nausea or renal colic that persists.

Before the Procedure

Surgical preparation enhances safety and guarantees good recovery:-

Diagnostic Evaluation - Ultrasound, X-ray (KUB), or CT scan to visualise the size and exact location of stones
Urinalysis & Blood Tests - to evaluate kidney function and find an infection
Medication assessment - Talk to your doctor about all your medications; anticoagulants may need a complete break.
Fast - If general or spinal anaesthesia is likely to be given.
Hydrate - Adequate oral fluid intake until fasting starts.

What to Expect During the Procedure?

Anaesthesia will ensure you are completely pain-free - either general or spinal.
Endoscopic Access - A thin, flexible ureteroscope enters the urinary tract via the urethra.
Laser Fragmentation - Holmium laser energy targets the stone, reducing it to fine dust or small fragments.
Fragment Removal - Doctors extract small pieces using retrieval baskets or allow them to pass naturally.
Stent Placement - When indicated, a temporary ureteral stent prevents obstruction during the procedure.
Duration - Generally 45-90 minutes, depending on the size and number of stones.

After the Procedure

Hospital Stay - Most patients go home the next day.
Catheter/Stent - A stent may remain in place for a few days to ensure urine flow.
Hydration - Drink plenty of water to flush any remaining stones.
Medications - Prescribed for pain relief, antibiotic coverage, and medicines that help with urination.
Follow-Up - Regular check-ups and imaging to ensure that the stone disappears completely.

Benefits of Holmium Laser Lithotripsy

Minimally Invasive - No external incision is made.
High Success Rate - Applicable for all types and sizes of stones.
Precision - The laser targets only the rocks and preserves healthy adjacent tissues.
Quick Recovery - Smooth transition back to daily life within days.
Limited Complications Compared to Open Surgery.

Risks and Possible Complications

Though generally safe, possible risk factors include:-

Mild pain or discomfort when urinating.
Temporary blood in urine (hematuria).
Urinary tract infection.
Rare ureteral injury or stricture.
There is a need for repeated intervention in cases of complex or multiple stone diseases.

After Care Considerations

Hydration (2-3 L per day).
Fully adhere to medication instructions.
Do not perform high-impact workouts until medically cleared.
Attend follow-ups for stent removal and imaging.
Impose dietary modifications to prevent recurrence.

Do you experience pain during Holmium Laser Lithotripsy?

Patients do not feel pain during the operation since doctors give anaesthesia to them. The mild discomfort felt after the surgery, if at all, subsides soon.

How long does it take for recovery?

Generally, the patients recover in 3-5 days, resuming their routine jobs/activities.

Will I need a stent?

Occasionally, it helps with urine drainage and maintaining patency against blockage from residual fragments.

Can stones come back after laser lithotripsy?

Yes, stones form recurrently if the underlying factors are left unchecked, which then would require preventive measures.

Is it safe for the elderly patients?

Yes, it is highly suitable for the elderly and high-risk patients because of its minimally invasive nature.

Why Choose Tender Palm Super Speciality Hospital for Holmium Laser Lithotripsy (HLL) in Lucknow,India?

Tender Palm Super-Speciality Hospital is one of the best hospitals for Holmium Laser Lithotripsy in Lucknow, India. Our experienced Urologists uses advanced technology, and provides patient-focused care, the hospital ensures safer procedures, quicker recovery, and improved long-term outcomes.