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Laser Surgical Methods

  1. Prostate Center
  2. Prostate Enlargement (BPH)
  3. Surgical Therapy
  4. Laser Surgical Methods
Laser Surgical Methods All patients considered for surgical therapy for their prostate disease can be eligible for HoLEP method.

Together with the use of laser in urology, surgical operations using laser started to be performed in prostate surgery.

These methods include:

  • Greenlight laser, photo-selective vaporization of the prostate (PVP),
  • Thulium laser enucleation of the prostate (ThuLEP),
  • Thulium laser resection of the prostate (TmLRP),
  • Diode laser enucleation of the prostate (DiLEP),
  • Diode laser vaporization of the prostate (DiLVP),
  • Holmium laser resection of the prostate (HoLRP) and
  • Holmium laser enucleation of the prostate (HoLEP).

What is HoLEP?

HoLEP is a method of prostate operation performed using holmium laser through urinary canal.

While this method is performed as a closed operation, prostate is completely removed using a method similar to open prostate surgery. During the operation, spinal anesthesia would suffice.

Which patients are eligible for HoLEP operation?

All patients considered for surgical therapy for their prostate disease can be eligible for HoLEP. This method is independent from the size of prostate, in other words, it can be performed for all prostate sizes.

What are the features of HoLEP operation?

As it is performed by "laser separation" principle instead of “electrical cauterization”, the patient does not experience dysuria during urination after catheter removal.

With its advantages including low risk of bleeding, short period of hospitalization and rapid recovery process, the patients become free of their catheter in a short period as 24 hours and can quickly return their everyday life.

As its effect on healthy tissue is less than 0.4 mm, it does not damage the nerves surrounding the prostatic capsule and regulating the sexual functions. Therefore, no erectile dysfunction is expected in these patients after the operation.

As it does not cause cauterization defect in tissues removed by operation, these can be better examined by the pathologists, and the possibility of missing possible malignancies decreases.

As the prostate tissue is completely removed, the recurrence risk is very low.

What to do after HoLEP operation?

In our Acıbadem Ankara Hospital, Prostate Disease Diagnosis and Treatment Center , information form is given to the patients who underwent HoLEP operation. This form includes some potential conditions and points to take into consideration.

HoLEP Device

In our Acıbadem Ankara Hospital, Prostate Diseases Diagnosis and Treatment Center, 120W Holmium: YAG laser (Pulse 120H, Lumenis Inc.) is used as energy source with 550-μm fiber (SlimLine TM 550, LumenisInc.). This device has two different foot switches for enucleation and hemostasis.