Understanding HoLEP (Holmium Laser Enucleation of the Prostate): Procedure, Benefits, and Recovery

Introduction

HoLEP (Holmium Laser Enucleation of the Prostate) is a modern treatment for men with an enlarged prostate. This condition, also called benign prostatic hyperplasia (BPH), can cause trouble with urination. HoLEP uses a special laser to remove extra prostate tissue. As a result, many men find relief from their symptoms. In this blog, you will learn what HoLEP is, how it works, and what to expect during recovery.

What is HoLEP?

HoLEP stands for Holmium Laser Enucleation of the Prostate. It is a minimally invasive surgery. Doctors use a laser to cut and remove the part of the prostate that blocks urine flow. Unlike older methods, HoLEP does not require large cuts. Instead, it is done through the urethra, the tube that carries urine out of the body. Because of this, recovery is often quicker and easier.

Who Needs HoLEP?

Not every man with an enlarged prostate needs surgery. However, HoLEP may be a good choice if:

  • You have trouble urinating or a weak urine stream.
  • You wake up often at night to urinate.
  • You feel like your bladder never fully empties.
  • Medicines for BPH do not work for you.
  • Your prostate is very large.
  • Still, your doctor will check your health and discuss your options. Sometimes, other treatments may be better for you.

    How is HoLEP Performed? (Procedure Overview)

    First, you will get anesthesia to keep you comfortable. Then, the doctor inserts a thin tube with a camera and laser through your urethra. The laser cuts away the extra prostate tissue. Next, the tissue is removed from the bladder using a special tool. The whole procedure usually takes one to two hours. Afterward, a small tube called a catheter may be placed to help you urinate while you heal.

    Benefits of HoLEP

    Many men choose HoLEP because it offers several advantages. For example:

  • It removes more tissue than some other methods.
  • It works well for very large prostates.
  • There is less bleeding compared to traditional surgery.
  • Most men recover faster and spend less time in the hospital.
  • It lowers the chance of needing more surgery later.
  • According to the American Urological Association, HoLEP is safe and effective for many men with BPH.

    Risks and Possible Side Effects

    Like any surgery, HoLEP has some risks. However, most side effects are mild and go away with time. Possible risks include:

  • Temporary burning or bleeding when urinating
  • Urinary tract infection
  • Short-term trouble controlling urine
  • Rarely, injury to the urethra or bladder
  • Most men do not have serious problems. Still, you should talk to your doctor about any concerns before surgery.

    Recovery and Aftercare

    After HoLEP, you may stay in the hospital for one day. The catheter is usually removed within 24 hours. At home, you should drink plenty of water and avoid heavy lifting for a few weeks. Most men return to normal activities within one to two weeks. However, it is normal to see some blood in your urine for a short time. If you have pain, fever, or trouble urinating, contact your doctor right away.

    Frequently Asked Questions about HoLEP

  • Is HoLEP painful? Most men feel mild discomfort, but pain is usually well controlled.
  • How soon can I return to work? Many men go back to work within one to two weeks.
  • Will HoLEP affect my sexual function? Most men do not notice changes, but some may have dry orgasm. This is not harmful.
  • Is HoLEP safe for older men? Yes, HoLEP is often safe even for men with other health problems.
  • Will I need more surgery later? HoLEP removes most of the blocking tissue, so repeat surgery is rare.
  • Conclusion

    HoLEP (Holmium Laser Enucleation of the Prostate) is a safe and effective way to treat an enlarged prostate. It offers quick relief and a short recovery time for many men. If you have symptoms of BPH, talk to a urologist to see if HoLEP is right for you.