Holmium laser enucleation of the prostate (HoLEP)

Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive treatment for an enlarged prostate caused by BPH. This procedure involves using a laser to remove the entire portion of the prostate that can block the flow of urine.

What Is Holmium Laser Enucleation of the Prostate (HoLEP)?

HoLEP has been used in many parts of the world, and has proven to be a safe and effective procedure to treat BPH.

Its main advantage is that it removes a large amount of prostate tissue that causes obstruction without ever requiring making incisions to the body.

Who is a HoLEP Candidate?

Although many urinary symptoms from BPH can be treated without surgery, patients may eventually need to undergo it to avoid long-term problems such as urine retention, bladder stones, and urinary tract infections. Patients who are recommended for HoLEP are usually symptomatic due to very large prostates.

If patients have bleeding problems, or have had certain types of prostate treatments previously, then they may not be candidates for HoLEP. Additionally, patients must be able to lie on their back with their legs raised, as this position is required in order to perform the procedure.

Benefits of HoLEP

HoLEP has been proven to be one of the most safe and effective surgical procedures for treating BPH.

No Incision Required

It has the unique ability to remove a large amount of prostate tissue without making any incisions on the body, even with the case of very large prostates.

Low Retreatment Rates

It decreases the risk of bleeding and the need for blood transfusions during the procedure. It also minimizes recovery time, and it reduces the risk of needing repeat treatment in the future.

Possible Cancer Cell Detection

The holmium laser procedure allows the excised prostate tissue to be examined for cancer cells, which is not possible with laser ablation.

More details about the procedure

The HoLEP procedure generally takes around 1 hour to complete. Patients typically require an overnight stay after the surgery.


Within a couple of days following the procedure, it is normal to experience pain when passing urine. Medications may be used to relieve these symptoms until improvements are made. Patients are highly encouraged to drink a large amount of fluids once the catheter is removed. This will help clear the urine of any blood.

Following the procedure, patients will be seen by the doctor to monitor their recovery process and to repeat certain tests, such as urinary flow rate, symptom score, and bladder scan. These are conducted to determine the effectiveness of the surgery. Patients are generally seen at six weeks and six months after the procedure.

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