What is Holmium Laser Enucleation of Prostate (HoLEP)

HOLEP is a closed prostate surgery method. The abbreviation of HOLEP surgery is “Holmium Laser Enucleation of Prostate” and it is the process of removing the enlarged inner prostate tissue (adenoma) from its capsule with the help of laser. Benign Prostatic Enlargement (BPH) is a condition where the prostate, which grows with age, blocks the outlet of the bladder (urinary bag) that it surrounds and prevents urine flow. The HoLEP method is used in the treatment of benign prostate enlargement. This method is used very effectively in the treatment of prostate enlargements of all sizes. HoLEP is more preferred because the effect of other closed prostate surgery methods is low, especially in prostates of 80 grams and above.

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    Advantages of HoLEP

    In surgeries performed with the HoLEP method, the structure called the sphincter, which provides urine retention, is outside the area of ​​intervention. The sphincter structure is preserved during the operation, so there is no problem of urinary incontinence after the operation.

    The tissue depth affected by the HoLEP laser energy is very small. For this reason, it does not affect the nerves that travel outside the prostate and provide erection (hardening), so there are no problems such as sexual dysfunction after surgery.

    Bleeding is very rare in the HoLEP method compared to other surgical methods. While the prostate tissue is being separated, bleeding is almost nonexistent as the vessels feeding it are burned with laser energy.

    Since the entire part of the prostate tissue other than the capsule is removed, the risk of recurrence of the disease after HoLEP surgery is almost non-existent.

    After the operation performed with the HoLEP method, the duration of catheter stay and hospitalization are shorter. Patients can return to their daily lives in the early period by experiencing a comfortable and fast recovery process.

    Frequently Asked Questions

    1What is benign prostate enlargement?
    Benign Prostate Enlargement (BPH) is a condition in which the prostate growing with age obstructs the outlet of the bladder (urine bag) and prevents urine flow.
    2What are the symptoms of benign growth in the prostate?
    Poor urine flow, intermittent urination, feeling of incomplete voiding, frequent urination, waking up at night, sudden urgency and blood in the urine are among the main symptoms of prostate enlargement.
    3How is HoLEP different from closed techniques?
    In operations performed with closed methods such as TUR and Greenlight, the prostate tissue cannot be completely removed. The prostate tissue remaining in these surgeries can grow over time and cause similar complaints again after a while. In the HoLEP method, the risk of recurrence of the disease is almost negligible.
    4Other than HoLEP, what other closed surgery methods are performed with laser?
    It is among the questions that are wondered which of the "state of the art technology in prostate surgeries" methods are. With each passing day, new methods of prostate treatment are emerging. Prostate surgery can be performed with TUR and Greenlight laser methods other than HoLEP.

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      Urology- What is Holmium Laser Enucleation of Prostate (HoLEP)? – HoLEP Treatments In Turkey