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HoLEP (Holmium Laser Prostate Enucleation)

Laser enucleation technique for large prostates.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

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 Prostate Enucleation)?

Holmium laser prostate enucleation (HoLEP) is a modern endoscopic BPH treatment based on enucleation of the prostate adenoma from its capsule using a holmium:YAG laser. It is particularly advantageous in large prostates greater than 80 grams.

Laser energy mechanically separates the prostate adenoma from the capsule and pushes it into the bladder; it is then fragmented and removed by morcellation. This technique was developed as an alternative to open prostatectomy.

Advantages of HoLEP include applicability independent of prostate size, low bleeding risk, short catheterisation time, shorter hospital stay and safe application in patients on anticoagulants. It has a learning curve and requires an experienced surgeon.

Symptoms

Prostate larger than 80 grams
BPH unresponsive to treatment
Patients on anticoagulants
Recurrent retention
Acute urinary retention
Haematuria
Bladder stone with BPH

Risk Factors

Advanced age
Severe comorbidity
Active infection
Large bladder diverticulum
Uncontrolled diabetes
Severe urethral stricture
Pelvic anomaly

When to See a Doctor?

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

  • BPH symptoms unresponsive to treatment
  • Large prostate requiring surgery
  • Anticoagulant use combined with BPH
  • Searching for an open prostatectomy alternative
  • Recurrent symptoms

Treatment Methods

01
Preoperative evaluation
02
Holmium laser enucleation
03
Tissue morcellation
04
Postoperative catheterisation
05
Antibiotic prophylaxis
06
Histopathological examination
07
Postoperative uroflowmetry follow-up
08
Long-term BPH 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.

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Let us help you

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

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Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive endoscopic technique that uses a holmium:YAG laser to enucleate (peel off) the entire enlarged prostate adenoma from its capsule, providing durable relief from bladder outlet obstruction regardless of prostate size.

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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.