BPH symptoms alone do not determine the procedure
Lower urinary tract symptoms can have several causes. Before surgery, the urologist should confirm that prostate obstruction is a major contributor and assess whether medication, another minimally invasive procedure or surgery is most appropriate.
How HoLEP works
HoLEP uses a holmium laser to enucleate obstructing prostate tissue through the urethra without an external incision. The removed tissue can be sent for histological examination.
What to clarify before treatment
Ask about the expected catheter time, hospital stay, bleeding risk, temporary urinary symptoms, continence, retrograde ejaculation and the likelihood of needing further BPH treatment later.
Records to prepare
A remote review is more useful with objective urinary information.
- Symptom history and previous medication trials
- Prostate volume from ultrasound or MRI if available
- PSA and relevant laboratory tests
- Urinary flow and residual urine measurements if performed
- History of urinary retention, infection or bladder stones
- Previous prostate procedures and anticoagulant medication
Official sources
Sources last checked 2026-08-29. Confirm current eligibility, procedure details and hospital requirements directly with the treating urology team.