St. Anne Hospital in Piaseczno
661 300 313 (Mon to Fri, 8:00 a.m. to 5:00 p.m.)
HoLEP Holmium laser prostate surgery

Holmium Laser Enucleation for Prostate Adenoma is an endoscopic procedure performed through the ureter, in which the adenoma is removed by a laser.

Currently, the HoLEP procedure is more modern and safer than the traditional TURP/TURP&S/ PVP green laser treatments. In this procedure, an endoscope is inserted through the ureter and the prostate adenoma is enucleated from the prostatic capsule in entirety, pushed into the urinary bladder and then fragmented and removed by suction.

HOLEP

Laser enucleation of the prostate adenoma is most commonly used in the case of a weak urine stream, frequent urination, urgent pressure, waiting for urination and for bladder stones, urinary retention, and recurrent bladder infections. The procedure is performed during a two-day hospitalisation, under a general or spinal anaesthesia, so the patient feels no pain.  It is the only procedure that can be performed for patients with an adenoma of any size (30–400ml). After the procedure, the patients do not feel pain or ureter irritation, typical for TURP/TURP&S.

After the procedure a catheter is inserted into the bladder for at least 12 hours, and after its removal and urination, the patient is discharged home. After the procedure there are no problems with urination, or a sense of stinging or pressure typical for patients after the TURP/TURP&S procedures. Intraoperative and postoperative bleeding is minimal, and less than 0.1% patients require a blood transfusion. After a few days of recovery, the patient returns to work without any limitation. The HoLEP procedure in its most modern, MoLEP form, is a procedure for the prostate available only in hospitals equipped with lasers using Moses technology. It ensures a complete lack of post-procedure bleeding, and the procedure is performed in a very short time (less than 1 hour).

Advantages

When compared to other procedures for benign prostate hyperplasia, HoLEP is associated with a lower risk of complications and characterised by a higher effectiveness and outcome duration.

Effectiveness

The procedure reduces the risk of prostate adenoma recurrence to < 1.5% for 20 years, therefore, there will be no need to repeat the surgery. It can be performed for a prostate adenoma of any size.

Safety

HoLEP is performed with the latest holmium laser under strict control of an experienced urology specialist, in appropriate and comfortable conditions.

Quick recovery

After the treatment there is a minimal risk of bleeding, and the catheter is inserted for a very short time. Up to 24 hours after the procedure the patient is discharged home

Indications

Holmium Laser Enucleation for Prostate Adenoma is recommended for patients suffering from problems with urination, diseases (chronic prostatitis) or infections of the urinary system; HoLEP is particularly helpful for patients who do not want to take medicines for benign prostate hyperplasia for the rest of their lives. Frequently, these medicines are associated with numerous adverse effects, and their effectiveness is limited.

 

Indications include:

  • bladder outlet obstruction (weak stream, frequent urination, urgent pressure, retention, getting up at night to go to the toilet).
  • Bladder stones.
  • Recurrent infections in the urinary system.
  • Recurrent haematuria (post cancer-related causes are excluded).
  • Progressing renal failure.
  • Urinary retention requiring the use of a catheter in the bladder.
Contraindications

The most important and the most common contraindications for the HoLEP procedure are:

 

  • the patient’s bad health;
  • acute prostatitis;
  • active urinary tract infections.
  •  

The size of the prostate is not a contraindication for HoLEP.

 

The patients with prostatic cancer who did not qualify for the radical prostatectomy and are using a different treatment method, but who are qualified for surgical treatment, also do not have contraindications for this procedure.

Contraindications

The most important and the most common contraindications for the HoLEP procedure are:

 

  • the patient’s bad health;
  • acute prostatitis;
  • active urinary tract infections.
  •  

The size of the prostate is not a contraindication for HoLEP.

 

The patients with prostatic cancer who did not qualify for the radical prostatectomy and are using a different treatment method, but who are qualified for surgical treatment, also do not have contraindications for this procedure.

Cennik

Our consultant will contact you within 24 hours

and arrange the details and a date for the consultation.

Institution
Consultations
Intervention
Holep Treatment
140 zł
8 000 zł
Holep Treatment - a procedure performed by Dr. Sancho
140 zł
10 000 zł

The price list does not constitute a commercial offer as understood by Article 66.1 of the Civil Code, and is provided for informative purposes only. The provided prices are subject to change. We reserve the right to make changes. Please contact us to receive the actual price of the selected service. The price list is valid from August 2016.

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