Holmium Laser Enucleation of the Prostate (HoLEP) is an advanced, minimally invasive surgical procedure for treating benign prostatic hyperplasia (BPH). BPH, or an enlarged prostate, is a common condition among men as they age and can cause bothersome urinary symptoms like frequent urination, weak stream, or incomplete bladder emptying. HoLEP is highly effective in relieving these symptoms and is particularly beneficial for certain groups of men.

Here’s an overview of who might be the best candidate for HoLEP and why it could be the right choice for managing BPH.

Understanding the procedure  

HoLEP uses a high-powered laser to precisely remove excess prostate tissue that is blocking the flow of urine. Unlike traditional surgeries, HoLEP allows for complete removal of the obstructing tissue with minimal bleeding, making it a safe and effective option for a wide range of patients. The removed tissue can also be analysed to check for prostate cancer or other conditions, providing an additional diagnostic benefit.

Who Is HoLEP Suitable For?

HoLEP is a versatile procedure that works well for many men, including those with unique medical challenges. Below are the key factors that determine suitability:

Men with Large Prostates 

This procedure is particularly effective for men with very large prostates, often exceeding 80 grams in size. While other surgical techniques may struggle to address such large glands or result in incomplete tissue removal, HoLEP can handle prostates of virtually any size with precision and efficiency.

Severe BPH Symptoms

Men experiencing significant urinary symptoms that interfere with daily life may benefit greatly from this procedure. These symptoms include:

  • Frequent urination, especially at night (nocturia).
  • Difficulty starting or maintaining urination.
  • A weak or interrupted stream.
  • The feeling of incomplete bladder emptying.

If these symptoms persist despite medication, HoLEP can provide lasting relief.

Failed Medical Management

For men who have tried medications like alpha-blockers or 5-alpha-reductase inhibitors without sufficient improvement or have experienced side effects, this procedure offers an effective, non-reliant alternative.

Men Seeking Long-Term Results

One of the key advantages of this procedure is its durability. Unlike other procedures that may need to be repeated over time, HoLEP provides a permanent solution by completely removing the obstructive tissue, significantly reducing the likelihood of recurrence.

Those at Higher Risk of Bleeding 

Because this procedure uses a laser to seal blood vessels during tissue removal, it is an excellent option for men who are on blood-thinning medications or have other conditions that increase bleeding risk.

Men Concerned About Prostate Cancer 

Since the tissue removed during the procedure is sent for analysis, it can help detect underlying conditions, including prostate cancer, offering added peace of mind.

Who May Not Be Suitable for this procedure?

While HoLEP is suitable for most men with BPH, it may not be the best choice for:

  • Men with untreated urinary tract infections.
  • Those who are not fit for surgery due to other health conditions.
  • Patients with very small prostates, as less invasive treatments may suffice.

Benefits of HoLEP 

For suitable candidates, HoLEP offers numerous advantages, including:

  • Complete removal of obstructive tissue.
  • Minimal blood loss and a low risk of complications.
  • Short hospital stays, often just one night or outpatient in some cases.
  • Rapid improvement in urinary symptoms.
  • Reduced need for further treatments.

Conclusion

HoLEP is a safe, effective, and long-lasting treatment option for men with BPH, particularly those with larger prostates or severe symptoms. It offers a minimally invasive approach with a quick recovery and enduring results. If you’re struggling with urinary symptoms caused by BPH and want a durable solution, consult your urologist to determine if HoLEP is the right choice for you.

Contact Urology Clinics Manchester today to book your consultation.