Prostate Resection

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Tel. 04 75 70 30 00

Urology Department: 
Secretariat (for consultations)
0033 (0)4 75 70 81 49

Out of opening hours:
Only in case of emergency
0033 (0)4 75 70 80 90


Acquisition of a Laser for Prostate Surgery

“La Parisière” Private Hospital is happy to inform you that a HoLEP Laser 100W for Prostate Surgery is now available.

This technique has been performed in English-speaking countries for 10 years and has proved widely effective and minimally invasive.

The hospital’s urologists are at your disposal for any further information about treatment indications and formalities.

Efficacy of HoLEP Laser treatment

A very effective treatment

etudeHolmium Laser Enucleation of the Prostate (HoLEP) is a treatment for enlarged prostates (benign prostatic hyperplasia).

It is used to perform total removal of the prostate adenoma, no matter how large, and avoids open surgery (adenomectomy) for larger prostates. Long-term results are quite good and show that HoLEP is even more effective than Photoselective Vaporization of the Prostate (PVP)

The risk of bleeding is reduced, which allows shorter hospitalisation. HoLEP is a reference for patients taking anticoagulants or antiplatelet agents.

** Randomized Trial comparing Holmium Laser Enucleation of the Prostate with Transurethral Resection of the Prostate for the Treatment of BPH Tan AH, Gilling P, et al. J Urol (Oct. 2003) 170:1270-1274

How is HoLEP treatment performed?

Patients treated by their urologist come in the day before the intervention, or on the same day in case of outpatient surgery. Beforehand, a consultation with an anaesthetist is required, together with a preoperative assessment. The intervention is performed under general or locoregional anaesthesia.

Before the intervention itself the 3 lobes of the adenoma, the urinary meatus in the bladder, the bladder neck, and the prostate apex are located.

Firstly, two incisions are made on each side of the median lobe for ablation and enucleation. The median lobe is then put into the bladder.

Secondly, the lateral lobes are dissected and enucleated (see the illustrations below) before being put in the bladder as well.

Thirdly, the lobes are chopped into small pieces with an instrument called a morcellator / aspirator. The fragments are then sent away for histological (tissue) analysis.

1 er tempsétape 2etape 3

Clinical follow-up

When back home, patients will be able to contact the hospital if need be. Activities will be resumed 24 to 48 hours after the intervention.

A consultation is scheduled with your urologist six weeks after the intervention so as to evaluate the final results of HoLEP laser surgery.

Adenoma regrowth rate is very low (< 2%).

Side effects may appear such as temporary stress urinary incontinence (< 1%) and risk of urethral stenosis (< 5%).


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