HoLEP treatment for prostate enlargement
Prostate diseases, the incidence of which increases with advancing age, are among the first among the disorders that reduce the quality of life of men. Benign prostate enlargement, which is a problem that makes urination difficult, also affects the psychology of the patients as well as their physical health; It can also negatively affect their work, social and sexual lives. The HoLEP method, called Holmium Laser Prostate Enucleation, has an important place in the treatment of this disease.
Contents
What is HoLEP (Holmium Laser Enucleation of the Prostate)?
In which diseases is the HoLEP method surgery applied?
What are the advantages of HoLEP surgery?
Who is HoLEP surgery recommended for?
Does HoLEP affect sexual life?
HoLEP or TUR?
How is HoLEP surgery performed?
What is the price of HoLEP surgery?
Frequently asked questions about the Holep method
What is HoLEP (Holmium Laser Enucleation of the Prostate)?
HoLEP is a closed prostate surgery method. The abbreviation of HoLEP surgery is “Holmium Laser Enucleation of Prostate” and it means the removal of the enlarged inner prostate tissue (adenoma) from its capsule with the help of laser.
Benign Prostatic Enlargement (BPH) is a condition in which the prostate enlarges with age, obstructing the outlet of the bladder (urinary bag) that it surrounds and preventing the urine flow.
In which diseases is the HoLEP method surgery applied?
The HoLEP method is used in the treatment of benign prostate enlargement. This method is used very effectively in the treatment of prostate enlargements of all sizes. The HoLEP method is more preferred, especially in prostates with a size of 80 grams and above, since the effectiveness of other closed prostate surgery methods is low.
What are the advantages of HoLEP surgery?
In surgeries performed with the HoLEP method, the sphincter, which provides urine retention, remains outside the intervention area. Since the sphincter structure is preserved during the operation, there is no problem of urinary incontinence after the operation.
The tissue depth affected by the HoLEP laser energy is very small. For this reason, it does not affect the nerves that travel outside the prostate and provide erection (hardening), so there are no problems such as sexual dysfunction after surgery.
Bleeding is very rare in the HoLEP method compared to other surgical techniques. While the prostate tissue is being removed, the blood vessels that feed it are burned with laser energy, so bleeding is almost nonexistent.
Since the entire part of the prostate tissue other than the capsule is removed, the risk of recurrence of the disease after HoLEP surgery is almost negligible.
After the operation performed with the HoLEP method, the duration of catheter stay and hospitalization are shorter. Patients can return to their daily lives in the early period by experiencing a comfortable and fast recovery process.
Who is HoLEP surgery recommended for?
The HoLEP method is used in the treatment of patients with benign prostatic enlargement. HoLEP, which is a closed surgical method, provides successful results in the treatment of benign prostate enlargements. Since the effectiveness of closed prostate surgery methods is low in benign prostate enlargements of 80 grams and above, the HoLEP method is more preferred.
Does HoLEP affect sexual life?
The sexual life of patients treated with the HoLEP closed surgery method is minimally affected.
HoLEP or TUR?
HoLEP method is generally preferred in benign prostate enlargements of 80 grams and above. With the HoLEP method, the entire benign prostate can be cleaned.
How is HoLEP surgery performed?
Prostate surgery with the HoLEP method is performed by entering the urinary canal through an endoscope without making any incisions. The prostate tissue, which is separated from its capsule with the help of laser, is then divided into very small pieces inside the urinary bladder and taken out.
What is the price of HoLEP surgery?
The price of the HoLEP method surgery may vary depending on the size of the benign prostate enlargement and the procedure to be performed. For this reason, the price of HoLEP surgery is given after the diagnosis is made and the procedure to be performed is determined.
Frequently asked questions about the Holep method
After how many days is the catheter removed after HoLEP?
The catheter of the benign prostate patient treated with the HoLEP method, which is a fast and comfortable surgical technique, is removed within 1-2 days.
Is prostate tissue removed after HoLEP examined by pathology?
Benign prostate is a common condition in older men. After the benign prostatic enlargement, which negatively affects the life comfort of the patients, is cleaned with HoLEP, samples taken from the removed parts are sent to pathology for examination. It is determined whether the piece examined carries other diseases, especially cancer.
When can one return to normal life after Holep?
After HoLEP surgery, the patient is discharged 1-2 days later. Patients can return to their normal life after an average of one week.
Does the prostate grow back after HoLEP or do I need surgery?
The prostate, which is completely cleared with HoLEP surgery, does not cause any new surgery because it does not grow again.
What awaits patients after surgery?
Patients can return to their daily work within a few days after surgery. HoLEP is a surgical technique with a very fast and comfortable healing process. However, as in all surgeries, a waiting period of 2-4 weeks is required in order to be able to work in heavy jobs and engage in sports activities.
How many days is the hospital stay after HoLEP?
Although the length of catheter stay after HoLEP surgery for the treatment of the prostate is shorter than TUR, it is between 1-2 days on average.
What are the highlights of HoLEP?
This procedure is actually performed according to the same principles as open prostate surgery. However, unlike open prostate surgery, it is performed completely closed without any incision. Compared to open prostate surgery, the amount of bleeding is much less, the duration of catheterization and hospitalization are shorter. Patients can return to their daily lives in the early period by experiencing a much more comfortable and faster recovery process compared to open surgery. Since it is performed directly under wide vision, there is no tissue left inside, so better results are obtained compared to open prostate surgery.
Apart from HoLEP, what other closed surgical methods are performed with laser?
It is among the topics that are curious about which of the “state of the art” methods in prostate surgeries are. New methods of prostate treatment are emerging every day. Apart from HoLEP, prostate surgery can be performed with TUR and Greenlight laser methods.
How is HoLEP different from closed techniques?
In operations performed with closed methods such as TUR and Greenlight, the prostate tissue cannot be completely removed. The remaining prostate tissue in these surgeries may enlarge over time and may cause similar complaints again after a while. In the HoLEP method, the risk of recurrence of the disease is almost non-existent.
Does the patient’s chronic diseases affect the HoLEP surgery?
Since HoLEP surgery is performed under anesthesia like other surgeries, it includes risk factors of anesthesia. However, it is safer than other techniques in people with chronic diseases, since the operation time is shorter and the amount of bleeding is less.
What is benign prostate enlargement?
Benign Prostatic Enlargement (BPH) is the enlargement of the prostate, which enlarges with age, obstructing the outlet of the bladder (urinary bag) that it surrounds and preventing the urine flow.
At what age is prostate enlargement most common?
Benign enlargement of the prostate in about half of men in their 50s and 60s; It causes problems with urination in 90 percent of men in the older age group. BPH is thought to be related to hormonal changes that occur in men with aging.
What are the symptoms of benign enlargement in the prostate?
Weak urine flow, intermittent urination, feeling of not being able to urinate completely, frequent urination, getting up to urinate at night, sudden urgency and blood in the urine are among the main symptoms of prostate enlargement.
What problems does the delay of the operation cause?
In cases of advanced and delayed intervention, serious problems such as kidney failure may occur, as well as the deterioration of the patient’s life comfort.
What methods are used to diagnose the disease?
While the examination of the prostate is important in the diagnosis of BPH, test and imaging methods such as Prostate Specific Antigen (PSA) test, urine flow test, measurement of the amount of urine remaining after voiding, ultrasonography and cystoscopy are used depending on the patient’s condition.
What treatments are used in benign prostate enlargement?
Benign prostate enlargement treatment methods are determined by the specialist physician according to the patient’s condition. Depending on the severity of the patient’s complaints, there are follow-up, drug treatments, interventional and surgical treatments. If the BPH symptoms are mild, they are followed up, if they are moderate, drugs and interventional methods are used, if they are advanced, open surgery and closed prostate laser surgery methods are applied.
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