Holmium laser enucleation of prostate (HOLEP)

Holmium laser enucleation of the prostate (HOLEP) is combined with mechanical morcellation to represent the latest refinement of holmium:YAG surgical treatment for benign prostatic hyperplasia (BPH). By Utilizing this technique, even the largest of glands can be effectively treated with minimal morbidity. The learning curve remains an obstacle, preventing more widespread adoption of this procedure.

Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. It is also known as holmium laser enucleation of the prostate (HOLEP), the procedure uses a laser in removal of tissue that is blocking urine flow through the prostate. A separate instrument can be then used to cut the prostate tissue into easily removable fragments.

HOLEP is similar to open prostate surgery but needs no incisions. It can be an option for men with a severely enlarged prostate.

HOLEP removes the entire portion of the prostate that can block urine flow. The treatment gives a lasting solution for men with an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH). HOLEP also preserves removed tissue so that it can be examined in the laboratory for other conditions, including prostate cancer.

As with other types of prostate laser surgery, HOLEP can offer faster recovery and symptom relief compared with traditional prostate surgery. Less than 2 percent of men who have HOLEP need subsequent re-treatment for urinary symptoms.