Laser Treatment of the Prostate
HOLEP
Benign Prostatic Hyperplasia (BPH), or benign prostatic hyperplasia, is a common condition in aging men and can cause a variety of urinary tract symptoms. HOLEP (Holmium Laser Enucleation of the Prostate) is a high-tech laser surgery method used to treat BPH.
BPH Surgery with HOLEP
HOLEP is a minimally invasive surgical procedure to cut away the enlarged part of the prostate using a holmium laser. This method removes the obstruction in the urinary tract by cutting and removing the enlarged part of the prostate without damaging the surrounding tissues. HOLEP is a treatment option with a low risk of bleeding and a fast recovery process, and offers an effective solution especially for large prostates (>100 cc).
How is HOLEP Applied?
HOLEP is usually performed under general anesthesia. In the procedure, a holmium laser probe is passed through the urethra using an endoscopic tool and delivered to the prostate tissue. The laser vaporizes and separates the prostate tissue using high energy waves. The removed tissue is broken down with a morcellator along the urinary tract and expelled from the body. This method completely removes the enlarged part of the prostate, opens the urinary tract and relieves symptoms caused by BPH.
Who is HOLEP Performed for?
HOLEP treatment is generally suitable for the following patients:
- Men with moderate to severe BPH symptoms.
- Patients who do not respond to drug therapy or are not satisfied with drug therapy.
- Those with large prostates (usually over 100 grams) and other minimally invasive methods are inappropriate.
- Patients with a high risk of bleeding, because HOLEP is known for its low risk of bleeding.
- Those whose general health is suitable for surgery and who prefer a fast recovery process patients.
What are the HOLEP Success Rates?
HOLEP is a BPH treatment with a high success rate. Most clinical studies show that HOLEP effectively reduces prostate size and significantly improves urine flow. Additionally, HOLEP provides long-term relief and reduces the need for repeat treatments. The majority of patients experience significant symptom improvement in the first few years after the procedure.
Patient Questions and Answers
Question: How long does the HOLEP procedure take?
Answer: The HOLEP procedure usually takes between 90 and 120 minutes, but this can vary depending on the size of the prostate and the complications encountered during the procedure.
Question: Is there any pain after the procedure?
Answer: There may be mild to moderate pain after the procedure, but this can usually be easily controlled with painkillers.
Question: How long is the hospital stay after the procedure?
Answer: Most patients stay 2-3 days after the procedure discharged within 12 months. However, since each patient's condition is different, your doctor will determine the most appropriate discharge period for you.
Question: Is HOLEP treatment permanent?
Answer: HOLEP treatment is usually permanent.
Question: Can the HOLEP procedure cause any complications?
Answer: HOLEP is a procedure with a generally low complication rate. However, as with any surgical procedure, it may carry risks such as infection, bleeding, urinary incontinence or, rarely, sexual dysfunction.
HOLEP is an effective method in the treatment of modern BPH and offers an ideal solution especially for patients with large prostates. Due to its minimally invasive nature, short recovery period and low risk of complications, it has become a preferred method for most patients. However, it is important to have a comprehensive evaluation with a healthcare professional before starting treatment and to obtain detailed information about the benefits and risks of the procedure.