Holmium Laser Enucleation of the Prostate (HoLEP) Procedure | Q&A

Holmium laser enucleation of the prostate (HoLEP) is a method for treating benign prostatic hyperplasia, or BPH. Naren Nimmagadda, assistant professor of urology, explains the procedure, and answer common questions about who is a good candidate as well as what to expect with recovery. #HoLEP #JohnsHopkins #ProstateHyperplasia
For more information, visit hopkinsmedicine.org/health/conditions-and-diseases/benign-prostatic-hyperplasia-bph/prostate-holmium-laser-enucleation-holep.
Questions Answered
0:03 What is the HoLEP procedure?
0:44 Who is a good candidate for this procedure?
1:19 What are the benefits of HoLEP over other treatment options?
1:50 How is HoLEP Performed?
3:42 What are the side effects and recovery time for this procedure?
6:29 Why choose Johns Hopkins Medicine for this procedure?

[@davidthompson3136]

Thank you for posting this video. Tauranga Hospital in New Zealand is where this laser surgery has been developed, through a team of specialists. As a resident of Tauranga, it is a proud moment to see it benefitting so many men around the world. And thanks go to the surgeons who are dedicating their skills to the method. 👍😎🇳🇿✨

[@orangeguy3314]

I'm hoping to get my hoLEP in the next week at the VA hospital in Las Vegas. So, happy that the VA urology department in las vegas can do this hoLEP procedure. 😊

[@raymondgreen5261]

I had Holep 3yrs ago I am age 77 now. Back to normal like a young man.

[@00bikeboy]

What side effects have you experienced?

[@Peace2U-ec6es]

I had HoLEP two weeks ago at University of Michigan hospital in Ann Arbor. I looked at all the other options including Greenlight, ReZume, Urolift, and Artery embolization. Everything in this video clip is true. I'm blessed to have been able to receive this procedure.

[@williamgillette4086]

Had holep 18 mo. ago at Yale New Haven when i was 80 y/o. Worked for me. Got my life back.

[@pauldouglas8986]

I'm 74 and waiting to have Holap at Adenbrooks UK

[@user-eg1sw7kd6g]

I've heard from multiple sources, that there is an ejaculation preservation HOLEP. Basically they leave tissue untouched 1-2 cm from the verumontanum, area where your ejaculation ducts are located. The procedure has also been successful with TURP.

[@truthvenum5468]

can you send links or verify this? not being able to ejaculate normally frightens me greatly.

[@Rick-rw6xb]

The best thing I ever had done. IU Med Indianapolis.

[@bobabraham5060]

I had the HoLEP procedure 16 wks ago. While the operation was successful healing takes awhile. Three days in the hospital. Four weeks of bladder spasms and an additional four weeks of urgency. My symptoms cleared after 12 weeks. I have retrograde ejaculation. No big deal. All the tissue is gone. One benefit is that any precancerous tissue can be captured and tested. I don’t regret the decision.

[@gofukursef]

I had it back in 2021. The urinary incontinence was almost exactly 3 months (I'm was a fit 51 year old). 3 years in the quality of life is tremendous! As for retrograde ejaculation, I do not seem to have that, what I have is delayed emissions, which vary between 10-30 seconds after ejaculation. Yes, you can still catch an std and impregnate ladies.

[@MondaySkipper]

had it done in 2019 - excellent outcome

[@truthvenum5468]

do you ajaculate outward or inward?

[@silaslongshot941]

I've had two sessions of Urolift pins over the past 8 years or so. Now bladder / prostate / urethrae "locked up" while under sedation for a hernia repair, couldn't pee, now stuck with Foley bag. Probably have at least 10 pins in my prostate. How would this complicate this procedure?

[@sirus312]

Laser/cutting/staples of the prostate seems to be a no go from my research. Aquablation appears to be less 'aggressive' might be worth a look

[@silaslongshot941]

@@sirus312 Yes, have studied all the popular techniques. 'TURP', the oldest method just cuts away the inner tract of the prostate, leaves most of it there which can then grow back, and leaves a LOT of bleeding so must wear the Foley for about 10 days for some of that to heal. Laser vaporizes the tissue (along with my pins and strings) all the way to the "skin" of the prostate, cauterizing 99% of the bleeding, and I think no Foley. The Aquablation has no heat, erases the tissue, but I wonder what is done for the bleeding? 2nd step to cauterize? Also only center for that near me is about 60 miles away.

[@heartland96a]

When he says “it’s an enjoyable operation “ What does he mean?

[@silaslongshot941]

@@heartland96a Less agony than perhaps other procedures?

[@heartland96a]

@@silaslongshot941 OK I got it .