HoLEP (Holmium Laser Enucleation of the Prostate)
Holmium Laser Enucleation of the Prostate (HoLEP) is a minimally invasive laser operation for an enlarged prostate (BPH). It removes the obstructing tissue completely, without any cuts, and can be used for prostates of any size.
Who Is HoLEP Suitable For?
HoLEP may be recommended for men with bothersome urinary symptoms from BPH that have not responded to medication, or for those with complications such as urinary retention, recurrent infections, bladder stones or bleeding. It is particularly useful for very large prostates that would otherwise need open surgery, and may suit some men taking blood thinners.
How It Works
Performed under general or spinal anaesthetic through the urethra
A holmium laser separates the enlarged inner prostate tissue from its outer capsule, similar to peeling an orange
The freed tissue is pushed into the bladder and removed with a morcellator
All removed tissue is sent for pathology
Recovery
Most people stay in hospital overnight
A catheter is usually removed within one to two days
Urgency, frequency and stinging are common for several weeks while the area heals
Avoid heavy lifting and straining for around four weeks
Benefits and Side Effects
Because the obstructing tissue is removed completely, the need for repeat surgery is low. Most men will experience retrograde ejaculation (semen passing into the bladder rather than out), which is not harmful but affects fertility. Temporary urinary leakage can occur and usually settles with pelvic floor exercises. Other risks include bleeding, infection and urethral narrowing.
Dr Samuel Davies, Consultant Urologist and Robotic Surgeon, completed the Cambridge HoLEP course and offers HoLEP for men with an enlarged prostate in Brisbane. To arrange an appointment, please contact our rooms on 07 3255 0311. A referral from your GP or specialist is needed to claim a Medicare rebate.
This page provides general information only and is not a substitute for an individual consultation. All surgical and medical procedures carry risks. Before proceeding, you should seek advice from an appropriately qualified health practitioner and, if you wish, a second opinion.