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.

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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