HoLEP (Holmium Laser Prostate Surgery): Gold Standard for Benign Prostate Enlargement
May 23, 2026 Prof. Dr. Orçun Çelik Prostate Diseases

HoLEP (Holmium Laser Prostate Surgery): Gold Standard for Benign Prostate Enlargement

AI Summary

HoLEP is one of the most effective and safe methods for surgical treatment of benign prostate enlargement (BPH). Prostate tissue is removed through the urinary canal using holmium laser without any external incision.

What is HoLEP?

HoLEP (Holmium Laser Enucleation of the Prostate) is an advanced endoscopic procedure for the surgical treatment of benign prostate enlargement (BPH). The procedure involves complete removal of enlarged prostate tissue using holmium laser energy through the urinary canal (urethra).

Key Advantages

  • Applicable to all prostate sizes (30g to 300g+)
  • No external incision
  • Minimal blood loss
  • Safe for patients on blood thinners
  • Short catheter time (24-48 hours)
  • Very low recurrence rate (1-2%)
  • Tissue available for pathology

Results

  • IPSS improvement: 70-80% reduction
  • Maximum flow rate (Qmax): 2-3x increase
  • Patient satisfaction: Over 95%
  • 10-year reoperation rate: Less than 2%
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