How HoLep for Benign Prostatic Hyperplasia is the preferred treatment for men?


How HoLep for Benign Prostatic Hyperplasia is the preferred treatment for men?

  • December 30, 2020


HoLep for Benign Prostatic Hyperplasia (BPH)

HoLep for BPH (Benign Prostatic Hyperplasia) is one of the preferred treatments for men diagnosed with an enlarged prostate. If you are worried about your health then consult the renowned urologist in Ludhiana. HoLep (Holmium laser enucleation of the prostate), one of the treatment options given for benign prostatic hyperplasia.


What is meant by prostate?

The prostate gland is located in front of the rectum & bladder, which surrounds the urethra. It is in the shape of a walnut. The prostate helps to store and produce fluid which helps in semen production. Also, its functioning is important to control the bladder movement.


What is BPH?

BPH is a noncancerous prostate gland enlargement and its occurrence is common in men as old age. With this condition, further health issues are likely to get encountered like:

  • Bladder stones
  • Urinary retention
  • Kidney failure
  • Recurrent UTIs

Medical intervention is important on time and if the problem is left untreated then it can affect the normal functioning of the kidney, bladder, and problem of urinary retention will occur.


Signs and Symptoms of BPH

Some of the possible symptoms of BPH are mentioned-below:

  • Increased urine leakage
  • Urine retention
  • Problem urinating
  • Weak urinary system
  • Increased urine frequency at night
  • Not able to empty the bladder

Timely diagnosis is important by your physician. During the examination, your medical history is checked along with that prostate gland. Your doctor will ask for a urine sample to look to cross-check for infection or blood presence.

What is HoLep Treatment for BPH?

Well, not every person with BPH needs to get treatment. In case, the prostate is of a certain size then you may be suggested to get HoLep which helps to reduce the symptoms.

HoLep is an advanced and minimally invasive procedure suggested to patients with BPH (Enlarged prostate). For this treatment, scope per urethra is used which contains a high-powered laser so that the excess prostate tissue is removed which might be causing a urethral obstruction.


What are the benefits of HoLep treatment for BPH?

  • Minimally invasive treatment

This procedure is the minimally invasive treatment for men with extremely large prostates who can be managed with the robotic simple prostatectomy or traditional open surgery.

  • Tissues can be checked for cancerous cells

Prostate residual tissue pieces are removed by the surgeon to look for cancerous growth. Undergoing this procedure is highly beneficial as the other methods will damage the prostate tissue completely which is taken out.

  • Catheter remains overnights

The catheter is going to remain overnight as compared to the robotic or open prostatectomy procedure. In these cases, the catheter needs to be there for one week.



HOLEPProstate Cancer

Everything you need to know about the Holmium Laser Prostatectomy procedure

  • December 25, 2020


What is HOLEP?

HOLEP is the laser procedure for the prostate. HOLEP stands for ‘Holmium laser prostatectomy’. HOLEP is an advanced approach to the TURP procedure for the prostate.

During the procedure, a holmium laser energy is used to cut the prostatic tissues. The water absorbs the laser energy and heat generation happens in the tissue resulting in blood clotting in vessels. This method allows to control bleeding and ensures cutting is done precisely. The area between the glandular tissue and capsule helps in dissection so that the prostate is taken out which is dropped in the urinary bladder. It is cut into smaller chunks with the help of the instrument named morcellator. Once this is done, the tissue is taken away from the bladder, and then it is checked. If you are having any second thoughts about the treatment then consult the urologist in Ludhiana.


How is it beneficial to get HOLEP?

HOLEP is an advanced and improved procedure as compared to traditional TURP. Most importantly, the issue of bleeding is solved, providing better control over the laser, and the tissue is cut only once. With traditional approaches, there were issues with low sodium levels.


Is the surgery possible on antiplatelet medications?

While HOLEP is performed if you are consuming Clopilet. However, it is important to stop its consumption one week before the treatment is performed.


What happens after the HOLEP?

Once, the surgery is done, a catheter is inserted through the penis opening so that urine is drained from the bladder. This procedure needs to be done till the time the wound has healed completely. In some cases, the bladder needs to be flushed with water so that it is clean. In that case, you might see blood in the urine. Well, this is the normal state after the irrigation. You will be discharged in 2 to 3 days and by that time everything will come back into a normal state.


What are the possible complications?

It is an improved version of doing prostate surgery so it is safe as any other treatment. There are some possible risks like other surgeries:

●     Loss of control over urine (It is solved in a few weeks)

●     Around 1% of patients need a transfusion for bleeding

●     Retrograde ejaculation



What are the tips to take care of yourself after the treatment?

●     Following the procedure, you go through normal discomfort. The patient is prohibited from carrying heavy stuff. If you like to do heavy workouts then you need to put it on halt for 2 to 4 weeks.

●     Following the surgery, the patient might see a pink tinge. In case, the bleeding gets in excess then consult the doctor immediately. During urination, you may experience a burning sensation.

●     For one month, you need to abstain from sexual intercourse. Make sure that you visit for the annual prostate examination.