Benign prostate disease
Holmium laser enucleation — HoLEP
Updated: 3 October 2026
My pathway: before, during, after
01Indications
Treat benign obstruction, including selected large prostates, depending on expertise and individual needs.
02Preparation
Obstruction assessment, urine testing and anaesthetic review. Discuss ejaculation changes.
03What happens
A laser separates the adenoma; tissue is removed through the urethra and examined.
04Follow-up
Temporary catheter and flow review. Leakage or urgency can accompany recovery.
05Expected results
Often provides lasting relief; bladder function also influences the result.
06Risks and limitations
Retrograde ejaculation is common; temporary leakage, infection, bleeding or narrowing can occur.
Questions for your consultation
- Why this procedure rather than another option?
- What benefit should I expect in my case?
- When can I resume activities and whom should I contact if problems occur?
Medical references
These guides describe treatment options without implying that every technique is offered at the practice. Indications, anaesthesia and recovery are individualised.
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