What is HoLEP Prostate Surgery?
HoLEP (Holmium Laser Enucleation of the Prostate) is a type of minimally invasive surgery used to treat benign prostatic hyperplasia (BPH). The procedure involves using a laser to remove the enlarged prostate tissue from its capsule.

This method is widely used for treating prostate enlargement of all sizes. It is effective for small prostates and is also a popular alternative to open surgery for prostates larger than 80 grams.

During this surgery, a Holmium laser is used, although other types of lasers can also be employed in prostate surgeries.

As with all surgeries, HoLEP carries some risks, especially those related to anesthesia. To minimize these risks, it is crucial to consult both the surgeon and the anesthesiologist to determine the patient’s suitability for surgery.

Additionally, since this procedure involves bleeding, the surgeon’s experience is vital to reduce the surgery time and minimize complications.

What is HoLEP Prostate Surgery?

HoLEP is an advanced laser technique for treating benign prostatic hyperplasia (BPH). It completely removes the prostate tissue, providing significant relief to patients.

HoLEP is suitable for all patients who require prostate surgery. It is often preferred when other methods are not viable, as it is considered a safer alternative.

The surgery is relatively short, and patients usually have their catheters removed and are discharged within a day. However, elderly patients or those with additional health issues may require an extra day of observation. Most patients can return to their normal lives within 2–3 months.

How is HoLEP Prostate Surgery Performed in İzmir?

Treatment Details

• Operation: HoLEP Prostate Surgery
• Procedure: Minimally invasive surgery performed with a camera and laser to remove the enlarged prostate tissue
• Duration: 1 hour
• Hospital Stay: 1 day
• Anesthesia: Spinal anesthesia
• Recovery Time: 2–3 days
• Return to Work/School: 7–10 days
• Scars: None
• Pain Duration: 24–48 hours

Pre-Surgery Assessments

Before the surgery, patients undergo several evaluations, including:

• Prostate examination
• Urine flow test
• Ultrasound
• Urinalysis
• Blood tests (PSA)
• Additional tests if required by the doctor

Aside from anesthesia-related risks, HoLEP is considered a low-risk procedure.

Post-Surgery Care and Recovery

After the surgery, patients should avoid:

• Physical trauma to the surgical area
• Heavy lifting
• Constipation

Following the doctor’s post-operative instructions is essential for a quick recovery. Most patients return to their normal activities within a short period.

Advantages of HoLEP Treatment

HoLEP has several advantages over traditional methods like Transurethral Resection of the Prostate (TURP):

• Minimally Invasive: Less trauma compared to open surgery
• Faster Recovery: Shorter hospital stays and quicker return to daily life
• Less Bleeding: Lower risk of needing blood transfusions
• Preserves Sexual Function: Higher success rates in maintaining sexual function
• Effective for Larger Prostates: Suitable for large prostates that are difficult to treat with TURP
• Reduced Risk of Reoperation: Lower likelihood of requiring additional surgeries

Important Information About HoLEP Surgery

• HoLEP is performed via the urinary tract, similar to traditional methods, but uses laser technology instead of conventional surgical tools.
• It is particularly beneficial for patients with large prostates, as it eliminates the need for open surgery.
• Post-surgery, patients should maintain proper hydration and avoid constipation.
• Pelvic floor exercises, such as Kegel exercises, are crucial during recovery to strengthen the bladder and bowel muscles.

Does HoLEP Surgery Cause Urinary Incontinence?

Some patients may experience temporary urinary incontinence after HoLEP surgery. The rates vary but are usually around 10–15% in the first three months, decreasing to 1–1.5% after three months.

Types of incontinence include:

• Urge incontinence: Sudden, intense urges to urinate, sometimes with leakage
• Stress incontinence: Leakage during coughing, sneezing, or lifting heavy objects

Risk factors for incontinence include:

• Older age
• Diabetes
• Larger prostate size

Pelvic floor rehabilitation and Kegel exercises can significantly help patients recover faster. In rare cases, incontinence may persist beyond 2–3 months.

How Long Does HoLEP Surgery Take?

The average duration of HoLEP surgery is approximately 1 hour. However, surgery time may vary depending on the size of the prostate and any complications during the procedure.

How Soon Can Patients Resume Sexual Activity After HoLEP Surgery?

Patients should avoid sexual activity during the recovery period, which may last a few weeks. The doctor will determine the appropriate time to resume sexual activity based on the patient’s healing progress.

How Much Does HoLEP Prostate Surgery Cost in İzmir?

The cost of HoLEP prostate surgery in İzmir varies depending on several factors, including:

• The patient’s condition
• The hospital or clinic’s location
• The experience of the surgeon
• Whether the procedure is performed in a public or private hospital

For an accurate price estimate, it is recommended to consult directly with the hospital or clinic.

Source:
Gazel, E., & Tunç, L. HoLEP in BPH Treatment