Everything You Need to Know About HoLEP for Enlarged Prostate
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- Опубликовано: 27 июл 2024
- Holmium Laser Enucleation of the Prostate (HoLEP) is a revolutionary procedure for severely enlarged prostates (also known as BPH). Dr. Lawrence “Law” Tsai is one of a handful of urologists in the country trained in HoLEP. Here, he and Austin urologist Dr. Koushik Shaw discuss this unique BPH treatment.
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I had this procedure done at UofM hospital in Ann Arbor, MI 5 weeks ago. It's the best treatment for advanced cases of BPH. Forget the rest. If you can get this done, you're very fortunate.
Great explanation, I had my procedure done almost two months ago, all is going great! Would highly recommend it.
So grateful for Dr Sobol!!
I'm getting ready to have the procedure at a well-known teaching hospital. Dr. Tsai has done the best job yet explaining the HOLep to moderately educated men. The Dr. answered a ton of questions very well. It's obvious he enjoys making life a lot better for men with BPH.
And what is the pain level and duration,and recovery time?
I am having this done next month and you literally answered all my questions. Thank you.
I have had the procedure. It is now week 5 since the operation. I still have some pain. Burning at tip. Hopefully it will be good soon. The recovery period is certainly not as quick as seen on the many videos out there.
I've heard from multiple sources, that there is an ejaculation preservation HOLEP. Basically they leave tissue untouched 1-2 cm from the verumontanum, area where your ejaculation ducts are located. The procedure has also been successful with TURP.
I'm going to get holep done next month at the VA hospital in Las Vegas. Dr. El-Jack is the doctor doing the procedure and has done tons of the holeps and is teaching other doctors. Drugs wasn't working for me. My prostate was also a size 75.
WOW! This is a great video! This is reassuring and very helpful. Thank You
A ready wonderful interview and reassuring discussion. I am definitely interested to follow up .
Awesome vid. Here we go..Thanks
Excellent presentation!!
Very informative.
Thanks for the informative video. I had the green light laser treatment four years ago and the results were awesome. Now, I'm having to wake up every hour at night to urinate. I will be seeing my urologist next month and it will be interesting to see what she recommends. She does about 250 green light laser treatments a year.
You forgot to mention checks on removed tissue for cancer. I would say that is a key feature
Can HOLEP just eliminate an enlarged median lobe only?
Can you do the HoLEP on a damaged prostate from radiation damage from cancer treatment? Was told too much radiation in the area cannot be disturbed.
One more question,is it conceivable that irritable bowel around the prostate area,with inflammation, and symptoms are intensified after a bowel movement could be causing the prostate to cramp.Because I've noticed when my,bowels are calm,and bowel movement is normal,no diarrhea, the pain level is much lower,and it's much easier to urinate.also could some type of parasites be an issue?
Can this procedure be done on a mild prostate, with chronic urinary retention?
I have a HoLEP procedure scheduled at Upstate Urology in Syracuse NY in six days. I found Dr. Tsai's discussion to be enlightening and reassuring. I plan on updating my comments post HoLEP. BTW are Gummy Bears typically accepted as payment for this procedure?
Let us know how it goes! If your insurance plan accepts gummies for your co-pay, you should be fine.
I guess the gummy bears was a deal breaker
You never mentioned severe pain when starting to urinate.or inflammation of the prostate.
After holep I never had pain after. There was some blood in the urine for about a week. I leaked and needed to wear a brief for about 6 months especially at night . 16 months post operation I pee like a 25 year old and no problems.
I said no pain. Not quite right. No pain after the irrigation catheter out. It is very uncomfortable. Feels like you have a trailer hitch ball stuck up your rear end.
Mine done at Yale New Haven. Great care.
I was just in for check up. Doctor told me he was up to 900 holep procedures done to date.
Is there a maximum age for this surgery?. My dad is 92 and in excellent health and very fit but had lived with BPH for 30 years and goes to bathroom several times at night. He’s from a generation that doesn’t complain and therefore never did anything for it. But since I have his genes I am sure at some point I will inherit his BPH and nice to know this procedure is gaining ground.
There are quite a few different treatments for BPH and incontinence, from surgeries to less invasive procedures to medication. If your father wants to talk about options, he could schedule a video or in-person appointment with us (austinurologyinstitute.com/contact/) and if you start to notice symptoms, we can talk about your options.
@@Austinurologyinstitute thank you !
Thanks much for a great discussion on the HOLEP Procedure. One additional Question if I may please. If you have a HOLEP procedure and happen to have undiagnosed cancer in the samples taken at surgery or if you Develop cancer of prostate later sometime -- Can you still get a Radial Prostatectomy done at that point? Having a HOLEP does Not preclude you from getting a Radial Prostatectomy at some later time if in the unlikely diagnosis of prostate cancer comes along?@@Austinurologyinstitute
Can you remove the prostate completely and is so what does it affect, or functions do you loose? Thank you in advance
That would be a prostatectomy, which is reserved for prostate cancer treatment. You can learn more about it, including the side effects, here: austinurologyinstitute.com/prostatectomy/
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What is the answer on this question? I cant see is. I want to know it too
Sad I was told I have and Enlarged Prostate and I was surprised because I'm barely 21.
Question please anyone,, after Holep does your PSA lower??...
Yes… 7 to 1.7
I had it done 3 years ago and now have arousal incontinence. Not good. 2 urologist: no known cure. Consider this before you get the procedure.
I have read that not all Urologists are trained in hoLEP and of those who are, a patient should expect his Dr has completed "50-60" procedures in order to have transited the "learning curve". Hence, I don't want to be one of the 50-60...This video suggest 100=150 procedures in order for the Dr. to "be comfortable" in hoLEP.
I have listened to several Dr’s talk about Holep and they have all said its a great procedure for all size prostates. Yet you are saying large and extra large
Why would anyone do Holep when aquablation is clearly superior?
I was told that aquablation only good for 5 years+ whereas Holep is permanent fix
If aquablation is done with 2 passes as it is done by the European Urological then it will probably last the rest of our lives.