HoLEP is a laser operation for an enlarged prostate. Using a holmium laser passed through the urethra, the surgeon separates the entire inner part of the prostate, which is blocking urine flow, from its outer shell, just as the segments of an orange are peeled from the skin.

The freed tissue is pushed into the bladder, broken into small pieces and removed, and it can be sent to the laboratory for testing. No external cuts are made. HoLEP is performed under anaesthesia and is considered a leading option for laser urology and prostate treatment in Mumbai, as it can be used for prostates of almost any size.

How the Procedure Can Help

HoLEP removes obstructing tissue completely, which leads to long-lasting improvement in urine flow and a low chance of needing a repeat operation. It generally causes less bleeding than traditional surgery, allows a shorter catheter time and hospital stay, and provides tissue for pathology.

Risks and Considerations

Temporary urgency, burning, and mild urine leakage can occur in the first weeks while the bladder adjusts. Backward ejaculation is common, and urethral narrowing, urinary infection and, rarely, lasting leakage may occur. HoLEP requires specialised skills, so the results depend on the experience of the surgical team.