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HoLEP for Benign Prostatic Hyperplasia (BPH)

Holmium laser enucleation of the prostate (HoLEP) is a non-invasive surgery that uses a laser to remove tissue from an enlarged prostate due to benign prostatic hyperplasia (BPH). HoLEP may help if you have symptoms of enlarged prostate. These include: urinary frequency, urgency, getting up at night to urinate, incontinence of urine, difficulty starting your urinary stream, urinary retention, urinary tract infections, or bladder stones.

Is HoLEP right for me?

HoLEP is the only BPH procedure that can be performed on a prostate of any size. It is effective at treating patients with very large prostates, and can help if you retain urine, are prone to urinary tract infections, or have bladder stones. HoLEP is not recommended if you're unable to lie on your back with your legs raised (this position is held during the procedure).

Advantages of HoLEP

  • Minimal Bleeding and Minimal Pain 

    This procedure does not involve any incisions on the body and most patients don't require pain medications. 

  • Speedy Recovery

    Most patients do not require an overnight hospital stay; those that do are typically in the hospital for less than 24 hours. In 95% of cases, the catheter is removed the day after the procedure.

  • Prostate Cancer Screening

    Pathologists examine the removed tissue for any potential evidence of prostate cancer.

  • Exceptional Outcomes

    HoLEP has the lowest retreatment rate of any BPH procedure. It also has the highest likelihood of resolving urinary retention due to enlarged prostate.

Providers

  • General Urology

    Biography

    Austen D. Slade, MD, MBA has expertise in the treatment of benign prostatic hyperplasia (BPH) and kidney stones. He brings minimally invasive and state of the art techniques to Idaho that previously have been limited to only a handful of large medical centers nationally. Dr. Slade has extensive experience in HoLEP (Holmium Laser Enucleation of the Prostate), PCNL (Percutaneous Nephrolithotomy), and mini-PCNL. He has published numerous research articles on these techniques, and trains other urologists seeking to gain these skills. By focusing his practice on BPH and kidney stones, Dr. Slade is able to help patients find a tailored solution to their needs and offer the latest advances in these fields. 

    Dr. Slade completed his fellowship of endourology at Indiana University where he was awarded recognition as one of 19 research scholars in the nation by the American Urologic Association (AUA) for his work on BPH prostate disease and urinary symptoms. He is an author of the AUA’s “Surgical Treatment of Kidney Stones” core curriculum for urologists.

    Prior to his medical  education, Dr. Slade earned his bachelor’s degree from Brigham Young University, graduating cum laude. He is an active member of the American Urologic Association, Endourological Society, and Society of Benign Prostate Disease.   

    Dr. Slade is known for his listening and thoughtful approach to understanding patient concerns and seeks to deliver the level of care he would expect for his closest family. Outside of the hospital he treasures time with his wife and kids and is an avid runner with his dog at his side.

    Availability

    Accepting new patients
     
  • Urology

    Biography

    Michael B. Taylor, MD treats all aspects of adult urology with a special focus in benign prostatic hyperplasia, otherwise known as BPH or enlarged prostate. He was the first physician in Idaho to perform HoLEP procedures (Holmium laser enucleation of the prostate) and was the first physician in the Treasure Valley to be trained in Rezum and Urolift. He also has extensive experience in greenlight laser photovaporization of the prostate. These are all highly minimally invasive procedures. In addition, Dr. Taylor performs vasectomies and treats kidney stones, prostate cancer, bladder cancer, and urinary incontinence in males.

    Dr. Taylor received his bachelor's degree from Brigham Young University where he graduated summa cum laude. He then went to medical school at the University of California, Irvine where he was elected part of the Alpha Omega Alpha Honor Medical Society.  He completed his urology residency at the University of Utah and is a member of the American Urologic Association.

    Availability

    Accepting new patients
     

Patient Experiences

  • David - Meridian, ID

    “The day after I came home from surgery (HoLEP), I felt well enough to take my dog on a several mile hike in the foothills. My lack of sleep, urgency, frequency, incontinence and extremely slow stream before surgery are now gone.”

  • Russell - Meridian, ID

    “My experience was truly outstanding. I was provided with all the information necessary to choose the appropriate procedure for me. It went extremely well and my recovery was fairly quick with very few, if any, side effects.

    I would encourage anyone weighing BPH treatment options to seriously consider HoLEP. For the first time in almost 30 years I am symptom and medication free. I am extremely grateful to Dr. Michael Taylor and his staff for that gift.”