HoLEP is a minimally invasive operation that relieves obstruction by removing the prostate tissue pressing on the urethra with a laser, right down to the level of the capsule. It can be used regardless of prostate size and markedly reduces frequent urination, getting up at night, a weak stream and the feeling of incomplete emptying. It is considered for men who have not benefited enough from medication or who develop recurrent infections, urinary retention or bladder stones.
When Does Prostate Enlargement Need Treatment?
Benign prostatic enlargement is an increase in the size of the prostate with age, so that it presses on the urethra; it occurs to varying degrees, particularly after the age of 50. Left untreated, it makes passing urine uncomfortable, puts strain on the bladder and in later stages can also affect the kidneys.
What Is HoLEP?
HoLEP is a laser treatment for benign prostatic enlargement that does not require open surgery. The inner prostate tissue pressing on the urethra is separated with a laser down to the capsule, released into the bladder and removed with a special endoscopic instrument.
What Does It Offer?
Because the obstruction is removed mechanically, the urine flow improves markedly. In most patients, frequent urination, getting up at night to pass urine, a weak stream and the feeling of incomplete emptying are clearly reduced.
One of the features that sets HoLEP apart from other surgical methods is that it can be used for small, medium or very large prostates. In large prostates it can reduce the need for open surgery, lowering the surgical risk and shortening recovery time.
With some methods the prostate tissue is not completely removed, so it can grow again over time. With HoLEP, the tissue causing the problem is separated from its capsule and removed, so the obstruction itself is relieved rather than just the symptoms being suppressed. Long-term follow-up studies report a low need for repeat surgery.
Who Is It Suitable For?
- Men who have not benefited enough from medication
- Those with moderate or severe prostate enlargement
- Patients who develop recurrent urinary tract infections, urinary retention or bladder stones
Whether HoLEP is suitable for you is decided after a thorough urological examination.
