HOLEP

Holmium Laser Enucleation of the Prostate (HoLEP)

Holmium laser enucleation of the prostate (HoLEP) is an endoscopic operation for an enlarged prostate, performed entirely through the urethra. The articles below cover what HoLEP is, why it might suit you, what happens on the day, and what recovery looks like.

EDITOR'S PICKS

Choosing the Right Surgeon for Your HoLEP
Choosing a HoLEP surgeon is a decision worth taking time over. Training, case volume, complication rates, and honest answers to specific questions matter more than advertising or reputation alone. This article suggests a neutral framework for weighing surgeons and the questions that help you decide.
Introduction to HoLEP
HoLEP stands for holmium laser enucleation of the prostate. Think of it as peeling an orange — the inside of the prostate is lifted away from the outer capsule through the urethra, without cutting from outside. This article explains what HoLEP is and how it differs from older BPH operations.
The Holmium Laser Explained
The holmium:YAG laser is the tool at the heart of HoLEP. It delivers pulses of light that water soaks up. The light turns to heat right where it is needed, and tissue is cut and sealed in the same moment. This article explains the physics in plain terms.

Holmium Laser Enucleation of the Prostate (HoLEP)

Choosing the Right Surgeon for Your HoLEP

Introduction to HoLEP

The Holmium Laser Explained

Understanding HoLEP

Introduction to HoLEP

The Holmium Laser Explained

Why HoLEP

Enucleation vs Resection vs Vaporisation

Why HoLEP Is Size-Independent

Bleeding, Catheter Time and Hospital Stay

Durability: Why HoLEP Re-Treatment Rates Are Low

HoLEP for Men on Blood Thinners

Compared to alternatives

HoLEP vs TURP

HoLEP vs Open Simple Prostatectomy

HoLEP vs UroLift, Rezūm and Aquablation

The operation

Before Your HoLEP: Pre-op Assessment

Anaesthesia for HoLEP

What Happens During a HoLEP

Recovery

The First 24 Hours After HoLEP

Recovery Week 1: What Is Normal

Recovery Weeks 2–6: Back to Normal Life

Sexual Function After HoLEP

Temporary Urinary Incontinence After HoLEP

Special cases & decisions

HoLEP for Men in Urinary Retention

HoLEP After Failed Previous BPH Surgery

Choosing the Right Surgeon for Your HoLEP

HoLEP Frequently Asked Questions