Leading the Way in Urological Care

HoLEP Laser Treatment for BPH at Precision Prostate Clinic

Our commitment to minimally invasive procedures and advanced technology ensures that our patients receive the highest quality care with the least amount of discomfort.

A World Leader in HoLEP Laser Technology

At Precision Prostate Clinic, we are proud to be pioneers in Holmium Laser Enucleation of the Prostate (HoLEP), a revolutionary treatment for Benign Prostatic Hyperplasia (BPH). Our team of highly skilled specialists leverages extensive experience and cutting-edge technology to deliver exceptional care, making us the leading center for HoLEP in Latin America.

Located in Guadalajara, Mexico, Precision Prostate Clinic is dedicated to providing world-class medical services with an unwavering focus on patient comfort and successful outcomes. Our commitment to excellence ensures that patients receive the highest standard of care in a welcoming and supportive environment where innovative treatments and compassionate attention.

Is HoLEP Right For You?

Precision Prostate Clinic is recognized as a world leader in HOLEP treatment, setting the standard for excellence in urological care. Led by Dr. Hugo De La Rosa, who is renowned for training physicians globally on the advanced techniques of HOLEP, Precision Prostate Clinic has successfully treated thousands of patients, delivering exceptional outcomes.

HoLEP is suitable for most men with moderate to severe BPH, especially those who have not found sufficient relief from medications or are seeking a more permanent solution. This procedure is particularly effective for those with larger prostates, offering a definitive treatment that removes the excess tissue causing urinary obstruction.

Unlike ongoing medication, HoLEP provides a one-time solution that can significantly improve urinary function and reduce the need for further interventions.However, it is essential to consult with a urologist to determine if HoLEP is the best option for your specific condition. A thorough evaluation, including a discussion of your medical history, current symptoms, and diagnostic tests, will help assess whether HoLEP is appropriate.

The Holep Process

What to Expect With the HoLEP Procedure

HoLEP involves the use of a high-powered holmium laser to precisely enucleate, or remove, the overgrown tissue of the prostate that is causing the blockage of urine flow. During the procedure, the surgeon uses the laser to carefully separate the enlarged prostate tissue from the surrounding prostate capsule. The excess tissue is then pushed into the bladder, where it is fragmented into smaller pieces with a morcellator and subsequently removed from the body.

1. Pre-Operative Preparations:

Consultation: Your journey begins with a thorough consultation with Uromin, where your medical history and symptoms are reviewed to ensure HOLEP is the right choice for you.

Pre-Surgery Instructions: You’ll receive specific guidelines to follow before surgery, such as fasting requirements and medication adjustments.

Pre-Operative Testing: Routine tests, like blood work and imaging, may be performed to assess your overall health.

2. El día de la cirugía:

Anestesia: HoLEP generalmente se realiza bajo anestesia general, lo que garantiza que estés completamente cómodo y sin dolor durante el procedimiento.

Duración del procedimiento: La cirugía suele durar entre 1 y 2 horas, dependiendo del tamaño de la próstata y la complejidad del caso.

El procedimiento: El equipo especializado de Uromin retira cuidadosamente el tejido prostático en exceso. El tejido eliminado se expulsa de la vejiga, proporcionando un alivio inmediato de la obstrucción.

3. Cuidados postoperatorios:

Sala de recuperación: Después del procedimiento, serás monitoreado en la sala de recuperación mientras la anestesia desaparece. La mayoría de los pacientes pueden regresar a casa el mismo día.

Atención de seguimiento: El equipo de Uromin te proporcionará instrucciones detalladas de cuidado postoperatorio, incluyendo pautas sobre los niveles de actividad, la hidratación y las citas de seguimiento para asegurar una recuperación óptima.
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After your HoLEP procedure

Recovery and postoperative care

Typical recovery timeline:

Immediate recovery: Most patients can go home within 24 hours after the HoLEP procedure. Some may need to stay overnight for observation.

First few days: It is common to experience mild discomfort, such as a burning sensation when urinating or a small amount of blood in the urine. These symptoms typically disappear within a few days.

1-2 weeks: Many patients can return to normal activities, including light work and non-strenuous exercises, within one or two weeks. However, full recovery may take between four and six weeks.

Postoperative care instructions

Activity Restrictions: Avoid lifting heavy objects, engaging in strenuous exercise, and any activity that could put strain on the pelvic area for at least two weeks. Gradually resume your regular activities as directed by the Precision Prostate Clinic team.

Hydration: Drink plenty of water to flush your urinary system and promote healing. This is especially important during the first few weeks after surgery.

Follow-up Appointments: You will have scheduled visits to monitor your recovery and ensure the procedure was successful. The Uromin team will assess your progress and address any concerns during these appointments.

Management of Possible Side Effects

Common Side Effects: Some patients may experience temporary incontinence, urinary frequency, or urgency. These symptoms generally improve as the body recovers.

When to Contact Precision Prostate Clinic: If you experience severe pain, heavy bleeding, or signs of infection such as fever, contact Precision Prostate Clinic immediately for guidance.

Long-Term Outlook: Most side effects are temporary and manageable, with significant improvements in urinary symptoms typically observed within the first few weeks after surgery.

Why Choose Us

Why Choose
Precision Prostate Clinic?

We Check All The Boxes

Expertise and Experience:

We are one of the world leaders in using and training other doctors in Holmium Laser Prostatic Enucleation (HoLEP) for the treatment of prostate conditions. Our team is composed of highly skilled specialists in urology, oncology, and radiotherapy.

Comprehensive Care:

Our multidisciplinary team collaborates to provide a full spectrum of prostate cancer treatments, from minimally invasive procedures to advanced surgical techniques.

Patient-Centered Approach:

We prioritize patient comfort, safety, and affordability. We understand that prostate cancer can cause significant discomfort, such as difficulty urinating, frequent nighttime urination, and painful urination. Our goal is to provide relief as quickly and comfortably as possible.

FAQ

Frequently Asked Questions About HoLEP

Is HoLEP Better Than TURP?

HoLEP (Holmium Laser Enucleation of the Prostate) and TURP (Transurethral Resection of the Prostate) are both effective treatments for an enlarged prostate, but HoLEP is often considered better for certain patients.

HoLEP is a minimally invasive procedure that uses a laser to remove the enlarged prostate tissue, making it particularly effective for larger prostates. It offers benefits like less bleeding, a shorter hospital stay, and quicker recovery compared to TURP.

Additionally, HoLEP has a lower risk of needing repeat procedures and provides more complete removal of prostate tissue, leading to better long-term results.

TURP, while effective, is better suited for moderate-sized prostates and may involve a longer recovery period and a higher risk of bleeding. The choice between HoLEP and TURP should be made in consultation with your healthcare provider, considering factors like the size of the prostate and overall health. Both procedures are effective, but HoLEP may offer advantages for many patients.

Can prostate regrow after a HoLEP?

After a HoLEP (Holmium Laser Enucleation of the Prostate) procedure, the prostate tissue that was removed does not regrow. HoLEP effectively removes the enlarged portion of the prostate (adenoma) that causes urinary symptoms, and because the procedure is thorough, it significantly reduces the chance of the prostate tissue growing back.

However, while the removed tissue does not regrow, the remaining prostate tissue can still undergo natural changes as a man ages. In rare cases, some men may experience a recurrence of symptoms years after the procedure, but the need for additional treatment is uncommon.

HoLEP is generally considered a long-term solution for relieving symptoms of benign prostatic hyperplasia (BPH), with most patients enjoying lasting results.

Is HoLEP a high risk surgery?

HoLEP (Holmium Laser Enucleation of the Prostate) is generally considered a low-risk surgery, especially when compared to more traditional surgical options for treating an enlarged prostate. The procedure is minimally invasive, and its use of laser technology allows for precise removal of prostate tissue with minimal bleeding, which reduces the risk of complications.

Most patients experience a relatively quick recovery with fewer side effects, such as reduced risks of urinary incontinence and erectile dysfunction, compared to other prostate surgeries.While no surgery is without risk, the overall risk profile of HoLEP is low. Potential risks, as with any surgery, include infection, bleeding, and temporary urinary symptoms.

However, these complications are generally rare and manageable. The success and safety of the procedure are also highly dependent on the experience of the surgeon. It's important to discuss your individual risk factors with your healthcare provider to determine if HoLEP is the right option for you.

Does HoLEP Remove the Entire Prostate?

No, HoLEP (Holmium Laser Enucleation of the Prostate) does not remove the entire prostate. Instead, it removes the enlarged portion of the prostate, known as the adenoma, which is causing urinary symptoms. The procedure involves using a laser to enucleate and remove this obstructive tissue, while leaving the outer capsule of the prostate intact.

By removing the adenoma, HoLEP effectively relieves symptoms associated with an enlarged prostate, such as difficulty urinating, without the need for complete prostate removal. This approach helps preserve important structures around the prostate, reducing the risk of side effects and allowing for a quicker recovery.

How many years does HoLEP last?

HoLEP (Holmium Laser Enucleation of the Prostate) is considered a durable and long-lasting treatment for an enlarged prostate. Studies have shown that the benefits of HoLEP can last for many years, with most patients experiencing significant and sustained symptom relief for 10 years or more after the procedure.

One of the key advantages of HoLEP is its ability to remove the obstructive prostate tissue completely, which minimizes the likelihood of needing repeat procedures. While individual results can vary, HoLEP is widely regarded as a highly effective long-term solution for managing the symptoms of benign prostatic hyperplasia (BPH). Regular follow-up with your healthcare provider is essential to monitor your condition and ensure lasting results.

What is the success rate of HoLEP surgery?

HoLEP (Holmium Laser Enucleation of the Prostate) surgery has a high success rate, with studies reporting that it effectively relieves symptoms of benign prostatic hyperplasia (BPH) in over 90% of patients. The procedure is particularly successful in reducing urinary symptoms, improving flow rates, and decreasing the need for further treatment.

HoLEP also has a low rate of complications, and patients typically experience a quick recovery with significant long-term benefits. The durability of symptom relief is another advantage, with many patients enjoying lasting results for 10 years or more after the procedure. Overall, HoLEP is considered one of the most effective and reliable surgical options for treating an enlarged prostate.