Is HoLEP a major surgery?

HoLEP (Holmium laser enucleation of the prostate) is a minimally invasive surgical treatment for men with any degree of prostate enlargement who have urinary symptoms, and men who are suffering from retention of urine, repeated urine infections or bleeding due to their enlarged prostate.

Is HoLEP considered major surgery?

Most patients feel tired and below par for a week or two because this is major surgery. You may notice that you pass very small flecks of tissue in the urine at times within the first month as the prostate area heals. This does not usually interfere with the urinary stream or cause discomfort.

How painful is HoLEP surgery?

The HoLEP procedure is consistently superior compared to other treatments for benign prostate enlargement. HoLEP can treat any size prostate gland and is so effective that retreatment rates are less than two percent. It leads to fast symptom relief with limited swelling and minimal to no pain when voiding.

How long does it take to recover from HoLEP?

How long is the healing process? Most patients need at least one to two weeks of rest at home before they can return to work. Some patients may require three to four weeks of recovery time before going back to work, especially if the job is physically strenuous.

How much of the prostate is removed during HoLEP?

HoLEP is similar to open prostate surgery but requires no incisions. HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.

Holmium Laser Enucleation of the Prostate (HoLEP) for Benign Prostatic Hyperplasia (BPH)

Is there pain after HoLEP surgery?

The catheter is generally removed the morning after surgery. At first, it may be painful to pass your urine and it may come more frequently than normal. Any initial discomfort can be relieved by tablets or injections and the frequency usually improves within a few days.

Is HoLEP surgery safe?

Conclusion: HoLEP is an effective and safe surgical modality for treating patients with BPH with minimal complications, suitable for any size of the prostate.

How long does incontinence last after HoLEP?

PHILADELPHIA—Most men who experience transient stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP) recover full bladder control within the first 6 weeks after the procedure, according to study findings presented at the International Continence Society's 2018 annual meeting.

Does HoLEP damage the urethra?

However, HoLEP does carry a risk of postoperative complications, including urethral stricture, incontinence, erectile dysfunction (ED), retrograde ejaculation, and bladder neck contraction. The reported incidence of urethral stricture after HoLEP is 1.2–7.3%.

Is HoLEP better than TURP?

HoLEP was significantly superior to TURP in terms of both Qmax and IPSS at 1-year postoperative follow-up visits. Furthermore, HoLEP patients benefited from less intraoperative bleeding, a shorter catheterization time, shorter hospital stays, and lower transfusion rates.

Can you drive after HoLEP surgery?

During the first 24 hours after your procedure you may feel more sleepy than usual and your judgement may be impaired. Please refrain from driving, making important decisions or signing any legal documents during this time. You will be encouraged to drink and eat as soon as possible after your operation.

Is HoLEP an outpatient procedure?

Holmium laser enucleation of the prostate (HoLEP) is one of the minimally invasive procedures that is used for patients with benign prostate hyperplasia. The procedure usually requires patients to stay in the hospital 2 nights or longer.

Which prostate surgery is best?

TURP is generally considered an option for men who have moderate to severe urinary problems that haven't responded to medication. While TURP has been considered the most effective treatment for an enlarged prostate, a number of other, minimally invasive procedures are becoming more effective.

Is HoLEP better than green light?

Results/conclusions: PVP and HoLEP are very different laser techniques. An important difference between the Greenlight laser and holmium and thulium is that its only urological application is prostate ablation. HoLEP is the most advanced laser technique currently available.

Does HoLEP cause impotence?

HoLEP did not influence overall sexual function, including erectile function.

What is the latest treatment for enlarged prostate 2021?

Physicians at UC San Diego Health are now offering prostate artery embolization (PAE) as a new treatment option for men with benign prostatic hyperplasia (BPH), or an enlarged prostate. The minimally invasive procedure is an alternative to surgery, with no hospital stay, little operative pain and lower cost.

Is prostate surgery major surgery?

Prostate removal is major surgery, so expect some soreness and pain. You'll receive IV pain medications at first, and your doctor may prescribe you pain medication to use at home. You will also have a urinary catheter in place for about the first week, which you might find uncomfortable.

What is the latest prostate surgery technique?

A laser is used to melt away (vaporize) excess prostate tissue and enlarge the urinary channel. This procedure is generally used to treat prostates that are mild to moderately enlarged. Holmium laser ablation of the prostate (HoLAP). This procedure is similar to PVP but uses a different type of laser.

How long does prostate laser surgery take?

Laser prostatectomy (laser TURP): This procedure takes about 1 to 2 hours. The laser destroys prostate tissue that blocks the opening of the urethra. You will probably go home the same day. You may need a Foley catheter placed in your bladder to help drain urine for a few days after surgery.

Which is better HoLEP or Rezum?

Conversely, UroLift and Rezum are relatively new techniques with limited levels of evidence. Overall, HoLEP shows greater durable improvements in International Prostate Symptom Score (IPSS), quality of life due to urinary function, and maximum urinary flow rate (Qmax) than the two minimally-invasive approaches.

What is the best treatment for a very large prostate?

Options include changing certain eating and drinking habits and urinating less often. Patients can take medications that relax the prostate, such as tamsulosin, or shrink the prostate, such as finasteride or dutasteride. Patients also may try supplements like saw palmetto to help their symptoms.

What is the most common prostate surgery?

Transurethral resection of the prostate (TURP).

This is the most common surgery to treat BPH. Your doctor removes portions of the prostate that are affecting your urine flow.

Is prostate surgery serious?

Radical prostatectomy is a major operation that can cause serious and life-threatening complications such as blood clots in the legs and lungs, abnormal heart rhythms, heart attack, pneumonia, and infections.

What is the success rate of enlarged prostate surgery?

Retropubic prostatectomy was undertaken in 16 cases, transurethral resection of the prostate in 335, and transurethral incision of the prostate in 49. In the follow-up period of 3 months to 3 years, a strictly successful result was achieved in 324 patients (81%).