The HOLEP method is based on the principle of removing the enlarging lobes of the prostate from the capsule endoscopically with the aid of a laser device. Prostate tissues are thrown into the bladder with the manipulation of endoscopic instruments by entering the correct plane with the laser.
The surgical procedure is performed endoscopically under anesthesia. A 100-120 W holmium laser device is used in holep surgery. The process is done with a frequency of 20-50 Hz and an energy of 2-2.5 J. Bleeding that develops while the lobes of the prostate are stripped are controlled simultaneously. Two different techniques can be applied according to the size of the middle lobe. For those with large middle lobes, the method of removing three lobes is applied. In this method, the lateral lobes and the middle lobe are removed separately by scraping towards the bladder. In patients whose middle lobe is not large, the prostate is removed by laser scraping towards the bladder with the two-lobe technique.
Lobes thrown into the urine bag are crushed with the help of a special tool and taken out. After the procedure, the urine catheter, which will be kept for 2-3 days, is inserted and the washing water is inserted. Necessary supportive treatments are applied after the surgery.
After the HOLEP surgery, the patients are mobilized at the scheduled time and return to their daily life in a controlled manner after recovery in the clinic. Patients who urinate after catheter removal are discharged with recommendations and medications to be used. The patients who are discharged on the 3rd day after the operation come to the control with the result of pathology.