SERVICES OFFERED
HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP)
What does Holmium Laser Enucleation of the Prostate (HoLEP) involve?
The prostate gland, a tiny walnut-sized gland, rests around the water pipe, and when it enlarges, it may obstruct the flow of urine. Holmium Laser Enucleation of the Prostate (HoLEP) involves the gentle insertion of a endoscope instrument through the water pipe (urethra) and ‘peeling out’ the core of the prostate utilising a laser. The process aims to create a wide channel for urine to flow more easily, helping you feel more comfortable. A temporary catheter is placed at the end of the operation.
What can I anticipate on the day of the procedure?
A general is administered. An antibiotic injection is carefully given after checking for allergies. The endoscope is gently inserted through the water pipe (urethra), and a laser fibre precisely removes the obstructing prostate tissue. The tissue is flushed into the bladder, and a morcellator is used to chop and remove the prostate pieces for analysis, emphasising the careful and professional approach of the team. To manage any bleeding, we use a laser to target bleeding points and bladder irrigation to flush blood clots, ensuring your safety and comfort after the procedure.
What can you expect after the HoLEP procedure?
During the initial 24 hours after the procedure, you may notice blood-spotted urine, a common and temporary side effect. The day or two after, Dr Ras will plan to remove the catheter and discharge you to continue recovery at home. You may experience a temporary burning or painful sensation that will subside over time and can be managed with pain relief medication.
You may struggle with urinary control at first due to the laser removing a substantial amount of tissue. Your urinary flow may improve over time once your pelvic floor muscles recover completely from surgery, which can take a few days.
FAQ
How long is the catheter placed for?
The catheter remains in the bladder for 24-72 hours in order to flush out blood clots.
How long is a HoLEP procedure?
A rough estimate of the duration of the procedure is about two hours, depending on prostate size. However, the duration may vary in each individual case.
Are there any side effects?
Potential side effects include temporary bleeding, a burning sensation and loss of semen emission.
