Does HoLEP damage the urethra?

Does HoLEP damage the urethra?

However, HoLEP does carry a risk of postoperative complications, including urethral stricture, incontinence, erectile dysfunction (ED), retrograde ejaculation, and bladder neck contraction. The reported incidence of urethral stricture after HoLEP is 1.2–7.3%.

How long will HoLEP last?

Regarding durability, HoLEP is far and away the most durable minimally invasive procedure for the treatment of BPH. Several studies have followed HoLEP patients for between 5 and 10 years, with a re-operation rate of less than 1%.

How safe is HoLEP prostate surgery?

Conclusion: HoLEP is an effective and safe surgical modality for treating patients with BPH with minimal complications, suitable for any size of the prostate.

What are the side effects of HoLEP surgery?

The most common side effects include: Temporary burning and bleeding during urination. Some blood may be seen in the urine for weeks after surgery. This is usually not an indication of anything serious, only that the healing process is not yet finished.

Does prostate grow back after HoLEP?

Effective surgical option which would have cured him completely was to remove the enlarged prostate. Five years ago, before the advent of newer procedures like laser, HoLEP and others, the conventional method was done and a sizeable portion of the prostate was left behind. Re-growth is possible in three to five years.

How much of the prostate is removed with HoLEP?

HoLEP can treat any size prostate gland and is so effective that retreatment rates are less than two percent. It leads to fast symptom relief with limited swelling and minimal to no pain when voiding. Patients can often be discharged from the hospital the next day and may quickly return to normal activities.

How long does it take to recover from HoLEP?

How long is the healing process? Most patients need at least one to two weeks of rest at home before they can return to work. Some patients may require three to four weeks of recovery time before going back to work, especially if the job is physically strenuous.

How long does incontinence last after HoLEP?

PHILADELPHIA—Most men who experience transient stress urinary incontinence (SUI) following holmium laser enucleation of the prostate (HoLEP) recover full bladder control within the first 6 weeks after the procedure, according to study findings presented at the International Continence Society’s 2018 annual meeting.

How common is incontinence after HoLEP?

3 One of the most common complications following HoLEP is urinary incontinence. A large number of patients, up to 43%, have some degree of urinary incontinence 1 month after surgery, with the majority, 86%, having pure stress urinary incontinence.