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HoLEP (Holmium Laser Enucleation of the Prostate)

Holmium Laser Enucleation of the Prostate (HoLEP)
Gold Coast Urologist

Holmium Laser Enucleation of the Prostate (HoLEP)

Holmium or thulium laser enucleation is the state of the art, platinum standard of treatment for an enlarged and obstructing prostate. It is minimally invasive and follows the exact anatomical planes within a prostate with ultimate precision allowing complete resection of all adenoma (obstructing tissue) whilst preserving the outer capsule, erectile nerves and urethral sphincter.


Its short and longterm outcomes are superior to those associated with TURP:


  • less bleeding

  • lower chance of erectile dysfunction or incontinence

  • same maximal flow rate and urinary symptom improvement

  • minimal reoperation rate


and superior to greenlight (side firing) laser:


  • Importantly allows sampling of tissue to look for cancer

  • same low blood loss

  • lower chance of incontinence

  • greater improvement in flow rates and urinary symptoms

  • lower reoperation rate


Dr Elmes recommends HoLEP for all his patients with moderately to severely bothersome symptomatic BPH that have:


  • failed or do not wish to have medical therapy

  • are willing to tolerate retrograde ejaculation

  • that do not wish to undergo the older style TURP or re-bore

You can find out more about the advanced prostate laser treatment here

Before and after HoLEP 


Before surgery:

You can see the enlarged prostatic tissue blocking the urethra passage which is obstructing the flow of urine and causes the patient irritative waterworks symptoms 


After HoLEP surgery:

The obstructive tissue has been removed allowing a clear passage way for urine to flow resulting in positive patient outcomes 

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