HoLEP is recommended for men with significant urinary symptoms or very large prostates.
A laser is used to remove the obstructing prostate tissue completely, providing long-term relief with a low risk of bleeding. It is suitable for men on blood thinners and those with urinary retention.
What to Expect on the Day
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Performed under general or spinal anaesthetic.
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A telescope is passed through the urethra (no external cuts).
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Laser energy separates and removes the enlarged prostate tissue.
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A catheter is placed overnight to allow the bladder to drain.
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Most men stay one night in hospital.
After the Procedure
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Temporary burning, urgency, or blood-tinged urine is common.
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Most men return to normal activities within 1–2 weeks.
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Flow improves rapidly and continues to strengthen over time.
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Erectile function is usually preserved; retrograde ejaculation is common.
After the Procedure
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Temporary burning, urgency, or blood-tinged urine is common.
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Most men return to normal activities within 1–2 weeks.
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Flow improves rapidly and continues to strengthen over time.
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Erectile function is usually preserved; retrograde ejaculation is common.
Why Choose London Urology Collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.
Consultant led care throughout
Subspecialist expertise
Rapid access to care
Clear and transparent fees
Convenient London locations
When to Seek Specialist Advice
You may benefit from a consultation if you experience:
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Persistent urinary symptoms
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Blood in the urine
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Recurrent infections
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Pain in the kidney, bladder, or testicular region
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Changes in urinary flow or control
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Concerns relating to prostate or men’s health
Early assessment can provide reassurance and allow timely treatment where needed.
Why Choose The London Urology collective
We combine leading clinical experience with up-to-date knowledge of both established and innovative therapies. All treatment options are discussed clearly, allowing you to make an informed choice that best fits your needs and long-term health.