#BPH #Prostate #dradityaurologist The HoLEP approach has sev
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#Prostate
#dradityaurologist
The HoLEP approach has several advantages over other surgical approaches. It can be used in prostates of any size; it also has a much lower retreatment rate compared with TURP—0.1% to 1% for HoLEP versus 6% to 10% with TURP. The chance for erectile dysfunction is zero with HoLEP.

With HoLEP, the penetration depth of the laser is 0.4 mm. The nerve that is responsible for erections goes outside the prostate capsule and the laser energy never reaches the depth of the nerve, so there’s less erectile dysfunction after surgery.
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The recovery time with HoLEP is shorter than other modalities; some patients go home the same day, and others only have an overnight hospital stay - both options shorten the amount of time a patient uses a catheter.

Another advantage with HoLEP is less bleeding; in fact, most patients can continue blood thinners when they have to get the procedure done.

Randomized controlled trials have found that HoLEP is more efficient and has fewer side effects than other approaches.

Patients who search for BPH treatments online may come across treatment with a green light laser. Although both HoLEP and the green light laser go through the urethra, the latter only ablates the tissue, and there is no tissue available for pathology exam.

Another problem is the high retreatment rate with the green light in the rate of at least 15% in larger prostates

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