Laser Procedure Offers Option for Enlarged Prostate

New and improving medical technology continues to create options for patients suffering from prostate issues.

One such solution is holmium laser enucleation of the prostate (HoLEP), a minimally invasive treatment for an enlarged prostate (also known as benign prostatic hyperplasia, or BPH). A common condition in men over age 40, BPH is an overgrowth of cells in the tissue surrounding the prostate that restricts its expansion, causing it to press against the urethra and impede urination.

HoLEP is specialized for patients with significantly enlarged prostates, typically more than 50 grams in size, and offers these advantages:

–  It’s less invasive than more traditional methods;
–  It’s a low risk procedure;
–  The benefits will endure, and studies show excellent short and long-term outcomes;
– The chance of subsequent erectile dysfunction is reduced;
–  It provides early, immediate symptom relief and a fast return to normal activity.

During HoLEP, a laser precisely removes the obstructing portion of the prostate, similar to open surgery but without the need for incisions. With the patient under general anesthesia, the entire portion of the prostate gland that’s blocking urine flow is removed. HoLEP is an in-hospital procedure with an overnight stay typically necessary.

In addition to immediately improving urinary symptoms, studies show HoLEP provides a lasting solution because there is nothing to grow back following the procedure.

As the only physician in greater Cincinnati with the training to perform the HoLEP procedure, I can speak to the benefits that it has provided my patients. It was my privilege to be trained by Dr. James Lingeman, who pioneered the procedure in U.S.

While HoLEP can be an effective alternative, it is not suitable for every situation. Patients with prostate issues should schedule a consultation with a urologist to determine treatment options and a plan.