المقالات الطبية
Holmium Laser Enucleation of the Prostate HOLEP
Benign prostatic hyperplasia (BPH), commonly known as prostate enlargement, is a common health condition that affects many men as they age, especially after the age of 50. As the prostate gland enlarges, it can press against the urethra and lead to several uncomfortable urinary symptoms such as difficulty urinating, weak urine flow, and frequent nighttime urination.With the advancement of medical technology, modern surgical techniques have been developed to treat prostate enlargement more effectively and with fewer complications than traditional procedures. One of the most advanced and widely used techniques today is Holmium Laser Enucleation of the Prostate (HOLEP).
In Jordan, this advanced procedure is performed by Dr.Ahmad Shaaban, a specialist in urological surgery who utilizes modern technologies to help patients manage prostate enlargement and improve their quality of life.
What Is Holmium Laser Enucleation of the Prostate (HOLEP)?
HOLEP is a minimally invasive surgical procedure used to treat benign prostatic hyperplasia. The name HOLEP stands for Holmium Laser Enucleation of the Prostate, a technique that uses a specialized holmium laser to remove the enlarged prostate tissue.
During the procedure, a thin surgical scope is inserted through the urethra, which means no external incisions are required. The laser is then used to carefully separate the enlarged prostate tissue from the prostate capsule. Afterward, the removed tissue is fragmented inside the bladder and extracted using specialized medical instruments.
By removing the tissue that blocks the urinary pathway, the procedure helps restore normal urine flow and significantly reduce urinary symptoms.
Symptoms of Prostate Enlargement
Men with benign prostatic hyperplasia may experience several urinary symptoms that can affect daily life. Some of the most common symptoms include:
- Weak urine flow
- Difficulty starting urination
- Frequent urination, especially at night
- A feeling that the bladder is not fully empty
- Interrupted or stop-and-start urination
- Sudden or urgent need to urinate
If these symptoms persist or worsen, it is important to consult a urologist for proper evaluation and treatment.
Why Is HOLEP Considered an Advanced Treatment Option?
HOLEP has become one of the most advanced surgical treatments for benign prostate enlargement. It offers several advantages compared to many traditional surgical procedures.
Key Advantages of HOLEP
High precision
The laser allows surgeons to remove the enlarged tissue with a high degree of accuracy, improving urinary flow while preserving surrounding structures.
Reduced bleeding risk
The laser seals small blood vessels during the procedure, which significantly reduces the risk of bleeding.
Suitable for large prostates
Unlike some traditional treatments, HOLEP can effectively treat even very large prostate glands.
Shorter hospital stay
Many patients are able to leave the hospital within a short period after the procedure.
Faster recovery
Recovery time is typically shorter compared with conventional prostate surgery.
Long-lasting results
Because the enlarged tissue is completely removed, the results of the procedure are generally long-term.
How Is the HOLEP Procedure Performed?
The HOLEP procedure typically involves several steps:
- Anesthesia
The procedure is performed under general or spinal anesthesia. - Insertion of the surgical scope
A thin endoscopic instrument is inserted through the urethra to access the prostate. - Laser removal of enlarged tissue
The holmium laser is used to separate the enlarged prostate tissue from the prostate capsule. - Tissue fragmentation and removal
The removed tissue is fragmented inside the bladder and then extracted. - Temporary catheter placement
A urinary catheter may be placed temporarily to help the bladder recover after the procedure.
Dr. Ahmad Shaaban’s Experience with HOLEP
Dr. Ahmad Shaaban is a specialist in urology and minimally invasive urological procedures in Jordan. He focuses on modern treatment approaches for prostate diseases, including laser-based surgical techniques.
Before recommending surgery, Dr. Shaaban performs a comprehensive medical evaluation to understand the patient’s symptoms, overall health condition, and prostate size.
Common tests before the procedure
Patients may undergo several medical tests before the procedure, including:
- Physical examination of the prostate
- Urinalysis
- Prostate-specific antigen (PSA) blood test
- Urine flow study
- Ultrasound imaging of the prostate and bladder
These tests help determine the severity of prostate enlargement and guide the selection of the most appropriate treatment.
Tips After HOLEP Surgery
Following the procedure, patients are usually given several recommendations to support recovery and ensure the best results.
Common post-procedure advice includes:
- Drinking plenty of water
- Avoiding heavy lifting for several weeks
- Limiting strenuous physical activity temporarily
- Taking prescribed medications as directed
- Attending scheduled follow-up appointments
Following these instructions helps promote healing and reduces the risk of complications.
Frequently Asked Questions About HOLEP
Is the HOLEP procedure painful?
The procedure is performed under anesthesia, so patients do not feel pain during the surgery. Mild burning or discomfort during urination may occur for a short time after the procedure.
How long does the procedure take?
The procedure typically takes between one and two hours, depending on the size of the prostate.
When can patients return to normal activities?
Most patients can resume light daily activities within a few days, although strenuous activities should be avoided for a period recommended by the doctor.
Are the results permanent?
HOLEP generally provides long-lasting results because the enlarged prostate tissue causing the obstruction is removed.
Is the procedure suitable for older patients?
In many cases, HOLEP can be safely performed in older patients who experience bothersome urinary symptoms due to prostate enlargement. However, suitability is determined after a full medical evaluation by the physician.
References:
- https://prostatematters.co.nz/benign-prostatic-hyperplasia-bph/treatment-of-bph-turp/#:~:text=The%20chance%20of%20needing%20a,are%20found%20by%20doing%20HoLEP.
- https://prostatematters.co.nz/benign-prostatic-hyperplasia-bph/treatment-of-bph-turp/#:~:text=The%20chance%20of%20needing%20a,are%20found%20by%20doing%20HoLEP.