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Traitement de l'hyperplasie bénigne de la prostate pour les hommes canadiens

HoLEP

Holmium laser enucleation of the prostate (HoLEP) is a minimally invasive treatment for an enlarged prostate caused by BPH. This procedure involves using a laser to remove the entire portion of the prostate that can block the flow of urine.
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How Does it Work?

The holmium laser has been found to be effective in performing several different urological surgeries.
For HoLEP, it is used to cut and remove the parts of the prostate tissue that is blocking the flow of urine.

Procedure

There are several steps to complete prior to the actual procedure.

So you can get back in the game quickly. No need to be in the hospital. And no need to continue taking BPH medications.

Before the Procedure

Firstly, your doctor will conduct a preoperative work-up, which includes a physical examination to determine the severity of your symptoms, a digital rectal exam, a measure of urinary flow rate, and a test to see how much urine remains in the bladder after urinating - these tests will help your doctor identify the level of obstruction in the urinary tract.

Next, a transrectal ultrasound may be performed to measure the amount of enlargement in the prostate gland. This will help your doctor determine how much time will be required to perform the surgery. The larger the size of the enlarged prostate, the more surgery time is needed.

During the Procedure

Before the procedure begins, you will be given general anesthesia and an injection of antibiotics to reduce the risk of getting an infection. Next, a resectoscope (telescopic camera) is inserted through the urethra, which allows your doctor to view the internal structure of your prostate gland, and lets them see where the incisions are going to be made during the surgery.

The holmium laser is then inserted into the resectoscope and is used to free up the enlarged prostate tissue from the outer shell. Once this excessive tissue is deposited into the bladder, the laser is removed and a morcellator is inserted to suction out the remaining tissue. Finally, the resectoscope is removed and a urinary catheter is put in place.

After the Procedure

After the operation is complete, you will be required to remain in the hospital overnight for observation to ensure that everything is okay. It is normal to experience light bleeding from the prostate within the next 12 hours.

If there is no excessive bleeding, the catheter will be removed the morning after the surgery. If you are able to urinate normally without any issues, then you will be allowed to return home without the catheter. However, if you are unable to urinate, then the catheter will be put into place again and will be removed the following week.

surgical procedures for quick relief from BPH symptoms for men in Montreal

Duration

The HoLEP procedure generally takes around 1 hour to complete. Patients typically require an overnight stay after the surgery.

Recovery

Within a couple of days following the procedure, it is normal to experience pain when passing urine. Medications may be used to relieve these symptoms until improvements are made. Patients are highly encouraged to drink a large amount of fluids once the catheter is removed. This will help clear the urine of any blood.

Following the procedure, patients will be seen by the doctor to monitor their recovery process and to repeat certain tests, such as urinary flow rate, symptom score, and bladder scan. These are conducted to determine the effectiveness of the surgery. Patients are generally seen at six weeks and six months after the procedure.

Effective BPH symptom relief with minimally invasive and low risk treatments.

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Risks

There are several risks involved with HoLEP.

These can include developing injuries to the urethra, the bladder, or the capsule of the prostate.

Other risks include infection in the bladder, testes, or kidneys, development of scar tissue, or a need for a blood transfusion due to excessive bleeding. In very rare cases, the return of urinary obstruction will require patients to undergo another operation.

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