HoLEP laser prostate surgery — permanent relief for enlarged prostate without body cuts.
Holmium Laser Enucleation of the Prostate (HoLEP) is the international gold standard for BPH. Completely removes the obstructing tissue with minimal bleeding and fast 24-hour discharge.
Procedure at a Glance
How the Procedure Works
Endoscopic Access
High-definition laser scope guided through the natural urinary channel without skin incisions.
Laser Enucleation
High-power Holmium laser separates the entire obstructive prostate adenoma along anatomical capsules.
Tissue Morcellation
An intravesical morcellator suction-fragments tissue into fine chips for complete bladder removal.
Rapid Recovery
Catheter safely removed within 24 hours, restoring a powerful unobstructed urinary stream.
Is This Treatment Right For You?
Ideal Candidate If:
- ✓ Prostate enlargement of any size (small, medium, or extremely large >100g)
- ✓ Patients experiencing recurrent urinary retention or catheter dependency
- ✓ Men on blood-thinning medications who cannot undergo traditional surgery
- ✓ Patients seeking a permanent one-time treatment that never needs repeating
Alternative Options Considered If:
- • Younger patients with mild enlargement desiring 10-minute Rezūm water vapor therapy
- • Patients unfit for spinal or general anaesthesia
- • Confirmed active prostate cancer requiring radical oncological surgery
Compare Surgical Approaches
| Factor | HoLEP (Laser Prostate Surgery) | Traditional TURP | Open Prostatectomy |
|---|---|---|---|
| Incision / Cut | Zero (Natural Path) | Zero Cut | 15cm Abdominal Cut |
| Hospital Stay | 24 Hours | 2–3 Days | 7–10 Days |
| Return to Work | 3–5 Days | 2–3 Weeks | 6–8 Weeks |
Frequently Asked Questions
Can HoLEP be performed on very large prostates?
Yes. Unlike TURP which has size limitations (usually up to 80g), HoLEP is effective for any prostate volume, including huge prostates over 150g, replacing open surgery.
Will the prostate grow back after HoLEP?
The recurrence rate is less than 1% over 10-20 years because HoLEP removes the entire inner adenoma down to the surgical capsule.
How long until I can pass urine normally?
The urinary catheter is typically removed the morning after surgery. Patients immediately experience a dramatically stronger stream and discharge home within 24 hours.
Book Procedure Consultation at Farooq Hospital DHA
Direct surgical assessment, pre-op clearance review, and procedure scheduling with Dr. Athar Hameed.
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