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HoLEP Surgery in Chennai

HoLEP — Holmium Laser Enucleation of the Prostate — the gold standard for significant BPH. Precise, complete prostate tissue removal with fewer complications and faster recovery at Unittas Hospital.

Experienced Urologists Minimally Invasive Transparent Pricing Insurance Accepted

What is HoLEP?

Holmium Laser Enucleation of the Prostate (HoLEP) is an advanced, minimally invasive laser surgery for Benign Prostatic Hyperplasia (BPH). It uses a holmium laser to precisely enucleate (detach and remove) the obstructing prostate tissue in large lobes — allowing complete removal without external cuts. The tissue is then morcellated (pulverised) and extracted, restoring the normal urethral opening. HoLEP is highly effective for prostates of any size and is considered a gold standard for significant BPH.

Symptoms Indicating HoLEP Surgery

  • Frequent urination, particularly at night
  • Weak, slow, or interrupted urine stream
  • Straining to start or maintain urination
  • Sudden urgent need to urinate
  • Recurrent urinary infections or blood in urine

The HoLEP Procedure

Performed under general or spinal anaesthesia, usually 1–3 hours depending on prostate size:

  1. 1
    Scope Insertion: A scope is inserted through the urethra — no external cuts.
  2. 2
    Laser Enucleation: The holmium laser detaches the prostate lobes intact.
  3. 3
    Morcellation: A morcellator removes the tissue pieces from the bladder.
  4. 4
    Catheter Placement: Temporary catheter placed for 24–48 hours to aid healing.

HoLEP vs TURP: Key Differences

FactorHoLEPTURP
Prostate SizeAny size, especially largeModerate size preferred
Recurrence RateLower (more complete removal)Higher
BleedingMinimal (laser cauterises)More
Hospital Stay1–2 days1–3 days
Catheter Duration24–48 hours1–3 days

Recovery After HoLEP

  • Hospital stay: Often 1–2 days
  • Catheter removal: Usually 24–48 hours
  • Initial effects: Mild burning or blood in urine for a few weeks
  • Restrictions: Avoid heavy lifting for 4–6 weeks
  • Full benefits: Seen in 4–12 weeks

Cost at Unittas Hospital, Chennai

We offer transparent, affordable pricing with no hidden charges. Costs include the procedure, anaesthesia, and standard care.

Room TypeApproximate Cost (INR)
General Ward (Sharing Occupancy)₹1,00,000
Single Room Non AC Deluxe₹1,20,000
Single Room AC₹1,30,000

* Cost includes laser use, surgery, anaesthesia, hospital stay, and standard post-care.

Frequently Asked Questions

What makes the HoLEP procedure different from other prostate surgeries?

It completely removes prostate tissue in lobes using a laser, ideal for larger glands with less bleeding.

How long does HoLEP surgery usually take?

Typically 1–3 hours, based on prostate size.

Is HoLEP in Chennai suitable for very large prostates?

Yes, it is highly effective and often preferred for significantly enlarged glands.

Will I have a catheter after the HoLEP procedure?

Yes, usually for 24–48 hours to support initial healing.

When can I expect better urination after HoLEP surgery?

Many see improvement soon after catheter removal, with optimal results in weeks to months.

Is retrograde ejaculation a permanent HoLEP procedure side effect?

It is common and usually permanent but does not affect sexual pleasure or overall health.

Can medications be an alternative to HoLEP?

They help milder cases, but surgery like HoLEP is better for severe obstruction.

What restrictions apply during recovery from HoLEP?

Limit strenuous activity and heavy lifting for several weeks.

Is bleeding expected after HoLEP surgery?

Mild blood in urine is normal initially and typically clears up.

Does insurance often cover HoLEP in Chennai?

Many policies do. Confirm with your insurer and our team can assist with documentation.

Can a HoLEP procedure treat bladder stones too?

Yes, the laser can address them during the same operation if present.

How does HoLEP compare to TURP in terms of recurrence?

It has lower re-treatment rates due to more complete tissue removal.

Will HoLEP surgery impact erectile function?

It rarely affects erections, focusing only on obstructing tissue.

What follow-up is required after the HoLEP procedure?

Regular check-ups to monitor healing and symptom resolution.

Ready to Get Started?

Our expert urology team at Unittas Hospital is here to help. Book a consultation today.