Laser prostate surgery

Overview

This is the most promising technique among the newer modalities for the treatment of enlarged prostate The treatment involves the use of Holmium laser to remove the enlarged portion of the prostate. This provides long lasting relief for urinary problems from BPH. HoLEP is also safer and easier on the patients who have failed prior traditional BPH treatment, transurethral resection of the prostate (TURP). The main advantage of this procedure is that it can be done for high-risk cardiac patients. Another advantage is that the size of the prostate is not a limitation for this procedure.
HOLEP is performed under either general or regional anaesthesia. In this procedurea, a thin tube is inserted into the urethra through which holmium laser fibre is passed. Using high laser energy settings, enlarged prostatic tissue is separated from the capsule. Using morcellator, enucleated prostatic lobes are extracted. The entire procedure is performed without any incision, and minimal invasiveness.