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What is HoLEP? Prostate Surgery with HoLEP Surgery


What is HoLEP? Prostate Surgery with HoLEP Surgery

What is HoLEP?

A procedure called Holmium Laser Enucleation of the Prostate (HoLEP) is used when the prostate gland becomes enlarged and blocks the flow of urine. Also known as BPH or Benign Prostatic Hyperplasia, this condition occurs frequently among older men. HoLEP is an advanced technique that allows surgical removal of the enlarged prostate.

How is HoLEP Surgery Performed?

The HoLEP procedure is usually performed under general or spinal anesthesia. During the operation, a urologist inserts a small telescope (endoscope) into the urethra. A Holmium laser is then used. This laser vaporizes or removes excess tissue from the prostate.

When the procedure is completed, the doctor inserts a catheter. This helps urine pass through the body while healing the prostate.

What are the advantages of HoLEP Surgery?

HoLEP surgery has many advantages. First, it is a minimally invasive technique, which means a faster recovery time. Another advantage is that the laser has a low risk of damaging healthy prostate tissue.

In addition, the risk of bleeding is lower than other prostate surgery techniques. Therefore, HoLEP is a good option, especially for people who take blood thinners or have a high risk of bleeding.

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Finally, HoLEP treatment is generally very effective. Patients often report better urine flow and quality of life.

Who is HoLEP Surgery Recommended for?

HoLEP surgery is especially recommended for men whose prostates significantly block the urinary tract. This usually happens when the prostate becomes excessively large, regardless of its size. However, the final decision is always made based on your doctor’s recommendation and your individual situation.

HoLEP is usually performed on older men and people with larger prostates. However, because the procedure has its own risks and side effects, it is important that your doctor discusses all options.

As a result, HoLEP may be an effective treatment option for men experiencing urinary problems. This procedure offers the advantages of minimal invasiveness and rapid recovery, while reducing the effects of an enlarged prostate. As always, it is important to discuss all treatment options and potential risks with a doctor or healthcare professional.

What are the risks of HoLEP surgery?

Every type of surgical procedure has its own risks. Potential risks of HoLEP surgery include urinary incontinence, urinary tract infections, bleeding, retrograde ejaculation (semen moving towards the bladder), and rarely, erectile dysfunction. However, in general, the HoLEP procedure is considered to have fewer side effects than other prostate surgery techniques.

How long should one stay in the hospital after HoLEP surgery?

The hospital stay after HoLEP surgery is usually 1 to 2 days. This depends on the patient’s general health condition and the complexity of the operation.

When can I return to normal activities after HoLEP surgery?

Most patients can return to normal activities within a few weeks following surgery. However, this period depends on the patient’s general health condition and recovery speed. It is important to always follow your doctor’s instructions.

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When is the effect of HoLEP surgery seen?

Many patients notice immediate improvement after surgery. Urine flow usually gets better right away. However, some patients may require waiting several weeks for full recovery.

What is the difference between HoLEP and TURP (Transurethral Resection of the Prostate)?

TURP is a traditional technique used to remove the enlarged part of the prostate. HoLEP is a newer technique that uses lasers to perform this procedure. HoLEP generally offers less risk of bleeding and faster recovery time, but both techniques can effectively treat an enlarged prostate. The choice depends on the individual patient’s situation and your doctor’s recommendation.


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