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HoLEP (Holmium Laser Enucleation of Prostate)

Endoscopic prostate enucleation using holmium laser as size-independent BPH treatment.

Written by: Saygı Hospital Health Guide Editorial Board
Published:

This content is for general information; please consult your physician for diagnosis and treatment.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is HoLEP (Holmium Laser Enucleation of Prostate)?

Holmium Laser Enucleation of the Prostate (HoLEP) is a minimally invasive endoscopic procedure using a holmium:YAG laser to enucleate prostatic adenoma along the surgical capsule plane, mimicking open simple prostatectomy through a transurethral approach.

The technique is considered size-independent and effective for prostates larger than 80-100 grams, where TURP becomes less effective. Postoperative morcellation removes the enucleated tissue. Compared to TURP, HoLEP offers lower transfusion rates, shorter catheterization, and durable functional outcomes.

Long-term data show excellent durability with low retreatment rates, making HoLEP a gold-standard option for BPH surgical management. Learning curve is steep, requiring experienced endourologists for optimal outcomes.

Symptoms

Lower urinary tract symptoms (LUTS)
Weak urinary stream
Urinary retention
Recurrent urinary tract infections
Bladder stones from BPH
Hematuria from prostate
Refractory symptoms despite medication

Risk Factors

Large prostate (>80 g)
Failure of medical therapy
Recurrent retention
Bladder stones with BPH
Patients on anticoagulants (HoLEP advantage)
Need for tissue diagnosis
Younger patients seeking durable outcome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Refractory BPH symptoms
  • Acute urinary retention
  • Recurrent UTIs from outflow obstruction
  • Bladder stone with BPH
  • Need for surgical BPH intervention
  • Discussion of HoLEP versus alternatives

Treatment Methods

01
Holmium laser enucleation
02
Mechanical morcellation of tissue
03
Postoperative catheter (1-2 days)
04
Pelvic floor exercises
05
Symptom and uroflowmetry follow-up
06
Histopathologic assessment of tissue
07
Long-term LUTS monitoring

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Üroloji Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.