HoLEP (Laser Prostatectomy)

What is HoLEP?

Holmium Laser Enucleation of the Prostate or HoLEP is a form of laser used to remove blocking tissue from the prostate gland in patients with prostatic symptoms. It is used when medications have not been effective, or are causing side effects. It can be used as the first treatment in patients with severe symptoms, or those in retention of urine.

HoLEP has been used for over 15 years worldwide, and over 10 years in the United Kingdom. It is a NICE approved treatment and is a modern alternative to traditional surgery for the treatment of lower urinary tract symptoms.

HoLEP has many advantages over conventional TURP procedure including:

  • No limits on the size of the prostate that can be lasered.

  • Bleeding after the procedure is minimal.

  • Discharge is often quicker with some patients going home the same day.

  • The chance of recurrence requiring further surgery is very low.

  • There are fewer associated complications than with TURP surgery.

  • It is suitable for patients on blood-thinning medication.

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