When is HoLEP?

Laser enucleation of the prostate is an advanced treatment for enlarged prostate or prostate adenoma.
As the prostate enlarges, it compresses the urethra and causes unpleasant symptoms associated with impaired urinary output, including the urge to urinate frequently, including several times during the night, difficulty initiating urination, weak urine stream and pain when urinating.
Prostate adenoma also often causes sexual problems.
During HoLEP, a laser is used to cut out the prostate tissue blocking the urethra, relieving the symptoms of prostate adenoma.

How is HoLEP done?

HoLEP is performed under full anaesthesia and takes on average 1 to 3 hours.
During the procedure, the urologist inserts a resectoscope – a surgical instrument that allows you to see the prostate gland – into the urethra.
The doctor inserts a laser into the resectoscope and, by pulsing it, cuts the prostate tissue blocking the urethra.
The excised prostate tissue is then flushed out of the urethra and sent to a laboratory to make sure it is free of cancer cells.
At the end of the operation, a catheter is inserted into the urethra and removed the next day.

The benefits of HoLEP

HoLEP is a safe and minimally invasive procedure with a short recovery period.
No incisions are made and the risk of bleeding is minimal.
HoLEP is an effective procedure and most often does not need to be repeated, the effect is long-lasting.

How to prepare for surgery?

When you book an appointment, your doctor will tell you how to prepare and answer all your questions.
Before surgery, you may need a consultation with an anaesthetist and several tests, such as cystoscopy and CT scan.
Our surgeon will prescribe the specific tests during your consultation.

Postoperative period

After surgery, there is most often no need for a hospital stay.
You will be able to stand up and walk independently from the first day after surgery.
After surgery, a 2-week rest period is recommended.
During this period, you should not do any strenuous physical exercise or lift weights of more than 5 kg.
Sedentary activities such as cycling or motorcycling should be avoided for 6 weeks after surgery.
It is most common to return to work within two weeks after surgery.