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Holmium Laser Enucleation of the Prostate (HoLEP) Surgery in India

HoLEP is an innovative and highly advanced minimally invasive surgical procedure for BPH. This is useful for treating large-sized prostate that are unsuitable for treatment with Greenlight Laser Prostatectomy.

This is a similar process as Greenlight Laser Prostatectomy as it also works to ensure a clear passage through the prostate for men who are affected with obstructive symptoms and have been unsatisfied with the medication treatment. It is advantageous as it prevents metabolic complications as seen in conventional TURP procedures and causes least bleeding after surgery. It also prevents the need for conventional open-type of surgery which is usually the norm for very large-sized prostates.

Who is suitable for a HoLEP?

HoLEP is best-suited for patients who have a prostate heavier than 80 grams. This surgery is also safe for patients who are on blood thinning medications.

How is HoLEP performed?

HoLEP may require general anesthesia or a spinal epidural anesthesia to be performed. The surgeon will insert the telescope through the urethral opening at the tip of the penis. The telescopic device has a high-energy holmium laser attached which is then used to cut away the excess prostate.

A morcellator is useful in resection of the lobes of the prostate into smaller pieces which are easily removed using a surgical suction device. Next, a catheter is placed through the penis to help drain urine from the bladder.

How long is the hospital stay after HoLEP?

The doctors will usually advise a couple of day’s rest in the hospital following a HoLEP procedure. Mostly, the catheter is removed the morning following the surgery and the patient can go home the same day. Mainly patients on blood thinning medications are advised at least 2 days stay in the hospital, at least till the catheter can be safely removed.

What are the advantages of HoLEP procedure?

There are several distinct advantages that a HoLEP procedure has over other conventional and other types of prostatectomy, such as:

• Minimal bleeding

• Shorter stay in hospital

• Faster recovery

• Lower rate of complication

• No electrolyte or metabolic complications

• Disintegrates bladder stones too

• Safe for patients on blood thinning medications

Are there any risks associated with HoLEP procedure?

The nature of complications with HoLEP is similar to that seen with Greenlight Laser Prostatectomy. There might be a burning or stinging sensation accompanied with frequent urination for a while following the procedure.

Other risks of complications may include:

• Bleeding – in less than 5% of all cases

• Urine infection – in less than 10% of all cases

• Urethral stricture – in less than 5% of all cases

• Erectile dysfunction – in less than 5% of all cases

• Ureter or bladder injury – in less than 2% of all cases

• Incontinence – in less than

 

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