Bipolar "en bloc" enucleation of the prostate with plasma oval button by Dr. Rijo
It requires a short period of hospitalisation and an anaesthetic. A catheter a tube which drains the bladder is also needed for days until the urine clears. Patients are advised to take TUEB Prostata quietly and to avoid straining or heavy lifting for four weeks after the surgery. HoLEP can be performed on men of any age with urinary outflow obstruction caused by an enlarged prostate. It is particularly indicated in men with large prostates over 60mls in size and men TUEB Prostata medications to thin the blood such as warfarin, aspirin or clopidogrel.
The aim of HoLEP is to relieve pressure on the tube through which the urine drains urethra by anatomically enucleating the majority of excess benign prostate tissue. This is done under a general anaesthetic with the help of a telescopic camera inserted through the penis. The three lobes of the prostate that are cored out intact are pushed into the bladder before being sucked up morcellated by a special instrument inserted through TUEB Prostata telescopic camera.
TUEB Prostata pieces are sent for laboratory analysis just in case they might be found to be cancerous. A catheter is placed into the bladder to drain the urine while the raw surface heals, then left TUEB Prostata place for around 24 hours before being removed on the TUEB Prostata of discharge TUEB Prostata hospital.
Sterile saline fluid is also irrigated into the bladder through the catheter to dilute any blood in the urine and prevent clots from forming. It is normal to have some blood in the urine after this operation, so it is advisable to drink plenty of water for a few days while it clears. Clots are sometimes passed days afterwards; again, this is part of the healing process. Apart from this and the TUEB Prostata of infection that accompanies any operation or invasive procedure, the only significant side-effect is the near certainty that normal ejaculation will cease.
This is not harmful, but it does mean that future fertility is greatly reduced. The procedure does not generally affect erectile function or continence, although the urinary symptoms may take a TUEB Prostata weeks to TUEB Prostata down afterwards. Mr Challacombe has personally carried out over of these procedures.
We recommend that you discuss the potential shortfall with us before deciding to go ahead. Mr Ben Challacombe is available on Thursday mornings.
Please telephone our Patient Liaison team for an appointment on or complete our online form. Appointments Contact. Who is it TUEB Prostata for? What are the advantages of HoLEP There is no upper size limit of prostate that can be dis-obstructed — traditionally men with prostates over ml in size needed major TUEB Prostata surgery There is often less bleeding than after a TURP Discharge is often quicker than after TURP at TUEB Prostata The chance of recurrence TUEB Prostata further surgery is very low Unlike greenlight laser operations, large quantities of prostate tissue are sent for pathological analysis The PSA generally drops to very low levels after HoLEP operations What are the disadvantages of HoLEP?
The procedure takes slightly longer than a TURP and requires specialist training. How does it work? Where is it done? How much does it cost? How can I make an appointment?