Holmium Laser Enucleation of the Prostate

Holmium Laser Enucleation of the Prostate

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. A separate instrument is then used to cut the prostate tissue into easily removable fragments.

HoLEP is similar to open prostate surgery but requires no incisions. HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.

Why does an enlarged prostate cause issues?

As the prostate enlarges, the gland presses against and pinches the urethra. The bladder wall becomes thicker. Eventually, the bladder may weaken and lose the ability to empty completely, leaving some urine in the bladder. This can cause many complications such as blood in the urine, kidney damage and bladder stones.

How is the procedure done?

  1. With the patient under general anesthesia (drugs used to decrease pain and put you to sleep), the surgeon approaches the prostate with a telescope through urinary canal (urethra) in the penis. A telescope is a thin lighted tube.
  2. The surgeon pushes a laser called a Holmium Laser through the telescope to remove (enucleate) the prostate gland tissue that is blocking urine flow leaving just the prostate tissue on the sides in place.
  3. The surgeon pushes the removed prostate gland tissue into the bladder and then uses a device called a Morcellator to grind up and remove the tissue.

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