Holmium laser treatment
Holmium laser enucleation of the prostate
Holmium laser treatment, or HoLEP, is a minimally invasive procedure for benign (non-cancerous) prostate enlargement
What is HoLEP?
Benign prostate enlargement, also known as benign prostatic hyperplasia, can obstruct the flow of urine from your bladder, making it difficult or uncomfortable to urinate.
HoLEP is a specialised form of prostate surgery that uses a precise laser to remove excess tissue. Unlike other methods, it can be done on any size prostate.
HoLEP is a specialised form of prostate surgery that uses a precise laser to remove excess tissue. Unlike other methods, it can be done on any size prostate.
Need to know
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What happens during treatment? icon plus
The procedure is usually done under general anaesthetic. Sometimes it can be done using a spinal epidural, so you'll be awake but numb from the waist down. Your surgeon will recommend the best approach for you.
Your surgeon will guide a thin operating telescope called a laser resectoscope into your urethra (the tube that carries urine from your bladder). A precise laser is then used to remove the excess prostate tissue. A tissue sample will be taken to confirm no cancer cells are present in the tissue removed. Afterwards, your surgeon will put a catheter in place to drain urine from your bladder. -
How to prepare icon plus
Your consultant will explain the procedure to you and answer any questions you may have. If you'll be having general anaesthetic, they'll let you know how long you should avoid eating and drinking before surgery.
Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you. -
After treatment icon plus
You'll be cared for in hospital for up to two days while you recover from the procedure. The catheter will usually be removed the day after your surgery. You may have some pain or difficulty when passing urine for a few days after the procedure. Simple pain killers such as ibuprofen and paracetamol can help. You'll also be advised about pelvic floor exercises.
It's important to drink at least two litres of water every day (a glass every hour). Your consultant will let you know when you can get back to your usual routine, including work or exercise. You should still continue to have regular prostate checks going forward.
Don't wait, pay for yourself
We offer this treatment at a fixed price at some of our facilities.
Our urology consultants
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Our locations
From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.
Book an appointment
Our team can help with any enquiries or you can make an appointment with one of our experienced consultants.
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020 7079 4344
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.