What is HoLEP, and what does it help treat?

In this article below, we discuss the main benefits of HoLEP, whilst also telling you how this procedure is performed and what conditions it can help treat.

What is HoLEP, and what does it help treat?

Holmium Laser Enucleation of the Prostate (HoLEP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), a common condition in older men characterised by enlargement of the prostate gland. BPH can lead to bothersome urinary symptoms, such as difficulty urinating, weak urine flow, frequent urination, and urinary retention, which can significantly impact quality of life if left untreated.

What happens during a HoLEP procedure?

During a HoLEP procedure, a small telescope-like instrument called a cystoscope is inserted into the urethra, allowing the surgeon to visualise the prostate gland. A holmium laser is then used to precisely remove excess prostate tissue that is causing obstruction of the urethra and interfering with urine flow. The laser energy vaporises the prostate tissue, which is then suctioned out of the body through the cystoscope.

What makes the HoLEP technique so advantageous?

One of the key advantages of HoLEP is its ability to completely remove obstructive prostate tissue, regardless of the size of the prostate gland. Unlike traditional transurethral resection of the prostate (TURP) surgery, which involves shaving off portions of the prostate, HoLEP allows for en bloc removal of the entire prostate adenoma, resulting in improved outcomes and reduced risk of recurrence.

Is HoLEP suitable for everyone?

While HoLEP is highly effective in relieving symptoms of BPH, it may not be suitable for all patients. Factors such as the size and shape of the prostate gland, the presence of certain medical conditions, and patient preferences should be considered when determining candidacy for HoLEP. Patients considering HoLEP should undergo a thorough evaluation by a urologist with expertise in the procedure to determine the most appropriate treatment plan for their individual needs and goals.