How it Works
Imagining an orange, a HoLEP would be similar to removing the inside of the orange but leaving behind the peeling. This option is typically used for the largest prostates.
A laser is used to enucleate, or core-out, the majority of prostate tissue. A separate instrument is then used to cut the prostate tissue into smaller fragments that are easily removed.
Procedure/Recovery
The procedure is typically performed under anesthesia.
- A catheter is required for at least one night, sometimes longer.
- Most men will experience ejaculatory dysfunction, specifically retrograde ejaculation (see page 10 of this book for a description).
- The risk of erectile dysfunction is very low.
- The procedure requires decreased activity for 2-4 weeks.
- Blood in the urine is expected for 1-4 weeks, although it may come and go for longer.
- Burning with urination and/or urinary frequency and urgency may last for a few weeks.
- This procedure is best for very large prostates, as it removes the most prostate tissue.
- Prostate tissue is removed and will be checked for cancer by a pathologist.
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