Holmium Laser Enucleation of the Prostate (HoLEP): A Modern Solution for Enlarged Prostates
Benign prostatic hyperplasia (BPH), or the non-cancerous enlargement of the prostate gland, is a common condition among men as they age. While it is not life-threatening, BPH can significantly impact quality of life, causing symptoms such as difficulty urinating, frequent urination, or an inability to fully empty the bladder. For men who require intervention beyond medication, Holmium Laser Enucleation of the Prostate (HoLEP) offers a highly effective and minimally invasive surgical option.
What is HoLEP?
HoLEP is a state-of-the-art procedure that uses a specialised laser to remove excess prostate tissue obstructing the urinary flow. Unlike traditional surgical techniques, HoLEP provides a precise and thorough removal of the obstructive tissue, which is then cleared from the bladder using a morcellator. This ensures a comprehensive treatment of BPH while preserving the surrounding structures.
Benefits of HoLEP
- Minimally Invasive: HoLEP is performed through the urethra, eliminating the need for external incisions.
- Effective for All Prostate Sizes: Unlike some other techniques, HoLEP is suitable for prostates of all sizes, making it a versatile option for patients.
- Short Hospital Stay: Most patients can expect a shorter hospital stay and faster recovery compared to traditional surgeries.
- Durable Results: By removing the entire obstructive portion of the prostate, HoLEP minimises the chance of recurrence.
- Reduced Risk of Bleeding: The laser’s precise cutting and coagulation capabilities significantly reduce the risk of bleeding, making it an excellent option for patients on anticoagulant therapy.
Who Can Benefit from HoLEP?
HoLEP is an ideal choice for men with moderate to severe BPH symptoms who:
- Have not found relief with medications.
- Are looking for a long-lasting solution.
- Have large prostates that are less suitable for other minimally invasive treatments.
- Are on blood-thinning medications, which may increase surgical risks in traditional procedures.
What to Expect During and After the Procedure
- During the Procedure: HoLEP is typically performed under spinal or general anaesthesia. The surgeon uses a laser to carefully enucleate the obstructive prostate tissue, which is removed through the urethra.
- Recovery: Most patients are discharged within 24 hours. A catheter is usually placed post-surgery and is removed within a day or two. Many patients experience a significant improvement in symptoms within the first few weeks.
- Follow-Up: Regular follow-up is essential to monitor recovery and ensure the best outcomes.
Why Choose HoLEP?
As a cutting-edge procedure, HoLEP offers distinct advantages over traditional methods like transurethral resection of the prostate (TURP) and open prostatectomy. Its precision, effectiveness, and minimal impact on surrounding tissues make it a preferred option for many urologists and patients alike.
Conclusion
If you or a loved one is struggling with BPH, HoLEP might be the solution you’re looking for. With its minimally invasive approach, exceptional outcomes, and ability to address prostates of all sizes, HoLEP is a game-changer in the treatment of BPH.
At our clinic, we are proud to offer HoLEP as part of our comprehensive urology services. Contact us today to schedule a consultation and learn more about how we can help you achieve better urinary health.