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HoLEP generally requires a shorter hospital stay and less time with a catheter than TURP or an open prostatectomy. It may take up to 2 weeks before you can return to work.
Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate.
The advantages over traditional surgery, such as transurethral resection of the prostate (TURP) and open prostatectomy, can include: Lower risk of bleeding. Laser surgery can be a good option for men who take medication to thin their blood or who have a bleeding disorder that doesn't allow their blood to clot normally.
Safety: TURP was considered the gold standard treatment of benign prostatic hyperplasisa (BPH) (i.e. prostate enlargement) in the past decades. Both TURP and HoLEP are generally safe procedures. But as with any surgery, there are some potential risks associated with each surgery.
What is the difference between HoLEP and TURP? TURP stands for transurethral resection of the prostate (many people consider this like a roto-rooter). Like HoLEP, it’s a surgery to remove part of your prostate if you have BPH.
Holmium laser enucleation of the prostate (HoLEP) is a surgical procedure that removes obstructions that block urine flow. Developed in the 90s, HoLEP presents a less invasive and costly ...
Transurethral Resection of the Prostate (TURP) Similarly, a TURP procedure serves to mitigate the effects of an enlarged prostate on the urethra. The treatment involves passing a resectoscope through the urethra, where an electrically heated piece of wire then cuts away the necessary sections of the prostate to relieve pressure on the urethra.
HoLEP approaches the task of treating BPH from a different direction than other noninvasive treatments. “Most other procedures for BPH work from the inside out,” she says. “They are carving out the middle of the prostate Roto-Rooter-style, like TURP, or ablating or lasering it from the inside.
Holmium laser enucleation of the prostate is a minimally invasive procedure that uses pulses of laser beam to remove tissue from the inside of the prostate, which surrounds the urethra (the tube leading from the bladder to the urinary opening).
The HoLEP approach has several advantages over other surgical approaches. It can be used in prostates of any size; it also has a much lower retreatment rate compared with TURP—0.1% to 1% for HoLEP versus 6% to 10% with TURP.