The procedure involves the use of a Holmium laser to vaporize the inner and outer parts of the prostate gland. The laser vaporizes the obstructing prostate tissue and enlarges the urethra. The enlarged urethra allows improved urinary flow. HoLEP is typically done as an outpatient procedure and requires only local anesthetic.
Recovery time is shorter than traditional open prostatectomy, and there is less risk of bleeding and infection. HoLEP is also associated with fewer postoperative side effects, such as urgency and incontinence.
Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), a condition in which the prostate gland enlarges and blocks the flow of urine. HoLEP is a newer procedure than transurethral resection of the prostate (TURP), and offers several advantages.
Advantages of HoLEP Surgery Include:
The recovery process after HoLEP surgery is generally shorter than other types of prostate surgery, such as TURP or open prostatectomy.
Most patients are able to go home the same day as the surgery, and they can usually return to work within 1-2 weeks. However, here are some tips to help you recover from HoLEP surgery:
Drink Plenty of Fluids: This will help to flush out any blood or urine that leaks out of your bladder.
Take Pain Medication as Prescribed: This will help to keep you comfortable and allows you to rest.
Avoid Strenuous Activity: You should avoid strenuous activity for at least 2 weeks after surgery. This includes activities such as lifting heavy objects, exercising, and driving.
Follow Your Doctor's Instructions: Your doctor will give you specific instructions on how to care for yourself after surgery. Be sure to follow these instructions carefully.
There are a number of tests that your doctor may order before you have HoLEP surgery. These tests are used to assess your overall health and to make sure that you are a good candidate for the surgery. The tests may include:
These tests will check your blood count, kidney function, and liver function.
This test will check for infection or other problems with your urine.
This test measures the level of PSA in your blood. PSA is a protein produced by the prostate gland. High levels of PSA can be a sign of prostate cancer.
This test uses sound waves to create an image of your prostate gland. TRUS can be used to measure the size of your prostate gland and to look for any abnormalities.
This test is used to measure the flow of urine and the pressure in your bladder. Urodynamics can help to assess the severity of your BPH symptoms and to determine if HoLEP surgery is a good option for you.