A HoLEP is a procedure helps men whose lives are bothered by urinary symptoms return to live their life more normally. HoLEP stands for holmium laser enucleation of the prostate.
How does a HoLEP work?
A laser is used to remove the enlarged inner part of prostate that causes the urinary symptoms. To do that, a urologist passes a telescope down the urethra, which is the tube that carries urine from the bladder though the penis. The laser separates the inner part of the prostate from the outer capsule, which is then turned into small fragments. Those fragments are then sucked out. A catheter is usually needed for 12 to 18 hours.
There are no cuts or incisions, and whole operation is done through the urethra, which is the tube that carries urine from the bladder.
- Urinary symptoms no longer interfere with daily life. Severe symptoms become mild and non-bothersome. As men pass urine more quickly, they spend less time in the toilet, empty their bladders more completely, and pass urine less often.
- The benefit is much greater than pills, water-vapour ablation of the prostate (Rezum) or UroLift. The speed of symptom relief is also much faster than occurs after Rezum or pills, although like UroLift.
- The improvement lasts longer than after any other procedure including TURP, UroLift, Rezum or Prostate Artery Embolisation (PAE).
- there is little bleeding unlike the standard other procedure known as TURP
- Any size or shape of prostate can be treated unlike other procedures
- Drugs for the prostate such as tamsulosin or alfuzosin no longer need to be taken
- Men who are bothered by urinary symptoms due to an enlarged prostate
- Men who don’t want to take pills to improve their symptoms
- Men whose bladders don’t empty completely or have urinary symptoms because the bladder muscle contracts too weakly
- Men who have a catheter in place because of inability to pass urine at all
- Men who do not mind if there is less semen ejaculated on orgasm after the procedure
Most men stay overnight. The catheter is removed either the next day or two days later. You should take a couple of weeks off after a HoLEP. Most of the improvement occurs in the first few weeks, but improvement continues to occur over several months