HoLEP
Holmium laser enucleation of the prostate is a type of endoscopic surgery to treat the men with benign prostatic hyperplasia (BPH).
What is BPH?
BPH is a noncancerous enlargement of the prostate gland. An enlarged prostate can result in a number of urinary tract symptoms and if left untreated, it can cause urinary tract infections, bladder stones and chronic kidney disease. The severity of symptoms can vary but symptoms tend to get worse over time.
Symptoms
Common signs and symptoms of BPH include:
- Frequent and urgent need to urinate
- İncreased need to urination at night (nokturia)
- Difficulty starting urination
- Week urine stream or a stream that stops and starts
- Dribbling at the end of urination
- İnability to completly empty the bladder
Treatment options
There are several treatment options for benign prostatic hyperplasia. The treatment options include medical treatments, minimally invasive therapies, and surgery. Your symptoms, the size of your prostate, other health conditions you might have and your preferences are important to choose the best option for you.
HoLEP
Holmium laser prostate surgery, also called holmium laser enucleation of the prostate (HoLEP), is a minimally invasive treatment for benign prostatic hyperplasia. The procedure uses a laser to remove tissue that is blocking urine flow through the prostate.
FAQ
What is the best treatment option for an enlarged prostate?
To choose the best option, you and ı will consider your symptoms, the size of your prostate, other health conditions you might have and your preferences.
What are the advantages of HoLEP?
Although there are many types of BPH surgeries available, HoLEP offers a unique advantage in being able to remove a large amount of tissue without any incisions on the body, even in very large prostates, while decreasing the risk of bleeding and providing tissue for pathology (to look for cancer). This decreases the need for blood transfusions during surgery, minimizes the time of stay in the hospital, and reduces the risk of needing repeat treatment.
What happens after HoLEP procedure?
- The patient is hospitalized for two nights for observation and catheter care.
- Some bleeding from the prostate is to be expected following surgery. For most patients, this will clear in about 12 hours.
- Fluid will be flushed through the catheter to clear blood from the urine after the surgery.
- Eating and drinking are permitted on the same day of the procedure as soon as the patient is able to do so safely.
- The catheter is usually removed the morning after surgery if there is no excessive bleeding. If the patient is able to urinate well at least two to three times after the catheter is removed, then he can go home without the catheter.
What are the side effects of HoLEP
- Temporary burning and bleeding during urination. Some blood may be seen in the urine for weeks after surgery. This is usually not an indication of anything serious, only that the healing process is not yet finished.
- Retrograde ejaculation or “backwards ejaculation.” In 75 percent of cases, the patient will not see any fluid during ejaculation during sexual activity after surgery.
How long is the healing process?
Most patients need at least one to two weeks of rest at home before they can return to work. No heavy lifting should be attempted during the recovery period; however, patients are expected to walk and do light activities.
Will I experience erectile dysfunction after HoLEP?
Erectile function is generally not significantly affected. A small percentage of patients have reported improved erectile function while a small percentage have reported decreased erectile function.
Will I experience urinary incontinence after HoLEP?
The rate of long term urinary incontinence is very low. Patients may experience urinary incontinence immediately after surgery. This condition typically improves over several days.
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