1 1 K E N D R I C K R O A D R E A D I N G
B E R K S H I R E
R G 1 5 D U
TEL: 0118 920 7040
1 0 H A R L E Y S T R E E T
M A R Y L E B O N E
L O N D O N
W 1 G 9 P F
The Specialist Surgeons at The Reading Urology Partnership are pleased to offer Holmium Laser Enucleation of Prostate (HoLEP) as an alternative to Transurethral Resection of the Prostate (TURP).
It is used to treat patients with urinary symptoms due to benign prostate enlargement (Benign Prostatic Hypertrophy, BPH).
Instead of using electrical energy, it uses a high-energy laser to remove the core of the prostate from inside the gland to create an open channel, whilst avoiding the muscles and nerves that are important to maintain urinary continence and erectile function. The surgical procedure is performed with a special endoscope passed through the urethra.
Holmium laser enucleation of the prostate (HoLEP) is particularly useful for larger prostates. It does remove more prostate tissue than a TURP would but with less chance of bleeding and a shorter recovery time. There is an added advantage of also doing vapourisation, resection or a combination of vapo-resection with the Holmium Laser.
HoLEP (Holmium laser enucleation of Prostate is the most advanced laser technique currently available and has been recommended by the National Institute of Clinical Excellence, NICE in its guidelines.
In contrast to Green Light laser Vapourisation of the prostate it has been rigorously evaluated in randomised trials. It is a size independent procedure suitable for any prostate in experienced hands, and highly effective at treating urinary retention.
The High Power Holmium Laser separates the central part of prostate from the surrounding fibrous covering (capsule) and this procedure is nearly bloodless as the laser beam when cuts the gland also seals the blood vessels. The separated part of the prostate is then pushed into urinary bladder and is cut into small pieces and sucked out by a special machine (Morcellator). The smaller pieces of the prostate are sent for biopsy to detect prostate cancer.
One of our leading Urology Consultants, Mr Sunil Kumar is very experienced with this procedure and has done close to 500 HoLEPs. Please see the tables below for his operative statistics and comparison between HoLEP and TURP procedures, along with some patient testimonials.
Please look at these external links for further information on PSA and Prostate Cancer:
Who is HoLEP suitable for?
HoLep is suitable for any man with a blockage of his urinary system.
What are the disadvantages / risks?
Please click here to read the detailed Patient Information sheet which explains the procedure in more detail.
How much does it cost?
There are fixed priced quotes available on request. Please contact us on 0118 920 7040.
Advantages of HoLEP (Holmium Laser) vs. TURP
Advantages of HoLEP (Holmium Laser) vs. Other Lasers (Greenlight, PVP, Thulium)
Call us on 0118 920 7040
Email us on [email protected]
Contact your GP and ask for referral to the Reading Urology Partnership
All consultations, investigations and treatments are covered by major insurance companies (depending on policy)
Self-funding initial consultation fee is £205. Follow up fees are £165. Consultation charges are exclusive of any tests and other investigations that the consultant may wish to carry out.
"I am very pleased with the HoLEP procedure I received under the care of Reading Urology Partnership. The examination carried out prior to the operation, along with a full explanation of the procedure and expected outcomes, was thorough. The operation was successful and normal healthy functions were regained in a matter of few days."
"In short, I consider the HoLEP to have been a complete success. I experienced minimal pain and discomfort, and although I found the after-effects visually disconcerting, they were exactly what I knew (and was told) to expect, and caused little discomfort or inconvenience, and they petered out after 4/5 weeks. I now urinate once (occasionally twice) a night, as against several times pre-HoLEP. There is no longer any annoying repeated urgency, day or night, and no leakage. The expected absence of ejaculate aside, sexual function is entirely unaffected."
"Prior to having my HoLEP operation my symptoms were gradually but definitely getting worse: frequent urgent urination, some loss of bladder control, some erectile disfunction.
Immediately after the operation I started to heal very quickly with little residual bleeding, then I seemed to have contracted an infection when the bleeding and soreness returned and I felt generally quite unwell. There was no infection detected in my urine test and so I put up with this for some 4 to 5 weeks. Eventually I was put on a course of antibiotics which cleared things up immediately and fully. I would advise anyone feeling ill to seek immediate treatment and not 'soldier on'.
Once the infection cleared I was feeling much better and three months after the operation I am fully recovered with none of the symptoms I had before the operation. I have a strong urine stream and very good control over it. I do not get up in the night now and have no accidents at all. Everything seems to be in very good condition, this is much better than I had hoped for as I am 65 years old."
"Mr. Kumar, the Urologist Surgeon, explained clearly the procedure for a HoLEP operation, and I was happy for him to proceed.
After the operation at Ther Berkshire Independent Hospital, he came to the ward to see me and I was happy to tell him, there were no after effects; the operation had been done with lasers and I felt fine. No incisions and no stitches.
Modern surgery is amazing. I was allowed to go home later in the day and within a few days, I was feeling so much better. Luckily there was no cancer present."
"I had been experiencing difficulties caused by an enlarged prostate which included needing to urinate frequently. I was referred to Mr Sunil Kumar at the Reading Urology Partnership and, following some tests, the HoLEP procedure was recommended and then undertaken. I spent one night in hospital and after a short period of recuperation, I have been able to enjoy life better and have regularly experienced a full night's sleep, something that I had feared might never again be possible. Mr Kumar was very attentive both before and after the procedure and explained it all very clearly to me; and it has worked out exactly as he predicted. I would have no hesitation in recommending a consultation with Mr Kumar to anyone who may be experiencing the sort of issues I have mentioned."