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C E N T R E

Holmium Laser Enucleation of Prostate (HoLEP) is an alternative to Transurethral Resection of the Prostate (TURP).

 

It is used to treat patients with urinary symptoms due to benign prostate enlargement (Benign Prostatic Hypertrophy, BPH).

 

Instead of using electrical energy, it uses a high-energy laser to remove the core of the prostate from inside the gland to create an open channel, whilst avoiding the muscles and nerves that are important to maintain urinary continence and erectile function. The surgical procedure is performed with a special endoscope passed through the urethra.

 

HoLEP (Holmium laser enucleation of Prostate is the most advanced laser technique currently available and has been recommended by the National Institute of Clinical Excellence, NICE in its guidelines.

 

In contrast to Green Light laser Vapourisation of the prostate it has been rigorously evaluated in randomised trials. It is a size independent procedure suitable for any prostate in experienced hands, and highly effective at treating urinary retention.

 

Two of our leading Urology Consultants, Mr Sunil Kumar and Mr Adam Jones are both very experienced with this procedure and have done close to 500 HoLEPs.   Please see the tables below for operative statistics and comparison between HoLEP and TURP procedures, along with some patient testimonials.

Laser Prostate Surgery (HoLEP)                                              

Please click here for further information about Mr Jones

 

Please contact Mr Jones's private secretary directly on:

 

    0118 920 7040               info@theforburyclinic.co.uk

 

or CLICK HERE to make an appointment online.

M R  A D A M  J O N E S

MBBS MD FRCS (Urol)

CONSULTANT UROLOGICAL SURGEON

Sub-Specialty Interest:  Minimally Invasive Sugery for Prostate and Kidney Disease

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Your HoLEP Specialists

M R  S U N I L  K U M A R

MS FRCS (Urol)

CONSULTANT UROLOGICAL SURGEON

Sub-Specialty Interest:  Urinary Stone Disease & Laser Prostate Sugery

Please click here for further information about Mr Kumar

 

Please contact Mr Kumar's private secretary directly on:

 

    0118 920 7040               info@theforburyclinic.co.uk

 

or CLICK HERE to make an appointment online.

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Holmium laser enucleation of the prostate (HoLEP) is particularly useful for larger prostates.  It does remove more prostate tissue than a TURP would but with less chance of bleeding and a shorter recovery time. There is an added advantage of also doing vapourisation, resection or a combination of vapo-resection with the Holmium Laser.

 

The High Power Holmium Laser separates the central part of prostate from the surrounding fibrous covering (capsule) and this procedure is nearly bloodless as the laser beam when cuts the gland also seals the blood vessels. The separated part of the prostate is then pushed into urinary bladder and is cut into small pieces and sucked out by a special machine (Morcellator). The smaller pieces of the prostate are sent for biopsy to detect prostate cancer.

Advantages of HoLEP (Holmium Laser)

Advantages of HoLEP (Holmium Laser vs. TURP

HoLEP 2 HoLEP 2 HoLEP Table 1 HoLEP Table 2

Advantages of HoLEP (Holmium Laser vs. Other Lasers (Greenlight, PVP, Thulium)

HoLep is suitable for any man with a blockage of his urinary system.

Who is HoLEP suitable for?

Please click here to read the detailed Patient Information sheet which explains the procedure in more detail.

What are the disadvantages

and risks?

"I am very pleased with the HoLEP procedure I received under the care of Reading Urology Partnership.  The examination carried out prior to the operation, along with a full explanation of the procedure and expected outcomes, was thorough.  The operation was successful and normal healthy functions were regained in a matter of few days."

Patient Testimonials:

"In short, I consider the HoLEP to have been a complete success.  I experienced minimal pain and discomfort, and although I found the after-effects visually disconcerting, they were exactly what I knew (and was told) to expect, and caused little discomfort or inconvenience, and they petered out after 4/5 weeks.  I now urinate once (occasionally twice) a night, as against several times pre-HoLEP.  There is no longer any annoying repeated urgency, day or night, and no leakage.  The expected absence of ejaculate aside, sexual function is entirely unaffected."

"Prior to having my HoLEP operation my symptoms were gradually but definitely getting worse: frequent urgent urination, some loss of bladder control, some erectile disfunction.

 

Immediately after the operation I started to heal very quickly with little residual bleeding, then I seemed to have contracted an infection when the bleeding and soreness returned and I felt generally quite unwell.   There was no infection detected in my urine test and so I put up with this for some 4 to 5 weeks.  Eventually I was put on a course of antibiotics which cleared things up immediately and fully.  I would advise anyone feeling ill to seek immediate treatment and not 'soldier on'.  

 

Once the infection cleared I was feeling much better and three months after the operation I am fully recovered with none of the symptoms I had before the operation.  I have a strong urine stream and very good control over it.  I do not get up in the night now and have no accidents at all.  Everything seems to be in very good condition, this is much better than I had hoped for as I am 65 years old."

"I had been experiencing difficulties caused by an enlarged prostate which included needing to urinate frequently.   I was referred to Mr Sunil Kumar at the Reading Urology Partnership and, following some tests, the HoLEP procedure was recommended and then undertaken.  I spent one night in hospital and after a short period of recuperation, I have been able to enjoy life better and have regularly experienced a full night's sleep, something that I had feared might never again be possible.  Mr Kumar was very attentive both before and after the procedure and explained it all very clearly to me; and it has worked out exactly as he predicted.  I would have no hesitation in recommending a consultation with Mr Kumar to anyone who may be experiencing the sort of issues I have mentioned."