Faculty:
Dr. S.N Goel (Consultant - Urology)
Dr. Prerit Mathur (Consultant - Anesthesia)

Hospital:
RG Hospitals, Pitampura, New Delhi.

Presenting/Chief Complaints:
A 63 year old male presented to RG Pitampura with complaints of LUTS for the past 2 years. He also had history of hypertension.

Diagnosis:
USG revealed a prostate measuring 75x77x76 mm with vol 234cc.

Treatment/Procedure/Surgery:
CPE + HOLEP under Epidural Anesthesia.

Operative Findings:
Intra Operative findings showed trilobar enlargement of the prostate. Grade II trabeculation/sacculation of the bladder, and bulbar urethral stricture. CPE was done, guide wire placed in the bladder, OIU done (12 o'clock incision taken) Urethral dilatation done upto 26 Fr. HOLEP done with two lobe technique by lumenis laser at 100 watts with 550 micron fiber. Tissue morcellated and retrieved. Complete Hemostasis ensured.20 Fr three way foley’s catheter placed and NS irrigation placed. Outflow clear. Tissue sent for biopsy.
Surgery was accomplished in a single sitting with no blood transfusion and negligible blood loss. Preoperative Hb - 13.4gm/dl. Post operative Hb -12.9gm/dl. Preoperative uroflow - 5.2/2.9/104 and post operative uroflow - 34.3/15.6/214.

Course of Hospitalization and Condition of Patient at the Time of Discharge:
Patient was discharged on the 5th post op day in a stable and satisfactory condition.