HOLEp

Holmium Laser Enucleation of the Prostate (HoLEP) is a well-established and highly effective surgical procedure used to treat benign prostatic hyperplasia (BPH). This technique utilizes a holmium laser to remove the enlarged prostate tissue that is causing urinary symptoms.

• Anesthesia: HoLEP is typically performed under general or spinal anesthesia.
• Laser Enucleation: A holmium laser is used to enucleate (remove) the obstructive prostate tissue. The laser’s precision allows for effective cutting and coagulation, minimizing bleeding.
• Morcellation: After the enucleated tissue is moved into the bladder, it is morcellated (cut into smaller pieces) and then removed from the body.

• Complete Tissue Removal: HoLEP can remove large amounts of prostate tissue, which is beneficial for patients with significantly enlarged prostates.
• Reduced Bleeding: The holmium laser provides excellent control over bleeding, reducing the need for blood transfusions.
• Durability: The results of HoLEP are durable, with a low likelihood of needing retreatment.
• Quick Recovery: Patients often experience a faster recovery and shorter hospital stays compared to traditional surgeries.
• Lower Risk of TUR Syndrome: Unlike TURP (Transurethral Resection of the Prostate), HoLEP has a lower risk of TUR syndrome (a rare but serious condition caused by fluid absorption during surgery).

• Urinary Incontinence: There is a risk of temporary urinary incontinence, which usually resolves over time.
• Erectile Dysfunction: While the risk is lower compared to some other procedures, it still exists.
• Learning Curve: HoLEP requires significant surgical expertise and a steep learning curve for surgeons to master the technique.
• Postoperative Symptoms: Some patients may experience urinary urgency or frequency shortly after the procedure, which usually improves over time.

• Catheterization: A catheter is typically placed for a short period to aid in urine drainage after surgery.
• Hydration: Patients are encouraged to drink plenty of fluids to flush out the bladder and prevent blood clots.
• Activity: Light activities are recommended initially, with a gradual return to normal activities over several weeks.