What is HoLEP? HoLEP Surgery and Prostate Surgery

What is HoLEP?

A procedure known as Holmium Laser Enucleation of the Prostate (HoLEP) is used when the prostate gland enlarges and obstructs urinary flow. This condition, also known as BPH or Benign Prostatic Hyperplasia, is common among older men. HoLEP is an advanced technique that allows for the surgical removal of the enlarged prostate.

How is HoLEP Surgery Performed?

The HoLEP procedure is typically performed under general or spinal anesthesia. During the operation, a urologist places a small telescope (endoscope) into the urinary tract. Then, a Holmium laser is used. This laser vaporizes or removes excess tissue from the prostate.

Once the procedure is complete, the doctor places a catheter. This helps urine to pass out of the body while the prostate heals.

What are the Advantages of HoLEP Surgery?

HoLEP surgery has many advantages. First, it is a minimally invasive technique, which means a quicker recovery time. Another advantage is the low risk of damaging healthy prostate tissue with the laser.

Additionally, the risk of bleeding is lower compared to other prostate surgical techniques. Therefore, HoLEP is a good option, especially for those taking anticoagulant medications or at high risk of bleeding.

Finally, HoLEP treatment is usually very effective. Patients typically report better urinary flow and improved quality of life.

Who is HoLEP Surgery Recommended For?

HoLEP surgery is recommended for men whose prostates significantly obstruct the urinary tract. This often occurs in cases of excessive enlargement, regardless of prostate size. However, the final decision is always based on your doctor's recommendation and your individual condition.

HoLEP is generally performed in older men and those with larger prostates. However, it is important for your doctor to discuss all options due to the specific risks and side effects of the procedure.

In conclusion, HoLEP may be an effective treatment option for men experiencing urinary problems. This procedure offers the benefits of minimal invasiveness and quick recovery while reducing the effects of an enlarged prostate. As always, it is important to discuss all treatment options and potential risks with a doctor or healthcare professional.

What are the risks of HoLEP surgery?

Every type of surgical procedure has its own risks. Potential risks of HoLEP surgery include urinary incontinence, urinary tract infections, bleeding, retrograde ejaculation (the semen going back into the bladder), and rarely, erectile dysfunction. However, in general, HoLEP is considered to have fewer side effects compared to other prostate surgical techniques.

How long should one stay in the hospital after HoLEP surgery?

The typical hospital stay after HoLEP surgery is usually 1 to 2 days. This duration depends on the patient’s overall health and the complexity of the operation.

When can normal activities be resumed after HoLEP surgery?

Most patients can return to normal activities within a few weeks after the surgery. However, this timeframe depends on the patient’s overall health and rate of recovery. It is always important to follow your doctor’s instructions.

When will the effects of HoLEP surgery be noticeable?

Many patients notice an immediate improvement in recovery after the surgery. Urine flow typically improves right away. However, some patients may need to wait a few weeks for complete recovery.

What is the difference between HoLEP and TURP (Transurethral Resection of the Prostate)?

TURP is a traditional technique used to remove the enlarged part of the prostate. HoLEP is a newer technique that uses lasers to perform this procedure. HoLEP generally offers a lower risk of bleeding and a faster recovery time, but both techniques can effectively treat an enlarged prostate. The choice depends on the individual patient's condition and your doctor’s recommendation.

Last Updated Date: 23 May 2023

Publication Date: 15 September 2022