Minimally Invasive Care for an Enlarged Prostate—With Lasting Relief
By
Dr. Al Ray,
Wellstar urologist
If you’re experiencing urinary symptoms caused by an enlarged prostate, you’re not alone—and effective treatment is available.
Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive procedure used to treat benign prostatic hyperplasia (BPH), a condition in which the prostate gland becomes enlarged. Using advanced laser technology, HoLEP helps remove prostate tissue that blocks urine flow, providing lasting relief from uncomfortable urinary symptoms.
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Understanding BPH
The prostate is a small gland located below the bladder and in front of the rectum. As men age, it can enlarge and obstruct the urethra—the tube that carries urine out of the body. This can lead to symptoms such as:- Frequent urination
- Difficulty starting or stopping urination
- Weak urine stream
- Urinary retention (feeling that the bladder doesn’t completely empty)
How HoLEP works
During HoLEP, your surgeon uses a holmium laser—a precise and powerful tool—to carefully remove the prostate tissue causing the blockage. The tissue is separated into sections (called lobes), broken into smaller pieces and removed from the bladder. Because the procedure is performed entirely through the urethra, no external incisions are needed—making it less invasive than traditional surgery.Benefits of HoLEP
HoLEP offers several important benefits, including:- Less bleeding: The laser minimizes bleeding, making it a safer option for many patients, including those on blood thinners.
- Lasting results: Studies show HoLEP provides durable relief of BPH symptoms, with a recurrence rate of less than 1%.
- Stronger urinary flow: Most patients notice significant improvement in urinary flow and comfort.
- Effective for large prostates: HoLEP works well for men with larger prostates that may not be suitable for other minimally invasive procedures.
What to expect
Knowing what to expect before, during and after your procedure can help you feel prepared and confident. Your care team will guide you every step of the way.- Anesthesia: HoLEP is performed under general anesthesia.
- Procedure time: Typically lasts one to two hours
- Hospital stay: Most patients go home the same day.
- Recovery: Some mild discomfort or urinary symptoms—such as frequent urination, temporary incontinence or urgency—may occur for a few weeks while healing.
