What Is HoLEP Prostate Laser Surgery?
HoLEP (Holmium Laser Enucleation of the Prostate) is an advanced, minimally invasive laser procedure used to treat Benign Prostatic Hyperplasia (BPH) — the non-cancerous enlargement of the prostate.
During HoLEP, a powerful holmium laser is used to remove the overgrown prostate tissue that blocks urine flow, restoring normal urination without any external incisions.
It is considered one of the most effective and long-lasting treatments for enlarged prostate, especially for large glands.
Why is HoLEP Surgery Needed?
HoLEP is recommended for men who experience:
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Weak urine flow or difficulty urinating
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Frequent urination, especially at night
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Urinary retention or recurrent infections
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Bladder stones caused by obstruction
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Incomplete bladder emptying
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Enlargement not responding to medication
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Large prostates (usually > 80–100 grams)
HoLEP provides permanent relief, unlike medications which may only reduce symptoms temporarily.
Types of HoLEP Procedures
At Büyük Anadolu Hospital, our urologists perform:
Standard HoLEP
Laser enucleation of obstructive prostate tissue.
HoLEP with Morcellation
Removed tissue is broken into small pieces and extracted safely.
HoLAP (Holmium Laser Ablation of the Prostate)
An alternative for smaller glands when appropriate.
How is HoLEP Surgery Performed?
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Performed under general or spinal anesthesia
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Duration: 45–90 minutes
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A thin scope is inserted through the urethra — no incisions
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Laser separates and removes the enlarged prostate tissue
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Extracted tissue is analyzed for pathology
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A urinary catheter remains for 12–24 hours
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Hospital stay: typically 1 night
HoLEP is particularly effective for very large prostates where other treatments may fail.
Benign Prostatic Hyperplasia (BPH) Treatment – HoLEP Information Form
Recovery After HoLEP Surgery
- Initial recovery: 24–48 hours
- Full recovery: 1–2 weeks
- Temporary burning, mild bleeding, or urgency may occur
- Drinking plenty of water helps flush the urinary tract
- Most patients return to work within 5–7 days
- Long-term urinary flow improvements are usually immediate
Possible Risks & Our Preventive Measures
| Possible Risks | Our Preventive Measures |
|---|---|
| Mild bleeding | Laser precision & real-time control |
| Burning during urination | Short-term medication & hydration |
| Temporary urgency/frequency | Bladder training & anti-inflammatory drugs |
| Urinary incontinence | Pelvic floor exercises & expert technique |
| Retrograde ejaculation | Pre-surgical counseling (common but harmless) |
| Infection | Antibiotics & sterile endoscopic equipment |
Why Choose Büyük Anadolu Hospital for HoLEP?
- Expert urologists with extensive HoLEP and laser prostate surgery experience
- Latest-generation holmium laser technology
- No incisions, minimal pain, fast recovery
- Highly effective for both moderate and large prostates
- Pathology analysis included for safe cancer screening
- Comprehensive international patient support
- More affordable compared to Europe, UK, and the US
HoLEP Surgery FAQ
Yes. HoLEP offers faster recovery, less bleeding, and better long-term results, especially for large prostates.
Most patients experience lifelong improvement because the obstructive tissue is completely removed.
Usually within 2–3 weeks, depending on comfort and recovery.
No. The procedure does not affect erectile nerves.