HoLEP is primarily used to treat urinary symptoms caused by benign prostatic hyperplasia (BPH). When the prostate becomes enlarged, it can compress the urethra and interfere with normal urine flow, leading to symptoms such as difficulty starting urination, frequent bathroom visits, a weak stream, and incomplete bladder emptying.
By removing the excess tissue responsible for the obstruction, HoLEP helps open the urinary passage and improve bladder emptying. It is suitable for many patients with enlarged prostates, including those with larger glands or symptoms that have not improved with medication.
HoLEP is usually performed under general or spinal anesthesia. The urologist passes a specialized instrument through the urethra and uses a holmium laser to separate excess prostate tissue from the surrounding capsule. The removed tissue is then moved into the bladder and broken into smaller pieces for extraction using a specialized instrument.
After surgery, a urinary catheter is typically placed temporarily to drain urine and allow the bladder to be flushed if needed. Patients are monitored during recovery, and the catheter is removed when the medical team determines that it is safe to do so.
One of the main benefits of HoLEP is its ability to remove obstructive prostate tissue effectively, including in patients with significantly enlarged prostates. Many patients experience improved urine flow, reduced urinary symptoms, and better bladder emptying after recovery. The procedure also uses a laser to help control bleeding during surgery.
HoLEP can provide long-lasting symptom relief, and the risk of needing another procedure for recurrent prostate obstruction is generally low. However, as with other prostate procedures, temporary urinary leakage and changes in ejaculation can occur. Your urologist can explain the expected benefits and risks based on your individual condition.
Recovery varies depending on the patient’s overall health, prostate size, and the complexity of the procedure. Many patients return home the same day or after a short hospital stay. A urinary catheter is usually needed for a brief period, and temporary urinary urgency, mild burning, or blood in the urine may occur during the early healing phase.
Many patients resume light daily activities within a few days, while strenuous exercise and heavy lifting should be avoided for the period recommended by their surgeon. Urinary control may improve gradually over several weeks or months. Following post-operative instructions and attending follow-up appointments can help support recovery.
