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Holmium laser treatment

Holmium laser enucleation of the prostate (HoLEP)

Holmium laser treatment, or HoLEP, is a minimally invasive procedure for benign (non-cancerous) prostate enlargement

About

Benign prostate enlargement, also known as benign prostatic hyperplasia, can obstruct the flow of urine from your bladder, making it difficult or uncomfortable to urinate. HoLEP is a specialised form of prostate surgery that uses a precise laser to remove excess tissue. Unlike other methods, it can be done on any size prostate.

Need to know

  • What happens icon plus

    The procedure is usually done under general anaesthetic, meaning you'll be asleep. Sometimes it can be done using a spinal epidural, so you'll be awake but numb from the waist down. Your surgeon will recommend the best approach for you. Your surgeon will guide a thin operating telescope called a laser resectoscope into your urethra (the tube that carries urine from your bladder). A precise laser is then used to remove the excess prostate tissue. A tissue sample will be taken to confirm no cancer cells are present in the tissue removed. Afterwards, your surgeon will put a catheter in place to drain urine from your bladder.
  • How to prepare icon plus

    Your consultant will explain the procedure to you and answer any questions you may have. If you'll be having general anaesthetic, they'll let you know how long you should avoid eating and drinking before surgery. Like all procedures, there may be some risks and side effects involved. Your consultant will explain these to you.
  • Afterwards icon plus

    You'll be cared for in hospital for up to two days while you recover from the procedure. The catheter will usually be removed the day after your surgery. You may have some pain or difficulty when passing urine for a few days after the procedure. Simple pain killers such as ibuprofen and paracetamol can help. You'll also be advised about pelvic floor exercises. It's important to drink at least two litres of water every day (a glass every hour). Your consultant will let you know when you can get back to your usual routine, including work or exercise. You should still continue to have regular prostate checks going forward.

Don't wait, pay for yourself

We offer this treatment at a fixed price at some of our facilities.
Consultant in theatres

Our consultants

We're proud to work with leading experts across a range of medical fields, whose skills are matched by their integrity and compassion.

Our locations

From complex surgery to straightforward procedures, we provide exceptional care across our network of hospitals, outpatient centres and specialist clinics.

  • facility-pgh-hero-579x579

    The Princess Grace Hospital

    42-52 Nottingham Place

    London W1U 5NY

    Appointments 020 3131 7216
    Enquiries 020 3130 6833

  • Wellington-south-hero-facility-582-582

    The Wellington Hospital

    Wellington Place

    London NW8 9LE

    Appointments 0207 483 5148
    Enquiries 020 3131 7478

  • London Bridge Hospital Facility

    London Bridge Hospital

    27 Tooley Street

    London

    SE1 2PR

    Appointments and Enquiries 020 7234 2009
    Imaging Appointments 020 7234 2773
    Switchboard 020 7407 3100

Request an appointment

We're happy to help you make an appointment with one of our experienced consultants.

This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.
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