What is the HoLEP technique?

Written by: Dr. Roger Boix Orri
Published: | Updated: 13/11/2018
Edited by: Top Doctors®

The highly developed benign hyperplasia of the prostate, which no longer responds to medical treatment, must be intervened. Prostate enucleation by the Holmium Laser or Hollium Laser enucleation of the Prostate is a surgical technique for the treatment of prostate adenoma. This technique consists in the dissection of the prostatic adenoma that causes the urinary obstruction by means of a laser fiber for its later morcelation and evacuation. The procedure is performed via transurethral.

When is it needed?

Prostate adenoma surgery is indicated for those patients who do not respond to medical treatment for prostatic hyperplasia, patients with urethral catheter with failed withdrawal attempts, and patients with bladder lithiasis (bladder stones) and prostate adenoma. 

Application of the HoLEP technique

Surgery is performed transurethral (through the urine duct), so it does not need an abdominal incision. Specialists in urology usually practice it under epidural anesthesia, although in selected cases it needs general anesthesia.


Advantages of the HoLEP technique with respect to other techniques

It avoids the incision of the abdominal wall in this way the pain and the postoperative discomfort that are suffered after the performance of HoLEP are inferior to those that have after an open surgery and to the absence of surgical wound there is no risk that it will become infected.The excellent coagulation capacity of the holmium laser predisposes a shorter hospital stay, less urethral catheter time and less probability of needing a transfusion.HoLEP has the ability to be performed in patients of different prostatic sizes. It is especially indicated in patients with elevated prostate volumes.It allows to treat in the same procedure the treatment of vesical lithiasis (if present)


Duration of the intervention

The duration of the intervention will be conditioned by the prostate volume and characteristics of the prostate. The average duration is 60-90 minutes.



*Translated with Google translator. We apologize for any imperfection

By Dr. Roger Boix Orri

Dr. Boix Orri is part of the medical team of the Onyar Clinic. He is a specialist in urology in addition to specialist diagnosis and treatment of prostate cancer. He is also associate professor of urology at the Faculty of Medicine of the University of Girona teacher. In addition, Dr. Boix has attended as observer in clinical and surgical department of Urology, Eastern Virginia Medical University, Norfolk (VA) USA, in urological reconstructive Surgery.

*Translated with Google translator. We apologize for any imperfection

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