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What is HoLEP (Modern Method for Enlarged Prostate Treatment)?

Modern Method for Enlarged Prostate Treatment: HoLEP

HoLEP is the short name for the "Prostate Enucleation with Holmium Laser" procedure. It is a treatment method used in age-related benign prostatic enlargement (also known as Benign Prostate Hyperplasia - BPH).

How is HoLEP Applied?

The procedure is carried out with a completely closed (endoscopic) method. The camera and the apparatus attached to the end of the camera are entered through the mouth of the urinary canal with a glass. The end of the prostate is peeled off the capsule of the prostate, the block is removed and thrown into the bladder. For comparison, we can use the inside of an orange made to separate the shell entirely and leave only the shell. A second procedure called morcellation is performed so that the enlarged prostate has thrown into the bladder as a block can be removed easily. After that, the surgery is terminated.

In HoLEP surgery, the patient does not feel any pain during and after any incision or procedure.

What Advantages Does HoLEP Offer?

In the classical closed prostate surgery method, the inner tissue of the prostate is scraped piece by piece from its shell. Accordingly, it is risky for the prostate tissue to remain behind. This may cause the recurrence of the disease in the long term and even voiding problems in short to medium term. Any scraping process is completely separated from the internal structure of the prostate from the capsule of the prostate.

In conventional closed methods, it takes a long time in large prostates. Even if the prostate is more than a specific size, closed surgery is required, and open surgery is performed. There is no size in HoLEP. It can even be applied to overly enlarged prostates.

Classical closed methods generally cause more blood loss. It may not be possible to do what needs to be done in real-time when using diluent and bleeding. However, HoLEP is a surgical method with the chance to be operated on with less blood loss.

What Awaits the Patient After the HoLEP Procedure?

After the HoLEP procedure, a catheter is inserted into the patient, similar to the traditional method. However, in the HoLEP procedure, the probe takes an average of 18-24 hours less than conventional methods. Patients stay with a catheter for only 1-2 days on average.

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