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HoLEP vs. Other Prostate Procedures: Why It’s Considered the Gold Standard for Enlarged Prostate Treatment

November 09, 20244 min read

I was talking to a patient the other day who was frustrated with his options for treating his enlarged prostate, or BPH.

He’d heard about so many different treatments out there—HoLEP, TURP, GreenLight Laser—but was totally unsure what would be best for him.

And he’s not alone. BPH treatments are confusing, with every option promising relief. But some treatments? They’re simply more effective than others.

Which brings me to HoLEP (Holmium Laser Enucleation of the Prostate).

HoLEP isn’t just another prostate procedure. It’s the gold standard for a reason. And today, I want to break down why that is, by comparing it with other popular procedures: TURP and GreenLight Laser.


So, What’s HoLEP?

Here’s the gist: HoLEP uses a precise laser to completely remove the tissue in your prostate that’s blocking your urinary flow. Think of it like cleaning out a clogged pipe. The laser goes in, removes the obstructing tissue, and restores your normal flow.

Unlike other procedures, HoLEP doesn’t just “shave” or “vaporize” the tissue—it removes it entirely. And that makes a big difference in results.

Learn more about how HoLEP works and its benefits.


Comparing HoLEP and TURP

TURP (Transurethral Resection of the Prostate) has been around a long time, and it’s one of the most common BPH treatments. Here’s how it stacks up against HoLEP:

  1. How It Works

    • HoLEP: Uses a laser to fully remove the excess tissue, allowing for a more complete solution.

    • TURP: Shaves off pieces of the prostate tissue to open up space—but doesn’t remove it entirely. Over time, that leftover tissue can continue growing, which is why symptoms often return.

  2. Recovery Time and Bleeding

    • HoLEP: Has a lower risk of bleeding since the laser cauterizes as it removes tissue. This leads to a quicker, smoother recovery.

    • TURP: Higher bleeding risk, which means recovery can take longer—especially for men on blood thinners or with larger prostates.

  3. Best for Larger Prostates

    • HoLEP: Suitable for all sizes, including larger prostates. No limits here.

    • TURP: Works better for smaller or moderately enlarged prostates; larger ones? Not so much.

  4. Long-Term Results

    • HoLEP: Most men won’t need another procedure down the line.

    • TURP: Repeat procedures are more common since it doesn’t remove all the excess tissue.

In short? If you want a long-lasting solution, HoLEP tends to be more effective, especially if you have a larger prostate.

Find out if HoLEP could be the right choice for you.


Comparing HoLEP and GreenLight Laser Therapy

GreenLight Laser is another popular minimally invasive procedure, especially if bleeding is a concern. But here’s how it differs from HoLEP:

  1. How It Removes Tissue

    • HoLEP: Again, it removes the tissue. This means less chance of needing future procedures.

    • GreenLight Laser: Vaporizes tissue. It’s effective, but doesn’t remove it entirely, so some tissue can regrow over time, which might bring symptoms back.

  2. Recovery Time

    • HoLEP: Quick recovery, often just a few days, and most men can get back to their routine within a week.

    • GreenLight Laser: Has a similar recovery time but may require additional treatment if symptoms return.

  3. Effective for All Prostate Sizes?

    • HoLEP: Yep—no size limit.

    • GreenLight Laser: Typically works best for mild to moderate cases of BPH, and may not be as effective for significantly enlarged prostates.

Bottom Line? GreenLight Laser is a great option for some, especially if bleeding is a concern. But if you’re looking for a one-and-done procedure that’s effective for any prostate size, HoLEP often delivers longer-lasting results.


Why HoLEP Is Considered the Gold Standard for BPH Treatment

So why is HoLEP often seen as the “gold standard”? Here’s why it stands out:

  • Long-Term Solution: Removes the tissue entirely, reducing the risk of recurrence.

  • Works for All Sizes: Whether your prostate is moderately enlarged or significantly so, HoLEP is effective across the board.

  • Quick Recovery: With minimal bleeding, recovery is smooth and fast.

  • High Patient Satisfaction: Due to its lasting effects, men report high satisfaction and often avoid repeat procedures.


Is HoLEP the Right Treatment for You?

When it comes down to it, BPH treatment should fit your specific needs—whether that’s HoLEP, TURP, or GreenLight Laser. But if you’re looking for a long-lasting, effective option that works for any size prostate, HoLEP might just be your best choice.

If you’re experiencing frustrating symptoms from BPH, let’s find a solution that works. Mr. Campbell is an expert in advanced prostate treatments, including HoLEP, and can guide you through finding the right option for your needs.


Ready to Find Relief from BPH?
Take the first step to a better life with fewer bathroom trips, less frustration, and more freedom. Book an appointment with Mr. Campbell to discuss how HoLEP and other treatments can provide lasting relief.

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Mr. Angus Campbell is a highly experienced consultant urologist serving patients in Milton Keynes and Oxford. Specializing in prostate health, bladder conditions, and men’s fertility, Mr. Campbell offers personalized care and shares his expertise through informative articles to help patients make informed decisions about their urological health.

Mr Angus Campbell FRCS Urol

Mr. Angus Campbell is a highly experienced consultant urologist serving patients in Milton Keynes and Oxford. Specializing in prostate health, bladder conditions, and men’s fertility, Mr. Campbell offers personalized care and shares his expertise through informative articles to help patients make informed decisions about their urological health.

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