HoLEP Prostate Surgery in London
HoLEP is a laser procedure for urinary symptoms caused by an enlarged prostate. It removes the prostate tissue that is blocking urine flow and may be suitable for men with larger prostates, as well as those seeking a durable treatment option.
Our consultant urologists can assess whether HoLEP is appropriate for you, explain how it compares with other prostate procedures and guide you through treatment and recovery.
What is HoLEP?
HoLEP stands for holmium laser enucleation of the prostate. It is a minimally invasive operation for benign prostatic hyperplasia, also known as BPH or an enlarged prostate.
As the prostate grows, it can narrow the urethra, the tube that carries urine from the bladder out of the body. This can cause symptoms such as a weak urine flow, difficulty starting, straining, frequent trips to the toilet or waking at night to pass urine.
During HoLEP, a holmium laser is passed through the urethra to separate the inner part of the enlarged prostate from its outer capsule. The tissue causing the blockage is then broken into smaller pieces and removed through the bladder.
As HoLEP removes the part of the prostate causing the obstruction, it can provide a long-lasting improvement in urine flow for suitable men. It may be considered across a range of prostate sizes, including larger glands that may not be suitable for some other procedures.
The operation is performed under anaesthetic. A catheter is usually needed for a short period afterwards. As with other procedures that remove prostate tissue, there can be risks and side effects, including changes to ejaculation. Your consultant will discuss these in relation to your circumstances.
How it works
HoLEP treats bladder outlet obstruction by removing the inner prostate tissue that is narrowing the urine channel.
Laser enucleation
A holmium laser separates the obstructing inner prostate tissue from the outer part of the prostate.
Tissue removal
The separated tissue is broken into smaller pieces and removed through the bladder during the same operation.
A durable treatment approach
By removing the tissue causing obstruction, HoLEP can provide a lasting treatment option. Individual outcomes and the need for any further treatment vary.
Who HoLEP surgery may suit
HoLEP may be considered for men who:
- Have troublesome urinary symptoms caused by an enlarged prostate
- Have a larger prostate or a prostate size suitable for complete tissue removal
- Have not had enough improvement with lifestyle measures or medication
- Would like to discuss a durable surgical treatment option
- Understand that prostate surgery can affect ejaculation
- Have been assessed as suitable by a consultant urologist
What to expect
- Assessment
Your consultant will review your symptoms, medical history, prostate size and general health. Tests may include a urine flow test, bladder scan, PSA test, examination and imaging where appropriate. - The procedure
HoLEP is carried out under anaesthetic. A laser is passed through the urethra to separate and remove the obstructing prostate tissue. There are no external incisions. - Recovery
A catheter is usually used for a short period after surgery. Some men may need a short hospital stay. Your consultant will explain the recovery plan, possible short-term urinary symptoms and follow-up arrangements.
Why choose The Forbury Clinic for HoLEP surgery in London?
Suitable for a range of prostate sizes
HoLEP can be considered for different prostate sizes, including larger prostates where other procedures may be less appropriate.
Laser treatment without an external incision
The procedure is performed through the urethra, using a holmium laser to remove obstructing prostate tissue.
A durable treatment option
HoLEP removes the part of the prostate causing the blockage. Your consultant will explain what this may mean for your symptoms and long-term care.
Consultant-led care in London
Your assessment, procedure and follow-up are led by a consultant urologist at The Forbury Clinic, 45 Queen Anne St, London W1G 9JF.
Frequently asked questions
Is HoLEP suitable for a large prostate?
HoLEP may be suitable for men with larger prostates, as well as for other prostate sizes. Your consultant will assess the size and shape of your prostate and discuss whether it is appropriate for you.
How long do HoLEP results last?
HoLEP removes the prostate tissue causing obstruction, so it is considered a durable treatment approach. However, individual outcomes vary and your consultant will discuss what you can reasonably expect.
Will HoLEP affect ejaculation?
HoLEP can cause retrograde ejaculation, where semen travels backwards into the bladder during orgasm rather than leaving through the penis. This is not harmful but can affect fertility. Your consultant will explain this and any other possible effects on sexual function before surgery.
Will I need to stay in hospital?
A catheter is usually required for a short period after HoLEP. Some men may need a short hospital stay, depending on their health, the procedure and their recovery. Your consultant will discuss what applies to you.
Is HoLEP better than TURP?
Neither procedure is right for every man. HoLEP may be particularly appropriate for larger prostates, while TURP remains a suitable treatment for many men. Your consultant will explain which options best match your prostate, symptoms and priorities.
How long does it take to recover from HoLEP?
Recovery differs between individuals. You may have temporary urinary symptoms, such as increased frequency or mild burning, while the area heals. Your consultant will provide specific advice about recovery, activity, work and follow-up.
Ask about HoLEP prostate surgery
If urinary symptoms from an enlarged prostate are affecting your daily life, a consultant assessment can help establish whether HoLEP or another treatment option may be appropriate.
- AppointmentBook a consultation
- Reception0118 920 7055
- Location
The Forbury Clinic London, 45 Queen Anne St, London, W1G 9J
