HoLEP Surgery Newcastle
Holmium laser enucleation of the prostate, known as HoLEP, uses a laser to remove the obstructing inner tissue of an enlarged prostate. It offers durable results and is effective even for very large prostates.
What is HoLEP?
HoLEP stands for holmium laser enucleation of the prostate. It is a minimally invasive surgical treatment for benign prostatic hyperplasia, often called BPH. BPH is a non-cancerous enlargement of the prostate that can restrict urine flow.
During HoLEP, a holmium laser is passed through the urethra, the tube that carries urine out of the body. The laser separates and removes the enlarged inner portion of the prostate that is blocking the flow of urine. The outer layer of the prostate remains in place.
The removed tissue is then broken into smaller pieces and cleared from the bladder during the same procedure.
Because HoLEP removes the obstructing tissue completely, it provides durable symptom relief with a low likelihood of needing repeat treatment in the future.
A key advantage is that HoLEP works regardless of prostate size. It is particularly useful for men with very large prostates who might otherwise require open surgery.
The procedure is carried out under anaesthetic. A catheter is usually needed for a short period afterwards and a brief hospital stay may be required.
As with any procedure that removes prostate tissue, there are important considerations to discuss, including potential effects on ejaculation. Your consultant will explain the benefits and trade-offs clearly so you can make an informed decision.
How it works
HoLEP relieves bladder outlet obstruction by completely removing the enlarged inner portion of the prostate.
Laser enucleation
A holmium laser separates the obstructing inner tissue from the outer shell of the prostate with precision.
Tissue removal
The freed tissue is broken up within the bladder and removed during the same procedure.
Durable outcome
Because the obstructing tissue is fully removed rather than trimmed, symptom relief is long-lasting with a low chance of requiring further surgery.
Who HoLEP surgery may suit
HoLEP may be suitable for men who:
- Have significant urinary symptoms due to an enlarged prostate
- Have a large prostate that would benefit from complete tissue removal
- Want a durable long-term result
- Are prepared to consider potential effects on ejaculation
Assessment including symptom review, examination and imaging helps determine whether HoLEP is the most appropriate option.
What to expect
- Assessment
Your consultant will assess your symptoms, prostate size and overall health. Tests may include urine flow studies, blood tests and imaging. - The procedure
Under anaesthetic, the laser is used to separate and remove the obstructing prostate tissue through the urethra. There are no external incisions. - Recovery
A catheter is usually required for a short period. Some men stay in hospital overnight. Mild burning on passing urine and temporary urgency can occur while healing. Most men notice improved flow once recovery is underway. Follow-up ensures symptoms are improving and recovery is progressing as expected.
Why choose The Forbury Clinic for HoLEP surgery in Newcastle?
Effective at any prostate size
HoLEP is suitable for small, moderate and very large prostates.
Durable relief
Complete removal of obstructing tissue reduces the likelihood of needing repeat treatment.
Minimally invasive approach
The procedure achieves the results of open surgery through the urethra without an abdominal incision.
Consultant-led care
Assessment, surgery and follow-up are delivered by an experienced urologist.
Frequently asked questions
Is HoLEP suitable for a very large prostate?
Yes. One of its main advantages is that it works regardless of prostate size and is particularly effective for large glands.
How long do the results last?
Because the obstructing tissue is completely removed, results are long-lasting and the chance of needing further surgery is low.
Will it affect ejaculation?
Procedures that remove prostate tissue, including HoLEP, commonly affect ejaculation. Your consultant will explain what this means for you so you can weigh it carefully against the benefits.
Will I need to stay in hospital?
A catheter is usually needed for a short period and some men stay overnight. Your consultant will explain what to expect in your case.
Is HoLEP better than TURP?
Both procedures are effective. HoLEP is particularly advantageous for larger prostates and offers durable results. TURP remains suitable for many men. The right choice depends on your prostate size, symptoms and priorities.
How long does recovery take?
Most men recover over several weeks. Urinary symptoms often improve quickly, although mild irritation can occur during healing.
Book your urology consultation today
Consultations are available to book online for patients with or without a GP referral. Our private specialists provide world-class care in a discrete environment.
- AppointmentBook a consultation
- Reception01189207055
- Location
The Beverley Hospital, The Edge, Fifth Ave, Team Valley, Gateshead NE11 0XA
