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Holium Laser Enucleation of the Prostate is currently considered to be the most advanced option that people have when getting treated for bladder outflow obstruction arising from an enlarged prostate. In fact, some researchers have called it the gold standard among available treatment technologies.


This procedure is carried out under general anesthesia and involves the surgeon enucleating the bladder leaving just the capsule in place. This prostate tissue is then pushed into the bladder and removed from the body.

A catheter to help clear out the urine is almost always required after the procedure has been carried out.


There are many advantages of this procedure over transurethral resection of the prostate, the procedure which is most commonly carried all over the world.

The traditional surgery had an upper limit as to the size of the prostate that can be treated. This does not exist with HoLEP. The amount of bleeding that takes place during the procedure is greatly reduced as is the amount of post operative hospitalization required.

People who undergo this procedure are usually discharged after two days of post-operative care. A remarkable reduction in the presence of PSA (Prostate specific antigen) is noted after the procedure has been performed.

While there is no procedure that can guarantee a permanent solution, treatment with HoLEP has an extremely low chance of recurrence when compared to the traditional form of surgery. This low level has been attributed to the technique that requires complete excision of the prostate down to its capsule.

Some of the major disadvantages that are associated with traditional forms of surgery like an excessive amount of bleeding, trauma and damage to the nearby structures, erectile dysfunction and risk of infection are all reduced with this method.

The Holium laser has beneficial properties which mean that its penetration into normal healthy tissues is not something that will cause collateral damage.


There are certain things that you should be aware of when you are considering HoLEP surgery. The first is the cost. This procedure requires the presence of an experienced specialist who has received training in this technique. It is also something that is not widely prevalent and so the equipment itself is quite expensive.

The other disadvantage is that normal ejaculation may be affected following the procedure. This is because the opening of the semen into the bladder may not be completely blocked following the procedure and this can lead to something which is called as a "dry" ejaculation.This is not problematic medically speaking, but does mean that the fertility of the person will be affected.


Long term success and follow up reports after HoLEP are still lacking, however there is no indication that there is anything fundamentally wrong with the procedure. Any new procedure brings with it high initial costs which will come down as more and more surgeons around the world start adopting this method. Currently, this method is more predictable, successful and easy for the patient to bear than any other.

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