What is HoLEP? How is it done? Istanbul
Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia (BPH), which is a non-cancerous enlargement of the prostate gland. During HoLEP, a holmium laser is used to remove excess prostate tissue that is obstructing the flow of urine.
Here are the steps involved in HoLEP:
- Anesthesia: The patient is given general or spinal anesthesia to ensure they are comfortable during the procedure.
- Insertion of the scope: A scope is inserted into the urethra to access the prostate gland.
- Laser enucleation: A holmium laser is used to create an incision around the prostate tissue. The laser energy is then used to remove the excess tissue in small pieces.
- Removal of tissue: The small pieces of prostate tissue are suctioned out of the body using a morcellator or similar device.
- Bladder irrigation: After the procedure is complete, the bladder is irrigated with a saline solution to remove any remaining tissue or debris.
- Catheter insertion: A catheter is inserted into the urethra to allow for drainage of urine while the prostate heals.
- Hospital stay: The patient may need to stay in the hospital for a day or two for monitoring and to ensure that the catheter is functioning properly.
HoLEP is considered a safe and effective treatment option for BPH, with a low risk of complications and a high success rate. It offers several advantages over traditional surgical methods, including less bleeding, shorter hospital stays, and faster recovery times. However, as with any medical procedure, there are potential risks and side effects, and it is important to discuss these with your doctor before undergoing HoLEP.
Who Is HoLEP Recommended For?
HoLEP is typically recommended for men with moderate to severe symptoms of benign prostatic hyperplasia (BPH), also known as an enlarged prostate. Symptoms of BPH can include:
- Frequent or urgent need to urinate
- Difficulty starting urination
- Weak urine stream
- Dribbling at the end of urination
- Incomplete emptying of the bladder
- Urinary retention (inability to urinate)
HoLEP may be recommended for patients who have not responded well to other treatments for BPH, such as medication or minimally invasive procedures like transurethral resection of the prostate (TURP). HoLEP may also be recommended for patients who are not good candidates for open surgery due to their age, overall health, or other medical conditions.
It is important to discuss your individual medical history and treatment options with your doctor to determine if HoLEP is a good option for you.
How Many Days Do You Stay in the Hospital After HoLEP?
The length of hospital stay after HoLEP (Holmium laser enucleation of the prostate) can vary depending on the patient and their individual circumstances. In general, patients will typically stay in the hospital for one to two days after the procedure.
During this time, the patient will be closely monitored for any complications, such as bleeding, infection, or difficulty with urination. The patient may also receive pain medication and antibiotics to manage any discomfort and prevent infection.
After being discharged from the hospital, the patient will need to follow specific instructions regarding self-care and follow-up appointments with their doctor. This may include avoiding strenuous activity for a few weeks, taking prescribed medications as directed, and monitoring their urine output and any signs of infection.
It is important to discuss your specific situation and any questions or concerns you have about HoLEP and recovery with your doctor.
After How Many Days Is Catheter Taken After HoLEP?
The timing for removal of the catheter after HoLEP (Holmium laser enucleation of the prostate) can vary depending on the individual patient and their specific situation. In general, the catheter is typically removed within one to two days after the procedure.
The catheter is used to drain urine from the bladder while the prostate is healing. Once the swelling decreases and the urinary function improves, the catheter can be safely removed. Your doctor will monitor your recovery and determine when it is appropriate to remove the catheter.
After the catheter is removed, you may experience some temporary urinary incontinence or difficulty urinating, which is normal. You will be given instructions on how to manage these symptoms and may be prescribed medications to help manage any discomfort or inflammation.
It is important to follow your doctor’s instructions closely during the recovery period after HoLEP and to attend any scheduled follow-up appointments to ensure proper healing and a successful outcome.
Does HoLEP Affect Sexual Functions?
HoLEP (Holmium laser enucleation of the prostate) is a surgical procedure used to treat urinary symptoms caused by an enlarged prostate. While the surgery does not typically directly affect sexual function, there may be some temporary changes in sexual function after the procedure.
Some patients may experience a temporary decrease in sexual desire or difficulty achieving or maintaining an erection. This may be due to inflammation or swelling in the prostate or from the catheter that is placed in the urethra during the procedure.
However, sexual function usually returns to normal within a few weeks to a few months after the procedure. In fact, many patients report an improvement in sexual function after HoLEP because the procedure can relieve urinary symptoms that may have been causing discomfort or difficulty with sexual activity.
It is important to discuss any concerns or questions about sexual function and HoLEP with your doctor before the procedure, as they can provide more information about the potential risks and benefits and help you make an informed decision.
