×

HOW TO REGISTER

1 Click on login. Fill in your username & password.
2 OR Click on Don't have an account to create one.
3 Fill in the registration form.

If you still have problems, please let us know, by sending an email to info@kaus.co.ke Thank you!

OFFICE HOURS

Mon-Fri 8:00AM - 5:00PM

SIGN IN YOUR ACCOUNT TO HAVE ACCESS TO DIFFERENT FEATURES

CREATE AN ACCOUNT FORGOT YOUR PASSWORD?

FORGOT YOUR DETAILS?

AAH, WAIT, I REMEMBER NOW!

CREATE ACCOUNT

ALREADY HAVE AN ACCOUNT?

Kenya Association of Urological Surgeons

QUESTIONS? CALL: +254-726 830 732
  • SUPPORT
  • LOGIN
  • Home
  • About Us
    • Officials
    • Membership
  • Patients
    • Urological Conditions
  • News & Updates
  • Professionals
    • Urology Consumables
    • Urology Journals
    • Videos
    • Calendar
  • Upcoming Event
    • Conference Details
  • Past Events
  • Gallery
    • Urology Surgical Camp 2019
    • Conference Gallery 2018
    • Conference Gallery 2021
  • Contact Us
  • Home
  • Posts tagged "Holmium Laser Enucleation Of The Prostate"

Tag: Holmium Laser Enucleation Of The Prostate

Holmium Laser Enucleation Of The Prostate

Monday, 17 April 2017 by kaus

Holmium Laser Enucleation of the prostate (HoLEP) is a modern alternative to the standard Transurethral Resection of the Prostate (TURP) procedure for bladder outflow obstruction due to BPH. It requires a short period of hospitalisation and an anaesthetic. A catheter (a tube which drains the bladder) is also needed for 1-2 days until the urine clears. Patients are advised to take life quietly and to avoid straining or heavy lifting for four weeks after the surgery.

 

Who is it suitable for?

HoLEP can be performed on men of any age with urinary outflow obstruction caused by an enlarged prostate. It is particularly indicated in men with large prostates (over 60mls in size) and men on medications to thin the blood such as warfarin, aspirin or clopidogrel.

What are the advantages of HoLEP

There is no upper size limit of prostate that can be dis-obstructed – traditionally men with prostates over 100ml in size needed major open surgery

  • There is often less bleeding than after a TURP
  • Discharge is often quicker than after TURP at 1-2 days
  • The chance of recurrence requiring further surgery is very low
  • Unlike greenlight laser operations, large quantities of prostate tissue are sent for pathological analysis
  • The PSA generally drops to very low levels after HoLEP operations

How does it work?

The aim of HoLEP is to relieve pressure on the tube through which the urine drains (urethra) by anatomically enucleating the majority of excess benign prostate tissue. This is done under a general anaesthetic with the help of a telescopic camera inserted through the penis. The three lobes of the prostate that are cored out intact are pushed into the bladder before being sucked up (morcellated) by a special instrument inserted through the telescopic camera. The pieces are sent for laboratory analysis just in case they might be found to be cancerous. A catheter is placed into the bladder to drain the urine while the raw surface heals, then left in place for around 24 hours before being removed on the day of discharge from hospital. Sterile saline fluid is also irrigated into the bladder through the catheter to dilute any blood in the urine and prevent clots from forming.

It is normal to have some blood in the urine after this operation, so it is advisable to drink plenty of water for a few days while it clears. Clots are sometimes passed 10-14 days afterwards; again, this is part of the healing process.

Apart from this and the risk of infection that accompanies any operation or invasive procedure, the only significant side-effect is the near certainty that normal ejaculation will cease. This is because the contraction that occurs during orgasm may not completely block the entrance to the bladder once some tissue has been removed, and the semen will flow back into the bladder (“retrograde” or “dry” ejaculation) rather than out through the penis. This is not harmful, but it does mean that future fertility is greatly reduced. The procedure does not generally affect erectile function or continence, although the urinary symptoms may take a few weeks to settle down afterwards.

Credit: The Prostate Centre

Holmium Laser Enucleation Of The Prostate
Read more
  • Published in Prostate, Videos
No Comments

Recent Posts

  • Transurethral Resection (TUR) for Bladder Cancer

    Transurethral Resection (TUR) for Bladder Cance...
  • Holmium Laser Enucleation Of The Prostate

    Holmium Laser Enucleation of the prostate (HoLE...
  • Transurethral Resection of the Prostate (TURP)

    What is a transurethral resection of the prosta...
  • TURis Plasma Vaporization

    Where and what is the Prostate Gland? The Prost...
  • Urinary Incontinence

    Incontinence can be divided broadly into the fo...

Archives

  • April 2017
  • December 2016
  • August 2016
  • April 2016
  • August 2015
  • August 2014
  • September 2011

Categories

  • Bladder
  • Kidneys
  • News
  • Patients
  • Prostate
  • Videos

Useful links

Urological & Kidney Concerns
National Library of Medicine
International Society for Sexual and Impotence Research
Mayoclinic
International Continence Society

NEWSLETTER SIGNUP

By subscribing to our mailing list you will always be update with the latest news from us.

We never spam!

GET IN TOUCH

Tel: +254-20-2424159
Email: 'info@kaus.or.ke'
Kenya Association of Urological Surgeons
P.O. BOX 30270 - 00100,Nairobi, Kenya
Open in Google Maps
  • GET SOCIAL

© Kenya Association of Urological Surgeons. Design by Groundup Marketing.

TOP
X