HoLEP for Benign Prostatic Hyperplasia: Procedure and Benefits

HoLEP, or holmium laser enucleation of the prostate, is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH).

This procedure involves the use of a laser to remove excess prostate tissue, relieving symptoms such as frequent urination, weak urine flow, and urinary retention.

HoLEP is a highly effective treatment option for men with BPH, offering long-lasting relief and minimal side effects.

Indications of HoLEP

HoLEP surgery is recommended for men with moderate to severe symptoms of BPH that have not responded to other treatments such as medication or lifestyle changes.

• Difficulty starting urination
• Weak urine stream
• Frequent urination, especially at night
• Inability to completely empty the bladder
• Recurrent urinary tract infections

Steps involved in HoLEP Surgery

HoLEP surgery involves several key steps to remove excess prostate tissue and improve urinary symptoms.

• Anesthesia: The patient is given either general or spinal anesthesia to ensure comfort during the procedure.
• Insertion of the laser: A small telescope with a laser is inserted through the urethra to access the prostate.
• Enucleation: The laser is used to carefully remove the excess prostate tissue, allowing for better urine flow.
• Hemostasis: The laser helps to control bleeding during the procedure.
• Bladder irrigation: After the tissue removal, the bladder is irrigated to remove any remaining tissue or blood clots.

Who will perform HoLEP Surgery?

HoLEP surgery is typically performed by a urologist, a specialized doctor trained in the diagnosis and treatment of conditions affecting the urinary tract and male reproductive system.

Urologists have the expertise and experience to perform minimally invasive surgeries like HoLEP with precision and care. Before undergoing HoLEP surgery, it is essential to choose a skilled and experienced urologist who can ensure the best possible outcomes.

Preparing for HoLEP Surgery

Before undergoing HoLEP surgery, patients will need to prepare by following specific instructions provided by their healthcare team.

• Stopping certain medications like blood thinners before the procedure
• Fasting for a certain period before surgery
• Arranging for transportation to and from the hospital or surgical center
• Discussing any concerns or questions with the healthcare team
• Preparing the home environment for post-surgery recovery

Recovery after HoLEP surgery

Recovery after HoLEP surgery is typically faster and less painful than traditional prostate surgeries. Most patients can expect to return home within a day or two after the procedure and resume normal activities within a few weeks.

• Pain management: Patients may experience some discomfort or pain after surgery, which can be managed with pain medications prescribed by the healthcare team.
• Catheter care: A catheter is usually inserted after HoLEP surgery to help drain urine from the bladder. Patients will receive instructions on how to care for the catheter and when it can be removed.
• Follow-up appointments: Patients will need to follow up with their urologist for post-operative check-ups to monitor recovery and address any concerns.
• Resuming activities: While recovery times may vary, most patients can gradually resume normal activities like work, exercise, and sexual activity within a few weeks after HoLEP surgery. It is essential to follow the healthcare team's recommendations for a smooth recovery process.

Before and After HoLEP surgery

Before undergoing HoLEP surgery, patients may experience symptoms of BPH that impact their quality of life and daily activities. These symptoms can include frequent urination, weak urine flow, and difficulty emptying the bladder.

After HoLEP surgery, patients can expect significant improvements in these symptoms, leading to a better quality of life and improved urinary function.

By addressing the root cause of BPH through the removal of excess prostate tissue, HoLEP surgery offers long-term relief and a lower risk of recurrence compared to other treatment options.

Patients can look forward to a future free from the limitations and discomfort caused by BPH, allowing them to enjoy a healthier and more active lifestyle.