About Holmium Laser Enucleation of Prostrate
Key Highlights
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Gold standard for treating large prostate glands (BPH).Minimally invasive procedure with no external incision.Significantly reduced bleeding during surgery compared to traditional methods.Effective for patients on blood-thinning medications.Provides permanent tissue removal, leading to durable long-term results.Shorter catheterization time and hospital stay.liLower risk of requiring a repeat procedure in the future./li/ul
Who is this surgery for?
- Moderate to severe lower urinary tract symptoms (LUTS) due to BPH not relieved by medication.
- Recurrent urinary retention (inability to urinate).
- Recurrent urinary tract infections or bladder stones caused by BPH.
- Kidney damage (hydronephrosis) due to bladder outlet obstruction.
- Significant bleeding from the prostate (hematuria).
- Failure or intolerance to medications like alpha-blockers or 5-alpha reductase inhibitors.
- Very large prostate size, where other minimally invasive options are less effective.
How to prepare
- Complete a detailed medical evaluation, including urine flow tests and prostate imaging (ultrasound).
- Discuss all current medications with your urologist; blood thinners may need to be paused.
- Undergo pre-operative tests such as blood work, ECG, and sometimes a chest X-ray.
- Follow fasting instructions (typically no food or drink for 6-8 hours before surgery).
- Arrange for transportation home and for post-operative support during initial recovery.
- Inform the doctor of any allergies or recent illnesses.
Risks & possible complications
- Temporary burning or bleeding during urination.
- Risk of urinary tract infection.
- Temporary urinary incontinence (leakage), which usually improves with time and pelvic exercises.
- Retrograde ejaculation (dry orgasm) is common but not harmful.
- Rare risks include stricture (narrowing) of the urethra or bladder neck.
- Very rare risks include injury to surrounding structures or the need for a blood transfusion.
- As with any anesthesia, there are associated risks which your anesthesiologist will discuss.
Recovery & hospital stay
- Hospital stay is typically 1-2 days. A urinary catheter is usually removed before discharge or shortly after.
- Drink plenty of water (2-3 liters daily) to flush the bladder and reduce bleeding.
- Avoid strenuous activities, heavy lifting, and driving for 2-3 weeks.
- You may experience urgency, frequency, or mild blood in the urine for a few weeks; this is normal.
- Gradually resume light activities and walking. Most men return to non-strenuous work in 1-2 weeks.
- Attend all follow-up appointments with your urologist to monitor healing and urine flow.
- Full healing and stabilization of urinary symptoms can take 4-6 weeks.
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Typical hospital stay: 1-2 days
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Expected recovery time: 2-4 weeks
Frequently Asked Questions
If you are considering holmium laser enucleation of prostrate in India, these questions and answers can help you make a confident, informed decision.
Popular choices for holmium laser enucleation of prostrate in India include Miot Hospital Chennai, Kamineni Hospital LB Nagar, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, Manipal Hospital Dwarka, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform holmium laser enucleation of prostrate. MediFyr helps you compare urologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for holmium laser enucleation of prostrate compare across other countries where we have data.
Top hospitals for Holmium Laser Enucleation of Prostrate in India
These partner hospitals in India have dedicated urology teams and experience managing patients undergoing holmium laser enucleation of prostrate.
Ishaan Singh, a 62-year-old retired school...
Ishaan Singh, a 62-year-old retired school principal from Delhi, had always been active and disciplined. For three years, he battled increasingly frequent and urgent trips to the bathroom, which disrupted his morning walks and volunteer work. His sleep was shattered 4-5 times a night, leaving him perpetually exhausted. His urologist, Dr. Sharma, diagnosed a significantly enlarged prostate (BPH) and explained that Ishaan was a good candidate for HoLEP due to the gland's size and his overall good health. The minimally invasive nature of the laser procedure, with its lower bleeding risk, appealed to Ishaan. The surgery itself was smooth. While the initial recovery involved a catheter for a day and some burning with urination, Ishaan was home within 48 hours. Within two weeks, his urinary stream was stronger than it had been in a decade. The profound relief of uninterrupted sleep and the freedom to leave the house without mapping every bathroom location restored his confidence and zest for life. He felt a quiet gratitude for modern medicine that gave him back his dignity and active retirement.
Urologists for Holmium Laser Enucleation of Prostrate
Explore experienced urologists who regularly perform holmium laser enucleation of prostrate and provide pre- and post-operative care in India.
- 17 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 6 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 8 Years Experience
- Urologist
Miot Hospital Chennai, Chennai
- 26 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 20 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 17 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Yeshwanthpur, Bangalore
- 24 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Urologist
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Urologist
- 17 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 16 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Urologist
Manipal Hospital Whitefield, Bangalore
- 36 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 39 Years Experience
- Urologist
Manipal Hospital Old Airport Road, Bangalore
- 15 Years Experience
- Urologist
Manipal Hospital Patiala, Patiala
- 16 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Urologist
Manipal Hospital Mysore, Mysore