Holmium laser treatment of prostate gland
Holmium Laser Enucleation of Prostate
It has been over two decades that various forms of laser generators have been used to ablate the obstructing prostatic adenoma. However in last 5 years two such modalities have gained stability while others have largely failed to survive.
Holmium Laser enucleation of Prostate (HOLEP) involves high power (100 watts) laser energy generated using Holmium Yag medium to be delivered through an end firing contact probe. By moving this probe all around the adenoma it can be enucleated and dropped into the urinary bladder, where it could be morcellated and sucked out piecemeal. The probe works like the finger of a surgeon performing open prostatectomy.
Holmium Laser Enucleation of prostate ( HoLEP) in BPH more than 200gms
As presented in the Annual conference of North Zone Urological Society of India (2009)
Introduction : Innovations in technology have resulted in better treatment outcomes. One such technological advancement is development of high power Holmium Laser which has been successfully utilized in the treatment of Benign Hyperplasia of Prostate (BPH). Unlike Photo selective vaporization, size of the prostate gland does not preclude the use of Holmium laser for surgical treatment of BPH.
Results and Conclusions : All patients had uneventful recovery. Blood transfusion was required in the first 2 cases only. Transient stress incontinence occurred in the first two cases, and urinary tract infection occurred in two cases. Significant improvement in the IPSS score was documented in all cases. The clinical outcome was comparable to other series reported in the literature. HoLEP is a safe and effective modality of treatment for obstructive BPH in large sized prostate glands.