Holmium Laser Enucleation of The Prostate (HoLEP)

General

This operation is an an alternative to TURP (Trans-Urethral Resection of the Prostate). With this opearation the prostate is approached using a telescope passed down the water pipe and then the enlarged lobes of the prostate that are obstructing the water pipe are shelled out using a laser and dropped into the bladder. The detached lobes of the prostate are then morcellated within the bladder and sucked out.

Advantage

• Minimal bleeding as the laser seals blood vessels as they are cut.
• Avoidance of fluid irrigation problems as physiological saline is used as irrigant
• Any size of prostate can be accommodated
• No need for catheter irrigation post operatively
• 1 night hospital stay
• Removal of catheter after 1 night.
• Maximal amount of prostate tissue removed as dissect in tissue plane
• Tissue available for histology