Transurethral Resection of the Prostate (TURP)
A well-established endoscopic procedure that removes obstructing prostate tissue through the urethra to improve urine flow.
Prostate Surgery
Holmium Laser Enucleation of the Prostate (HoLEP)
A laser procedure that removes prostate tissue blocking urine flow, with the tissue divided into pieces for safe removal.
- Dr. Anand Arumugam, MBBS, MS, M.Ch
- Manipal Hospital, Varthur Road
Procedure overview
What is Holmium Laser Enucleation of the Prostate (HoLEP)?
HoLEP uses holmium laser energy to separate obstructing prostate tissue. A separate instrument removes the tissue from the bladder. It can be considered across a range of prostate sizes.
Important. This page provides general education. Your diagnosis, treatment choice and recovery plan must be confirmed in consultation.
When it may be considered
Clinical needs come before technique.
- 01Moderate to severe urinary symptoms
- 02Urinary retention from benign prostate enlargement
- 03Larger prostate glands
- 04Symptoms that persist despite medication
Diagnosis & preparation
What happens before a decision.
Assessment may include
- A focused history and physical examination
- Urine and blood tests relevant to the condition
- Ultrasound, X-ray, CT, MRI or other appropriate imaging
- Anaesthesia and general-health assessment when surgery is planned
Specific tests vary. Bring existing reports so unnecessary repetition can be avoided where possible.
Potential benefits
Why this option may be discussed.
Endoscopic approach with no skin incision
Laser precision and controlled bleeding
Removes obstructing tissue rather than only shrinking it
Suitable for selected larger prostates
All procedures have potential risks and may not achieve the same result for every patient. Alternatives, risks and expected outcomes should be discussed personally.
Recovery & follow-up
Plan the return to everyday life.
A catheter may be used temporarily. Urinary frequency and mild bleeding can occur during early healing. Your clinician will advise when to resume exercise, work and sexual activity.
Contact your care team urgently if advised warning signs occur
These may include fever, worsening pain, heavy bleeding, breathing difficulty or inability to pass urine. Follow the discharge instructions given to you.
Procedure FAQs
Questions patients commonly ask.
How do I know whether Holmium Laser Enucleation of the Prostate (HoLEP) is right for me?
Suitability depends on your diagnosis, test results, general health and treatment goals. A consultation is needed to compare this procedure with observation, medicine or other procedural options.
What should I bring to the consultation?
Bring relevant imaging, laboratory reports, discharge summaries, a medicine and allergy list, and details of previous surgery or treatment.
How long does recovery take?
Recovery varies by procedure and patient. Dr. Anand and the hospital team will explain the expected stay, activity limits, medicines, follow-up and warning signs for your individual plan.
Related procedures
More in prostate surgery.
Laparoscopic & Robotic Prostatectomy
Minimally invasive techniques that remove the prostate through small abdominal ports in carefully selected patients.
Take the next step
Let’s make your next decision feel clearer.
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