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HoLEP is a minimally invasive procedure that removes tissue from your prostate that is causing obstruction.

The prostate gland is part of the male reproductive system. It surrounds the tube that carries urine from the bladder. The gland is the size of a walnut and also produces some of the fluid that makes up semen. If something goes wrong with the prostate gland it can affect your sex life, or cause difficulties with passing urine.

It is normal for the prostate to grow larger as you age. However, if the gland tightens around the urethra it can interrupt the flow of urine from your bladder.

If conservative treatment for your enlarged prostate is not successful, your consultant may recommend Holmium Laser Enucleation of the prostate (HoLEP).

What happens during HoLEP?

The surgery may be done under general or spinal anaesthetic and usually takes from 45-120 minutes depending on the size of your prostate. You may be required to stay one night in hospital.

Your surgeon will insert a resectoscope (a small operating telescope with a light) into your urethra (the tube that carries urine from you bladder to your penis). A laser is inserted through this instrument. High pulse laser energy will be directed on your prostate, freeing it and removing any tissue that is obstructing your urethra. The prostate tissue will be removed from your bladder using another instrument called a morcellator. Some of the removed tissue will be sent to a lab for analysis.  A catheter will be placed in your bladder to drain your urine. This will be removed before you are discharged from hospital. In some cases you may be discharged with the catheter in place. This will be removed at a later date.

Going home after HoLEP

You will not be able to drive so please arrange for someone to take you home on the day of discharge.

It is normal to have blood in your urine following this procedure. Be sure and drink plenty of water.

You may still experience difficulty in passing urine or a burning sensation when passing urine. You may also see an increase in urgency and frequency of passing urine. These symptoms will ease over the next few weeks. If your symptoms increase or you experience heavy bleeding contact your GP.

You may be given pelvic floor exercises to do to help you control your bladder. Continue these as directed.

Most men can return to normal activities about a week after having HoLEP. Be sure and discuss this with your surgeon.

As with any surgical procedure there could be complications including:

  • Bleeding
  • Blood clots (deep vein thrombosis – DVT)
  • Pain
  • Difficulty passing urine

Specific complications of HoLEP may include:

Holmium laser enucleation of the prostate (HoLEP) consultants at Parkside Hospital

Parkside Hospital

53 Parkside, Wimbledon, London, SW19 5NX

020 8971 8000
Switchboard 020 8971 8000
Outpatient appointments 0208 137 8431
Self-pay patients 0208 137 8432
NHS England Patients team 0208 971 1261
Private GP service 0208 137 8431
Admissions – for patients booked for surgery 020 8971 8012
Account enquiries 020 8605 2895
Diagnostics 0208 137 8459
Physiotherapy 0208 137 8431
Pathology 020 8971 8022
Finance – to pay a bill or invoice enquiries (Mon-Fri 9am-5pm) 020 8605 2895

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