Holmium LASER Enucleation (HoLEP), the new golden standard for benign prostatic hyperplasia (BPH)

holep surgery for bph
Posted on : May 18, 2022


The benign prostatic hyperpla- sia or non-cancerous prostate gland enlargement is a common urological condition in men over 50. An enlarged prostate gland can result in several troublesome urinary symptoms such as urinary hesitancy, pain during urination, frequency or ur- gency to urinate. Although medicines are effective in treating the condition, approximately 30-40 percent never respond to medicines or will have per- sistent symptoms. In such instances, surgical procedures can alleviate and permanently cure the condition.

Holmium    LASER    Enucleation (HoLEP) is a novel, safe and efficient minimally invasive option for benign prostatic hypertrophy. Because of its proven utility & efficiency, it has been accepted as the new gold standard for minimally invasive surgery.

What is HoLEP surgery?

HoLEP   procedure as it  uses enucleation instead of scrapping or ablation, is able to remove maximal portion of prostate endoscopically. Because of this novel philosophy, HoLEP provides a durable response to treatment as it alleviates risk of regrowth.

HoLEP surgery can effectively remove   maximum   portions    of the    enlarged    prostate,    making it the popular choice of doctors across countries. This simple procedure has a high success rate and can completely cure prostate enlargement. The first- ever successful HoLEP surgery was performed in New Zealand in 2000 by a surgeon named Peter Gilling. The chance of BPH recurrence after the surgery in the first ten years is just one per cent. After the procedure, the patient can stop   taking   all the medications. It is suitable for patients who are currently under medications such as aspirin or other blood thinners.

Benefits of HoLEP surgery

The HoLEP surgery comes with many benefits compared to the TURP procedure administered in   the   past.   Since   it   is a minimally invasive procedure, the remarkable benefits of HoLEP include increased safety and success   rate along with faster recovery, fewer blood transfusions, shorter hospital stay and less blood loss. HoLEP surgery ensures total symptom relief and eliminates the chances of TURP syndrome. The surgery employs an endoscope inserted through the urethra; hence does not require any incisions in the body. It can also treat all prostate sizes with BPH.

After the HoLEP surgery

As mentioned earlier, HoLEP only requires shorter hospital days. The patient has to stay at the hospital for two to three days after surgery. For the following two weeks, the patients are advised to rest. Within one month patient can return to his ordinary life.

HoLEP, the new gold standard for BPH

HoLEP became the gold standard for BPH treatment, owing to its high and consistent success rate over a decade. The results of HoLEP procedure are durable and consistent. The surgery was proclaimed the golden standard for BPH treatment by the esteemed American Urology Organization after the rigorous scrutiny of all the factors and meticulous research.

Aster Medcity, the front runner in adapting all the innovative procedures and techniques, has equipped the Centre of Excellence in Nephrology & Urology with a wide range of sophisticated treatment modalities, including HoLEP. The cutting edge technology of our facilities and the exceptionally experienced team of doctors at the best urology hospital in Kochi ensures the best possible results for our patients. Our multidisciplinary approach guarantees each patient the most accurate diagnosis and authentic treatment. Our expert services include the most modern surgical procedures, Robotic-assisted surgery, LASER surgical procedures for urological problems in men and women, and surgical solution for men’s sexual problems and conditions. Our Centre of Excellence in Nephrology & Urology has a remarkable team of doctors with experience of over two thousand HoLEP surgeries. They have also developed globally renowned ultra-low power HOLEP method with least risk of incontinence.