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HoLEP (Laser Prostate Enucleation)

Offering all Advanced Minimally Invasive Prostate Surgeries for Patients

Holmium Laser Enucleation is the state of the art, platinum standard of treatment for an enlarged and obstructing prostate. It is minimally invasive and follows the exact anatomical planes within a prostate with ultimate precision allowing complete resection of all adenoma (obstructing tissue) whilst preserving the outer capsule, erectile nerves and urethral sphincter. Dr Elmes is highly trained and skilled in the HoLEP technique and he continues to mentor and train other Urological Surgeons across Australia to ensure this advanced and highly successful procedure is readily available for men.

Its short and longterm outcomes are superior to those associated with TURP:


  • less bleeding

  • lower chance of erectile dysfunction or incontinence

  • same maximal flow rate and urinary symptom improvement

  • minimal reoperation rate


and superior to greenlight (side firing) laser:


  • Importantly allows sampling of tissue to look for cancer

  • same low blood loss

  • lower chance of incontinence

  • greater improvement in flow rates and urinary symptoms

  • lower reoperation rate


Dr Elmes recommends HoLEP for all his patients with moderately to severely bothersome symptomatic BPH that have:


  • failed or do not wish to have medical therapy

  • are willing to tolerate retrograde ejaculation

  • that do not wish to undergo the older style TURP or re-bore

See the before and after effects of HoLEP

laser prostate sugery
Laser prostate surgery
Laser prostate surgery

HoLEP patient story

HoLEP post UroLift 

turp, holep, prostate surgery, urologist gold coast, robotic prostatectomy

The laser device used by Dr Elmes is the Cyber Ho 100 – the advanced HoLEP surgery.


The Cyber Ho Holmium laser brings outstanding innovation for the treatment of BPH (Benign Prostatic Hyperplasia), with high effectiveness, safety and durability.


Key features include;

  • FAST CUTTING - The limited depth of penetration, together with the fast tissue incision, results in precise cut without affecting surrounding tissues

  • RELIABILITY – clinical outcomes of HoLEP have been widely investigated, with many clinical studies demonstrating its safety and effectiveness also in the long run

  • SIZE INDEPENDENT – HoLEP overcome the limitations affecting other BPH techniques regarding prostate size

  • EFFECTIVE HEMOSTASIS – the Holmium radiation is highly absorbed by water, allowing quick coagulation of bleedings

  • HIGH POWER – Up to 105 W output, for fast quick incision, cutting down treatment time

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