HoLEP for benign enlarged prostate

HoLEP stands for Holmium Laser Enucleation of the Prostate. It is an incredibly effective, minimally invasive procedure to treat an Benign Prostate Hyperplasia (BPH).

BPH is the name for the condition that causes benign enlarged prostate. Hyperplasia means cells are growing in number, causing your prostate to get bigger. BPH is benign, which means non-cancerous, so it can’t spread.

The problems men face when they have BPH mostly affect the bladder and urination. When your prostate grows too large it presses can obstruct the flow of urine .

This image shows a normal prostate vs an enlarged prostate. The enlarged prostate is blocking the flow of urine from the bladder. 

Symptoms of BPH include…

  • Needing to urinate more urgently or more frequently
  • More frequent night urination (nocturia)
  • Finding it difficult to start urinating
  • Weak urination or stop/start urination
  • Dribbling at the end of urination
  • Feeling like you haven’t completely emptied  your bladder

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Frequently Asked Questions

How do I know if I need a HoLEP procedure?

If you are experiencing any of the symptoms described above, then it’s important that you see a specialist like Mr Penev who will assess your symptoms and be able to carry out examinations and diagnostics.

Because the symptoms of BPH and Prostate Cancer are so similar, it is essential that a thorough assessment and examination is carried out.

Usually Mr Penev will have a good idea upon examination of your prostate of the likelihood of your enlarged prostate being benign or cancerous, this is because they feel slightly different – prostate cancer tends to cause the edges of your prostate to be more bumpy or nodular, whereas BPH tends to be smooth.

Diagnostic scans and tests might include:

  • Digital rectal examination of your prostate
  • Blood test (PSA test that checks the amount of a certain antigen that’s higher if your prostate is enlarged)
  • Cystoscopy
  • Ultrasound
  • Prostate MRI (called an MPMRI)

Most cases of enlarged prostate are benign, and if yours is, Mr Penev will discuss the various treatment options with you, including whether or not the HoLEP procedure is a suitable option for you.

How does the HoLEP procedure work?

During the procedure, Mr Penev uses a highly precise and specialised laser to cut away the part of the prostate that is causing issues. Then, he uses a separate instrument to cut the prostate tissue into easily removable parts.

HoLEP is the most effective treatment for prostate obstruction. It requires zero incisions so is a very good alternative to open prostate surgery.

HoLEP also preserves removed tissue so that it can be sent for examination to ensure it’s benign.

Why is the HoLEP procedure better than alternatives?

The HoLEP procedure is the most effective treatment for BPH. It requires no incision, and patients can often go home the day after surgery. In comparison, open surgery carries a higher risk of infection, bleeding and complications. You’ll also need to stay in hospital for a minimum of two nights with open surgery.

Why choose Mr Penev for your HoLEP procedure?

Mr Penev is a highly trained and very experienced Consultant Urologist. He has performed the HoLEP procedure regularly since 2010. Mr Penev often performs up to 8 HoLEP procedures per week, resulting in around 650 procedures performed in 10 years.

Mr Penev is particularly experienced and adept at treating very large prostates, which requires even more skill and dedication.


Make an enquiry or book an appointment

If you have any questions or would like to book an appointment you can fill out the form below, or call us during office hours (Mon-Fri 9am-5pm) on 01622 538 185.