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 urinary symptoms like urine retention, urine infections, or bleeding.
HoLEP 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 have trouble with bleeding, have already undergone certain types of prostate treatments, or you're unable to lie on your back with your legs raised (this position is held during the procedure).
The HoLEP procedure is done through the patient's urethra, and can remove a large amount of tissue without any incisions. The risk of bleeding is lower, and the excised tissue is typically examined for cancer.
With HoLEP, your hospital stay is usually short, only a day or two, and the need for repeat treatments is also lowered.