HoLEP
Procedure Overview
HoLEP (Holmium/Thulium Laser Enucleation of the Prostate) is a laser-based surgical technique for treating BPH, in which obstructing prostate tissue is precisely removed endoscopically — without any external incision.
It is particularly well suited to larger prostates and is associated with less bleeding and a shorter catheterization period compared with traditional TURP.
Who Needs It
HoLEP is recommended for men with BPH causing significant urinary symptoms, especially those with larger prostates where traditional TURP may involve more bleeding.
Preparation
Preparation includes PSA and urine testing, imaging, stopping blood-thinning medication as advised, and fasting before anesthesia.
Step-by-Step Procedure
Anesthesia
General or spinal anesthesia is administered.
15–20 minScope Insertion
A scope is passed through the urethra — no external incision is needed.
10 minLaser Enucleation
The laser precisely separates the obstructing prostate tissue from the surrounding capsule.
45–90 minTissue Morcellation
The freed tissue is broken up and removed through the scope.
15–20 minCatheter Placement
A catheter is placed temporarily to allow healing.
5 minBenefits
- ✓Effective even for very large prostates
- ✓Less bleeding than traditional TURP
- ✓Shorter catheterization period
- ✓Durable, long-lasting symptom relief
Recovery Timeline
The catheter is typically removed within 1–2 days, with a similar hospital stay. Most patients return to normal activity within 1–2 weeks.
Technology Used
Thulium Laser
Cost & Insurance
- • Prostate size
- • Length of hospital stay
Related Conditions
Frequently Asked Questions
BPH is a non-cancerous enlargement of the prostate that can slow urine flow. It is not cancer, though the two can occasionally coexist. When should I consult Dr. Raju R?
Common symptoms include a weak stream, hesitancy, straining, frequent urination, and waking at night to urinate. When should I consult Dr. Raju R?
The prostate enlarges with age due to hormonal changes involving testosterone and DHT. Genetics, obesity, and diabetes can also play a role. When should I consult Dr. Raju R?
Diagnosis involves a symptom questionnaire, prostate exam, PSA blood test, urine flow test, and ultrasound. When should I consult Dr. Raju R?
Mild cases are watched; moderate symptoms are treated with medication; larger or resistant cases benefit from procedures like TURP or HoLEP. When should I consult Dr. Raju R?