HoLEP: PROSTATIC LASER ENUCLEATION SURGERY

HoLEP: PROSTATIC LASER ENUCLEATION SURGERY

In 2007 we incorporated laser surgery of the prostate. Today, our centre has performed more than 800 operations. The laser beam applies energy to the prostate tissue, separating the capsule from the adenoma, similar to separating the skin from the segments of an orange. Once detached, the entire surface is coagulated with laser to prevent bleeding. 

Finally, using a morcellator, an instrument that allows the removal of all the tissue (the segments), the prostate is removed in small fragments without the need to open the abdomen or leave scars.  

This allows the patient to be at home the next day, most of the time without a catheter. 

 The results are totally satisfactory in terms of urinary stream quality, with no problems in urine leakage and no alteration in sexual potency.

Treatment details

What problem does this treatment solve / What type of patient is ideal?

Urinary problems derived from the obstruction produced by the prostate in prostates larger than 50 grams or patients taking anticoagulant therapy: Eliquis, Sintrom, Aspirin, Heparin...

Areas to be treated

Prostate.

What does the pre-operative consist of?

Blood tests, urine analysis, electrocardiogram and visit to the anaesthesiologist.

What is the approximate duration of the procedure?

60-90 min depending on the size of the prostate.

Equipment

Greenlight Green Laser Generator 120 or 180W

Holmium laser  

Depends on the patient and the prostate

Does it require anaesthesia, what type?

Spinal or general depending on each patient and at the discretion of the anaesthesiologist.

Does it require admission or is it ambulatory?

1 day of hospitalisation.

How should the patient be cared for after the operation?

Discharge without catheter in most cases (98%) to return home.

Rest for 4 days at home.

Approximate recovery time

2 weeks for normal activity.

Does it leave scars?

Scarless, it is operated through the urethra.

What results should the patient expect?

Urinating without difficulty with a stronger and more pleasurable stream. Frequency of urination may take some time to reduce.

Complementary treatments

Post-operative medication is sometimes necessary to reduce urinary discomfort.

Other facts about this surgical procedure that are important to note

After surgery, the patient's erection and sexual pleasure will not be affected, but he will not expel semen at orgasm: RETROGRADED EYACULATION.

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