Is HoLEP surgery high-risk? : Make an informed decision

HoLEP surgery is an increasingly popular option for treating benign prostatic hyperplasia thanks to its minimally invasive approach and effective results. Many patients wonder if this laser procedure involves significant risks compared to other urological surgical techniques. HoLEP is considered a procedure with a low risk of serious complications for most patients..

Although safe in the vast majority of cases, some minor side effects such as bleeding, mild pain, or increased urinary frequency may occur, especially in older people or those with additional medical problems. In this blog, we will guide you and help you understand more about the risks associated with this procedure.

Key points

• HoLEP is an innovative and minimally invasive technique.
• The overall risk of serious complications is low.
• An individualized medical evaluation is recommended before surgery.

What is HoLEP surgery?

HoLEP surgery uses a laser to remove prostate tissue that blocks urinary flow in men with benign prostatic hyperplasia. This method can treat prostates of different sizes and offers a minimally invasive alternative to traditional surgeries.

Step-by-step procedure

• In the HoLEP procedure, the patient usually receives general or spinal anesthesia.
• Then, an endoscope is inserted through the urethra into the prostate, where a holmium laser is used to separate and remove the enlarged prostate tissue.
• The tissue disintegrates inside the bladder and is then removed using an instrument called a morcellator.

This process helps restore normal urinary flow and can shorten hospitalization time. Laser bleeding control and the use of an endoscopic technique reduce tissue trauma.

This allows for a faster recovery compared to open or traditional surgical methods.

Medical indication for HoLEP

HoLEP surgery is primarily indicated for men with benign prostatic hyperplasia (BPH) who experience moderate to severe urinary symptoms, such as difficulty initiating urination or weak urinary flow. It is also considered when other treatments haven't been effective.

This technique is suitable for large prostates, where other procedures may not be safe. Patients with recurrent urinary retention caused by BPH, frequent infections, or bladder stones may also benefit from the HoLEP procedure.

The decision to perform HoLEP is usually based on a detailed clinical evaluation, urinary function tests and imaging studies.

Risk Assessment in HoLEP Surgery

HoLEP is considered a safe and effective surgical option for benign prostatic hyperplasia, even in patients with comorbidities. However, the risk profile varies depending on individual conditions and perioperative management.

Major Risk Factors

Los risk factors in HoLEP they include: old age, heart disease, high blood pressure, diabetes and use of anticoagulants. The experience of the medical team also influences the risk of complications. Patients with very large prostates may face longer surgery.

It is noted that people with multiple comorbidities require more rigorous monitoring before and after the intervention. Pre-surgical evaluations, monitoring the general state of health, and adjustment of medications, such as anticoagulants, are essential steps to minimize risks.

Potential complications

The most reported complications in HoLEP include minor bleeding, urinary tract infection, and temporary presence of blood in the urine. In rare cases, urinary retention or injury to the urethra may occur, but these usually resolve with treatment.

The correct use of antibiotics can reduce the incidence of infections, and post-operative monitoring is key to detecting problems early. Comparatively speaking, the complication rate of HoLEP is lower than that of traditional surgeries such as transurethral resection.

Frequently Asked Questions

How long does it take to recover after HoLEP surgery?

Most patients recover within a few days to a week. It's common to resume normal activities after a few days, but full recovery may take a little longer depending on the individual condition.

What is the success rate of HoLEP surgery?

HoLEP has one of the highest success rates for the treatment of benign prostatic hyperplasia. A low rate of reintervention is reported and the results are usually long-lasting, comparable to those of simple prostatectomy.

What is the average age of patients who undergo HoLEP surgery?

Most patients who undergo HoLEP are over 60 years old. However, younger people with significant prostatic hyperplasia may also be candidates, depending on individual medical evaluation.

Security backed by experience

HoLEP surgery is a safe and effective procedure when performed in expert hands. In Precision Prostate Clinic, we combine advanced technology with extensive experience to minimize risks and maximize results.

Make decisions with reliable information and specialized medical support. We're here to help.