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HoLEP surgery

HoLEP stands for Holmium Laser Enucleation of the Prostate. It is a surgical procedure used for the treatment of benign prostatic hyperplasia (BPH), a condition characterized by the enlargement of the prostate gland. HoLEP is considered a minimally invasive technique that utilizes a laser to remove excess prostate tissue that is causing urinary obstruction.

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What is the purpose of HoLEP?

HoLEP is performed to treat benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland that can cause urinary symptoms and obstruction. The procedure aims to remove excess prostate tissue to relieve urinary symptoms and improve urine flow.

How long does the HoLEP procedure take?

The duration of the HoLEP procedure can vary depending on the size of the prostate and the complexity of the case. On average, it may take around 1 to 2 hours.

What is the recovery time after HoLEP?

The recovery time after HoLEP can vary from person to person. Most patients stay in the hospital for 1 to 2 days after the procedure. It may take several weeks to fully recover and return to normal

activities. However, the improvement in urinary symptoms is often noticeable within the first few weeks.

Will I still need to undergo prostate cancer screening after HoLEP?

HoLEP is primarily used to treat BPH, not prostate cancer. If you have a history of prostate cancer or other risk factors, it is important to continue regular prostate cancer screenings, such as prostate-specific antigen (PSA) blood tests and digital rectal examinations (DRE), as recommended by your urologist.

How is HoLEP different from other prostate surgery techniques ?

HoLEP is a minimally invasive surgical technique that uses a holmium laser to remove prostate tissue. It offers advantages such as precise tissue removal, minimal blood loss, shorter hospital stay, faster recovery, and reduced risk of complications compared to traditional open prostatectomy or transurethral resection of the prostate (TURP).

Is anesthesia used during HoLEP?

Yes, anesthesia is used during HoLEP. It can be performed under general anesthesia or spinal anesthesia, depending on the patient and the surgeon's preference.

Are there any risks or complications associated with HoLEP?

As with any surgical procedure, there are potential risks and complications associated with HoLEP. These can include bleeding, urinary tract infection, temporary or permanent urinary incontinence, erectile dysfunction, bladder neck contracture, and urethral stricture. However, the overall risk of complications with HoLEP is generally low.

Will I be able to have sexual intercourse after HoLEP?

HoLEP can have an impact on sexual function, particularly erectile function. Recovery of erectile function varies among individuals and depends on factors such as age, preoperative erectile function, and nerve preservation during surgery. If you experience difficulties with erectile function after HoLEP, there are various treatment options available, including medications, vacuum erection devices, or other interventions. It's advisable to discuss this with your healthcare provider.


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