Izmir HoLEP Prostate Surgery
HoLEP Prostate Surgery is basically a closed prostate surgery method. It stands for “Holmium Laser Enucleation of Prostate”, which means that the enlarged prostate adenoma, that is, its inner tissue, is separated from its capsule using a laser.
This application is widely and effectively used in the treatment of prostate enlargement of all sizes. It is a method that has become increasingly popular in recent years, as it can be applied to small prostates as well as being an alternative to open surgery in cases of prostate enlargement of 80 grams and above.
Although Holmium laser is used in this surgery, there are also different types of lasers that can be used in prostate surgeries.
HoLEP prostate surgery, like all other surgeries, has some risks due to anesthesia. In order to minimize these risks, it is important to determine suitability for surgery by obtaining the opinions of the surgeon and anesthesiologist before the surgery.
At the same time, since this is a bleeding surgery, the experience of the surgeon and the team is very important. Because in this way, the surgery time is shortened and the risk is minimized.
What is HoLEP Prostate Surgery?
Treatment of benign prostatic hyperplasia is a current operation using advanced laser technology. It is a procedure that can clean and remove all prostate tissue and has great benefits. HoLEP is a feasible method for anyone who needs prostate surgery.
Although the HoLEP technique has some advantages, it is applied more reliably in cases where other methods cannot be applied. Generally, the patient’s catheter is removed on the day after surgery and the patient is discharged.
However, patients who are older and have more serious diseases are monitored for one more day and discharged without any problems. In this way, the patient is treated in the best way and the patient recovers in a short time. Our patients can return to their normal lives within 2-3 months after the surgery.
How is Izmir HoLEP Prostate Surgery Performed?
| Treatment Details | |
| Operation: | HoLEP Prostate Surgery |
| Procedure: | The enlarged part of the prostate is removed with a laser method by entering it closed with a camera. |
| Duration: | 1 Hour |
| Length of Hospital Stay: | 1 Day |
| Anesthesia: | Spinal anesthesia |
| Healing Time: | 2-3 Days |
| Return to Work (School): | 7-10 Days |
| Scars: | No |
| Pain Duration: | 24- 48 Hours |
Prostate diseases, which become more common with advancing age, are a condition that reduces men’s quality of life. Benign prostate enlargement, a problem that makes urination difficult, greatly affects living standards.
The HoLEP method is used in the treatment of this disease. Treatment of benign prostatic hyperplasia is a current operation using advanced laser technology. It is a procedure that can clean and remove all prostate tissue and has great benefits.
HoLEP is a feasible method for anyone who needs prostate surgery. Although the HoLEP technique has some advantages, it is applied more reliably in cases where other methods cannot be applied.
The surgery does not take long, and the catheter inserted for ease of postoperative urination and sterilization is expected to be removed within 1 to 2 days on average.
Prostate examination, urine flow rate test, ultrasonography, urinalysis, blood test (PSA) and if there are other tests requested by the doctor, these tests are performed and approval for surgery is given. However, except for the risks that may arise as a result of anesthesia, the surgery is very low risk.
Since this is a sensitive area after surgery, the patient should avoid impacts, heavy lifting, being constipated, and most importantly, follow the doctor’s instructions. Patients can fully return to their normal lives shortly after surgery.
What are the Advantages of HoLEP Treatment?
A minimally invasive surgical procedure called HoLEP (Holmium Laser Enucleation of the Prostate) is used to treat an enlarged prostate (BPH). HoLEP has several advantages, including:
1.Less invasive compared to traditional surgery such as Transurethral Resection of the Prostate (TURP)
2.Faster recovery and shorter hospital stay because it can be done as an outpatient procedure
3.Lower risk of bleeding and transfusion
4.Higher success rate in preserving sexual function
5.Low retreatment rate, which tends to have similar results to primary treatment
6.Minimal blood loss during the procedure
7.Can be used for prostate size larger than traditional TURP can handle
What You Need to Know About HoLEP Prostate Surgery
- HoLEP prostate surgery stands for Holmium Laser Enucleation of the Prostate.
- The method applied is the same as the classical method and it is a closed surgery performed by entering through the urinary canal.
- The technique is slightly different from traditional surgical treatments and its benefits are the use of laser energy instead of blades.
- HoLEP prostate surgery can be highlighted because it is a minimally invasive procedure and causes less bleeding.
- The primary benefit of holmium laser enucleation, compared to old-style treatments, is that it protects the patient from open surgery by removing the prostate with closed surgery, even in those with large prostates. This means there is less risk to surrounding organs or tissues in the lower abdomen with an incision created through open procedures.
- The best way to care for a patient after HoLEP prostate surgery is to regulate fluid intake, avoid constipation, and not ignore the need for pelvic floor exercise.
- Exercises are an important requirement after surgery: Be sure to wait until cleared by your healthcare provider before beginning physical activity.
- These exercises are also important for the bowel and bladder and should be directed towards this.
- Izmir HoLEP prostate surgery duration may vary from person to person. The operation may take 1 to 2 hours depending on the size of the prostate.
- After HoLEP prostate surgery, patients are discharged within 1 to 2 days as long as no complications develop. The patient is fitted with a catheter after surgery. Removing the catheter is the same as the patient leaving the hospital.
- Postoperative urinary incontinence is not a common complication in patients, but if it occurs, the doctor’s recommendations should be followed.
- Sexual intercourse should not occur during the recovery period after HoLEP prostate surgery. This period will be determined according to your doctor’s decision, but it may rarely take up to a few weeks.
Will there be urinary incontinence after HoLEP surgery?
Some patients may experience urinary incontinence after surgery. Although urinary incontinence rates vary in various publications, they can be seen as 10-15% especially in the first three months, after which the incontinence rates decrease and reach 1-1.5%.
Urinary incontinence may be an urge incontinence accompanied by a sudden desire to urinate and incontinence, or it may be the type that occurs with effort (stress), such as coughing or heavy lifting. Incontinence due to external sphincter insufficiency is more common in elderly patients, diabetics or patients with large prostates. In most patients with urinary incontinence, the incontinence improves over time. In a very few cases, incontinence continues for more than 2-3 months.
During this period, pelvic floor exercises such as Kegel and some drug treatments are supported. Performing pelvic floor rehabilitation exercises facilitates the strengthening and improvement of external sphincter tone and the disappearance of stress incontinence.
What are the Prices of HoLEP Prostate Surgery in Izmir?
If you want to get information about HoLEP prostate surgery prices in Izmir, you can get information from our doctor who is an expert in his field.
Frequently Asked Questions
How Many Hours Does Holep Surgery Take?
It is a type of surgery performed under general anesthesia or anesthesia from the waist down. The procedure is started by entering the urinary tract with special instruments equipped with cameras. The seriously enlarged prostate tissue is carefully separated from the capsule with a laser. Then, the pieces are thrown into the bladder. The prostate tissue is broken down with the help of another tool, that is, a morcellator, and vacuumed and taken out of the body.
Who Can Perform Holep Surgery?
Source :
Gazel, E., & Tunç, L. HoLEP in BPH Treatment.