HoLEP (Laser prostate enucleation)

Holmium or thulium 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.

 

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

urologist, prostate surgeon, rezum, holep, urolift, bph, erectile dysfunction, prostate cancer

The laser device used by Dr Elmes is the Cyber Ho 100 – the revolution in 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

Watch the video below of Dr Elmes performing a HoLEP procedure 

© 2014-2019, Gold Coast Urologist, goldcoasturologist.com.au

Phone (07) 5575 7922

Fax (07) 5575 8922

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Varsity Lakes, Gold Coast, Australia