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

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

What is HoLEP?

HoLEP (Holmium Laser Enucleation of the Prostate) is a modern, minimally invasive surgical technique used in the treatment of benign prostatic hyperplasia (BPH). This procedure removes the overgrown prostate tissue using laser technology, thereby eliminating obstruction in the urinary tract. HoLEP is performed endoscopically and is especially effective for older men suffering from urinary problems due to enlarged prostates.

What is Benign Prostatic Hyperplasia (BPH)?

BPH is a non-cancerous enlargement of the prostate gland commonly seen in aging men. It can cause difficulty urinating, frequent urination—especially at night—and a weak urinary stream. While medications may help in the early stages, surgical intervention like HoLEP is often required in more advanced cases.

Who is a Candidate for HoLEP?

• Men with prostate size over 80 cc

• Patients unresponsive to or intolerant of medications

• Recurrent urinary tract infections due to prostate enlargement

• Patients with impaired kidney function or bladder stones

• Patients with cardiovascular conditions such as stents or bypass

• Men with urethral strictures or other urinary tract issues

How is HoLEP Performed?

HoLEP is performed under general or spinal anesthesia. A small camera (endoscope) is inserted through the urethra to visualize the prostate. Holmium laser is used to enucleate the enlarged tissue, which is then pushed into the bladder. A device called a morcellator breaks the tissue into smaller pieces for removal. A temporary catheter is placed, and patients are usually discharged within 1-2 days.

Benefits of 150-Watt Holmium Laser Technology

• Significantly shorter surgery duration

• Better bleeding control

• Minimal damage to surrounding tissues

• Also useful in treating urethral strictures, bladder, and ureteral stones

Advantages of the HoLEP Procedure

• No external incisions or stitches (minimally invasive)

• Highly effective for large prostate volumes

• Low risk of symptom recurrence

• Preserves sexual functions

• Faster recovery and shorter hospital stay

• Considerable improvement in quality of life

Recovery After HoLEP

Patients are generally advised to rest for 10 days after surgery. Physical exertion should be avoided, and hydration is crucial. Light walking and pelvic floor exercises are recommended. Follow-up visits at the 6th week and 6th month help monitor recovery and evaluate urinary functions.

Postoperative Care Instructions

• Mild bleeding, burning, or urinary discomfort may occur in the first days

• Temporary urinary incontinence may be experienced, usually resolves within weeks

• Adequate fluid intake is essential

• Attend all scheduled follow-ups for best outcomes