{"id":3534,"date":"2021-08-13T08:00:00","date_gmt":"2021-08-13T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3534"},"modified":"2026-08-15T00:21:22","modified_gmt":"2026-08-14T17:21:22","slug":"prostata-ad-olmio","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/it\/2021\/08\/13\/holep-holmium-prostate\/","title":{"rendered":"Enucleazione della prostata con laser a olmio (HoLEP)"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Best Urologist working in Chonburi and Cambodia\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">WordPress<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">Email<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">HoLEP (Holmium laser Enucleation of the Prostate) is one of the most advanced endoscopic BPH operations available today. To understand its advantages, we first need to understand the conventional operation it was designed to improve on \u2014 TUR-P (Transurethral Resection of the Prostate).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Please note:<\/strong> this article is written as patient education about the procedure itself. <strong>HoLEP is not among the procedures performed at Bangkok Hospital Headquarters.<\/strong> If assessment shows that HoLEP is the most appropriate option for you, a referral to a centre that offers it can be arranged. BPH treatments available at BHQ include medical therapy, Rezum water-vapour therapy and TUR-P, and the right choice is decided after assessment of prostate size, symptoms and your own priorities.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urology center Bangkok hospital Thailand\u00a0<a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Booking online<\/a>\u00a0<a href=\"tel:02-310-3009\">02-310-3009<\/a>\u00a0<a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a><\/li>\n\n\n\n<li>Samitivej Sriracha hospital Chonburi&nbsp;<a href=\"tel:088-022-1445\">088-022-1445<\/a><\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"3468\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/quanta-laser-60w\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?fit=1024%2C768&amp;ssl=1\" data-orig-size=\"1024,768\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Modern 60W Holmium laser technology maximize kidney stone and prostate surgery outcome.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Modern 60W Holmium laser technology maximize kidney stone and prostate surgery outcome.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=800%2C600&#038;ssl=1\" alt=\"A 60W holmium laser system of the type used for prostate and kidney stone surgery\" class=\"wp-image-3468\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?w=1024&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=16%2C12&amp;ssl=1 16w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=400%2C300&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Quanta-laser-60W.jpg?resize=200%2C150&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">A 60W holmium laser system, the type of platform used for both prostate enucleation and endoscopic stone surgery.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Conventional TUR-P uses an electrical surgical knife passed through the urethra to scoop prostatic tissue piece by piece \u2014 sometimes hundreds of scoops per operation, each carrying a risk of bleeding. TUR-P also struggles with large prostates over 80 grams. <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32273963\/\">HoLEP<\/a> was developed to overcome these limitations using Holmium YAG laser technology.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">HoLEP enucleates the entire prostatic adenoma in one intact specimen \u2014 analogous to peeling the core of an apple away from its shell in a single maneuver, without breaching the prostatic capsule. This results in a more complete removal of obstructing tissue than piecemeal TUR-P resection.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"734\" data-attachment-id=\"3548\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/08\/13\/holep-holmium-prostate\/holep\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?fit=1200%2C1101&amp;ssl=1\" data-orig-size=\"1200,1101\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Appearance of prostate gland during Laser surgery\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Appearance of prostate gland during Laser surgery&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?fit=800%2C734&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?resize=800%2C734&#038;ssl=1\" alt=\"Endoscopic view of the prostate during holmium laser enucleation\" class=\"wp-image-3548\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?resize=300%2C275&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?resize=1024%2C940&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?resize=768%2C705&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP.jpg?resize=13%2C12&amp;ssl=1 13w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Endoscopic view of the prostate gland during holmium laser enucleation surgery.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">HoLEP&#8217;s Pros<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Less bleeding \u2013 the holmium laser resects and coagulates simultaneously, reducing intraoperative blood loss<\/li>\n\n\n<li>No prostate size limit \u2013 HoLEP handles prostates of any size; TUR-P cannot effectively treat glands over 80 grams, which would otherwise require open surgery<\/li>\n\n\n<li>Lower retreatment rate \u2013 reported at around 1.4% at 7 years after HoLEP, against 17.7% after conventional TUR-P<\/li>\n\n\n<li>Better sexual function outcomes \u2013 around 60.6% of patients report improved sexual functioning after HoLEP, better than other laser methods (PVP and laser ablation). Conventional TUR-P carries a reported 13% erectile dysfunction rate<\/li>\n\n\n<li>Incidental prostate cancer detection \u2013 HoLEP is the only laser approach that yields prostatic tissue for pathological examination. Up to 13% incidental prostate cancer has been discovered in HoLEP specimens<\/li>\n\n\n<li>Lower urethral stricture rate \u2013 2.6% after HoLEP against 4.4% after conventional TUR-P<\/li>\n\n\n<li>Shorter hospitalization \u2013 around 2 days for HoLEP against 3 days for conventional TUR-P<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"3549\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/08\/13\/holep-holmium-prostate\/holep-1\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?fit=1200%2C900&amp;ssl=1\" data-orig-size=\"1200,900\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone, Thai Urologist is the Pioneer in Holmium laser prostate surgery in Cambodia.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone, Thai Urologist is the Pioneer in Holmium laser prostate surgery in Cambodia.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?fit=800%2C600&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=800%2C600&#038;ssl=1\" alt=\"Holmium laser enucleation of the prostate being performed endoscopically\" class=\"wp-image-3549\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=300%2C225&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=1024%2C768&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=768%2C576&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=16%2C12&amp;ssl=1 16w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=800%2C600&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=400%2C300&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/HoLEP-1.jpg?resize=200%2C150&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Holmium laser enucleation of the prostate, performed entirely through the urethra with no incision.<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<span class=\"embed-youtube\" style=\"text-align:center; display: block;\"><iframe class=\"youtube-player\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/4Xgx5vUppEU?version=3&#038;rel=1&#038;showsearch=0&#038;showinfo=1&#038;iv_load_policy=1&#038;fs=1&#038;hl=it-IT&#038;autohide=2&#038;wmode=transparent\" allowfullscreen=\"true\" style=\"border:0;\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation allow-popups-to-escape-sandbox\"><\/iframe><\/span>\n<\/div><figcaption class=\"wp-element-caption\">Video clip during holmium laser prostate surgery.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">HoLEP&#8217;s Cons<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Steep learning curve \u2013 at least 25 cases are generally required for proficiency<\/li>\n\n\n<li>Specialized equipment required \u2013 holmium laser systems and a tissue morcellator add to procedure cost compared with conventional TUR-P, and are not available in every hospital<\/li>\n\n\n<li>Longer operative time \u2013 the morcellation step needed to remove the enucleated tissue adds to operating room time<\/li>\n<\/ol>\n\n\n\n<h4 class=\"wp-block-heading\">What the operation costs the patient, not the hospital<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">The list above is about the surgeon and the equipment. There are also things a man undergoing any enucleation procedure should expect, and they are the questions patients actually ask afterwards:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Retrograde ejaculation is the usual outcome, not a rare complication.<\/strong> Because the operation opens the bladder neck, semen passes backwards into the bladder at orgasm in the large majority of men. Erections and orgasm itself are generally preserved \u2014 which is what the sexual-function figures above refer to \u2014 but fertility is affected, and this is the single point most worth understanding before consenting.<\/li>\n\n\n<li><strong>Temporary urgency and leakage are common in the first weeks.<\/strong> After a large adenoma is removed, the bladder needs time to adapt. Most men settle within weeks to a few months, and pelvic floor exercises help; long-lasting incontinence is uncommon but is not zero.<\/li>\n\n\n<li><strong>A catheter, and burning on passing urine, for a short period afterwards<\/strong>, with some blood in the urine that can reappear intermittently for several weeks as the raw surface heals.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">After any of these operations, <strong>inability to pass urine, fever with chills, or heavy bleeding with clots needs same-day medical assessment<\/strong> rather than waiting for the follow-up appointment.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3554\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/2021\/08\/13\/holep-holmium-prostate\/young-handsome-physician-in-a-medical-robe-with-stethoscope\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;2.5&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5D Mark IV&quot;,&quot;caption&quot;:&quot;Young handsome physician in a medical robe with stethoscope&quot;,&quot;created_timestamp&quot;:&quot;1573468086&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;85&quot;,&quot;iso&quot;:&quot;800&quot;,&quot;shutter_speed&quot;:&quot;0.00125&quot;,&quot;title&quot;:&quot;Young handsome physician in a medical robe with stethoscope&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"For more information, you can discuss with your trusted urologist.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;For more information, you can discuss with your trusted urologist.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?resize=800%2C533&#038;ssl=1\" alt=\"A urologist consulting a patient about BPH treatment options\" class=\"wp-image-3554\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/08\/Good-doctor.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">For more information, discuss the options with your trusted urologist.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">In conclusion, HoLEP is considered one of the best BPH surgical options available, and it depends on two things being present together: a well-trained urologist and dedicated laser equipment. That combination is the reason it is offered at some centres and not at others.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions About HoLEP (Holmium Laser Enucleation of the Prostate)<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">What is HoLEP and how is it different from conventional TUR-P?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">HoLEP (Holmium laser Enucleation of the Prostate) uses Holmium YAG laser energy to enucleate the entire prostatic adenoma as a single intact specimen through the urethra, without any incision. Conventional TUR-P uses an electrical knife to scoop prostatic tissue in multiple fragments. The key difference is that HoLEP removes tissue in one piece (like peeling an apple core), while TUR-P removes it piecemeal. This gives HoLEP better bleeding control, lower retreatment rates, and the ability to provide an intact specimen for pathological analysis.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">What are the clinical advantages of HoLEP over TUR-P?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">HoLEP offers several reported advantages: it handles any prostate size (including glands over 80 grams where TUR-P is limited), a retreatment rate of around 1.4% against 17.7% at 7 years, less bleeding, a lower urethral stricture rate (2.6% against 4.4%), better sexual function outcomes (around 60.6% reporting improvement, against a 13% erectile dysfunction risk with TUR-P), incidental prostate cancer detection in up to 13% of specimens, and shorter hospitalization (around 2 days against 3).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Will HoLEP affect ejaculation or fertility?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Usually, yes. Retrograde ejaculation \u2014 semen passing backwards into the bladder at orgasm \u2014 is the expected outcome after enucleation rather than an uncommon complication, because the operation opens the bladder neck. Erections and the sensation of orgasm are generally preserved, which is what the reported sexual-function figures describe, but natural fertility is affected. Any man for whom future fertility matters should raise it before deciding on the operation.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Will I be incontinent after the operation?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Urgency and some leakage are common in the first weeks after a large adenoma is removed, because the bladder needs time to adapt to the change. Most men settle within weeks to a few months, and pelvic floor exercises help the recovery. Persistent long-term incontinence is uncommon but not impossible, and it is worth asking your surgeon for their own figures.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is HoLEP available at Bangkok Hospital Headquarters?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. HoLEP is not among the procedures performed at Bangkok Hospital Headquarters, because it requires a dedicated holmium laser platform and morcellator that are not part of the unit&#8217;s current equipment. This article is provided as patient education so that men weighing up BPH surgery understand what the procedure involves. BPH treatments available at BHQ include medical therapy, Rezum water-vapour therapy and TUR-P, and if assessment shows HoLEP is genuinely the best option for your prostate, a referral to a centre that performs it can be arranged.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing urinary symptoms from BPH and would like to discuss the treatment options, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital also runs a Telemedicine service, which suits a first discussion of the BPH options, including whether a referral for HoLEP is the sensible route in your case \u2014 arrange it in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. The prostate measurement, flow study and other assessments that decide the choice are done in person. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. HoLEP is not performed at Bangkok Hospital Headquarters; this article is educational and a referral can be arranged where it is the appropriate option. After any prostate operation, inability to pass urine, fever with chills, or heavy bleeding with clots needs same-day medical assessment. No medical advice, diagnosis or prescription is provided through personal messaging channels. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#medicalwebpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/\",\n      \"name\": \"Holmium laser Enucleation of the Prostate (HoLEP)\",\n      \"headline\": \"Holmium laser Enucleation of the Prostate (HoLEP)\",\n      \"description\": \"How HoLEP enucleates the whole prostatic adenoma in one specimen, how it compares with conventional TUR-P on bleeding, prostate size, retreatment, stricture and hospital stay, and what a man should expect afterwards \u2014 including retrograde ejaculation, which is the rule rather than a rare complication.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2021-08-13T08:00:00+07:00\",\n      \"dateModified\": \"2026-08-14T00:00:00+07:00\",\n      \"lastReviewed\": \"2026-08-14\",\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"disambiguatingDescription\": \"HoLEP is NOT performed at Bangkok Hospital Headquarters, which does not have the dedicated holmium laser platform and morcellator it requires. This page is patient education, and a referral to a centre that performs HoLEP can be arranged where assessment shows it is the right option. BPH treatments available at BHQ are medical therapy, Rezum water-vapour therapy and TUR-P.\",\n      \"mainEntity\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#holep\" },\n      \"about\": [\n        { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#holep\" },\n        { \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#turp\" }\n      ]\n    },\n    {\n      \"@type\": \"MedicalProcedure\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#holep\",\n      \"name\": \"Holmium laser enucleation of the prostate (HoLEP)\",\n      \"alternateName\": \"HoLEP\",\n      \"description\": \"An endoscopic operation for benign prostatic hyperplasia in which Holmium YAG laser energy enucleates the entire prostatic adenoma as a single intact specimen, without breaching the prostatic capsule and without any skin incision. Reported advantages over conventional TUR-P: no upper prostate size limit, so glands over 80 grams that would otherwise need open surgery can be treated; retreatment around 1.4% at 7 years against 17.7%; less bleeding, since the laser cuts and coagulates simultaneously; urethral stricture 2.6% against 4.4%; hospital stay around 2 days against 3; and it is the only laser approach yielding tissue for pathology, with incidental prostate cancer found in up to 13% of specimens.\",\n      \"bodyLocation\": \"Prostate\",\n      \"howPerformed\": \"Performed entirely through the urethra. The adenoma is enucleated off the capsule in one piece, analogous to peeling the core of an apple away from its shell, then morcellated to remove it. The morcellation step is what lengthens operating time relative to TUR-P.\",\n      \"followup\": \"A catheter and burning on passing urine for a short period, with intermittent blood in the urine for several weeks as the raw surface heals. Urgency and some leakage are common in the first weeks while the bladder adapts, usually settling within weeks to a few months and helped by pelvic floor exercises; persistent incontinence is uncommon but not zero. Inability to pass urine, fever with chills, or heavy bleeding with clots requires same-day medical assessment rather than waiting for the routine follow-up.\",\n      \"seriousAdverseOutcome\": [\n        { \"@type\": \"MedicalEntity\", \"name\": \"Retrograde ejaculation \u2014 the expected outcome rather than a rare complication, because the bladder neck is opened. Erections and orgasm are generally preserved, but natural fertility is affected, so this must be discussed before consent by any man for whom fertility matters\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Transient urgency and stress leakage in the early weeks; persistent incontinence is uncommon\" },\n        { \"@type\": \"MedicalEntity\", \"name\": \"Urethral stricture, reported at 2.6%\" }\n      ],\n      \"preparation\": \"Requires both a dedicated holmium laser platform with a tissue morcellator and a surgeon past the learning curve, which is generally put at a minimum of 25 cases. Those two requirements together are why the procedure is available at some centres and not others.\"\n    },\n    {\n      \"@type\": \"MedicalProcedure\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#turp\",\n      \"name\": \"Transurethral resection of the prostate (TUR-P)\",\n      \"description\": \"The conventional endoscopic BPH operation, in which an electrical surgical knife passed through the urethra removes prostatic tissue piecemeal \u2014 sometimes hundreds of scoops in one operation, each carrying a bleeding risk. It cannot effectively treat glands over 80 grams, and carries a reported 13% erectile dysfunction rate, a 17.7% retreatment rate at 7 years and a 4.4% urethral stricture rate. It remains a standard, widely available option and is performed at Bangkok Hospital Headquarters.\",\n      \"bodyLocation\": \"Prostate\"\n    },\n    {\n      \"@type\": \"FAQPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2021\/08\/13\/holep-holmium-prostate\/#faq\",\n      \"mainEntity\": [\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What is HoLEP and how is it different from conventional TUR-P?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"HoLEP uses Holmium YAG laser to enucleate the entire prostatic adenoma as one intact specimen through the urethra. TUR-P uses an electrical knife to scoop tissue in multiple fragments. HoLEP provides better bleeding control, lower retreatment rates, and an intact specimen for pathological analysis.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"What are the clinical advantages of HoLEP over TUR-P?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Reported advantages: handles any prostate size including over 80g, retreatment rate about 1.4% against 17.7% at 7 years, less bleeding, urethral stricture 2.6% against 4.4%, around 60.6% reporting improved sexual function against a 13% ED risk with TUR-P, incidental prostate cancer detection in up to 13% of specimens, and shorter hospitalization of about 2 days against 3.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Will HoLEP affect ejaculation or fertility?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Usually yes. Retrograde ejaculation, meaning semen passes backwards into the bladder at orgasm, is the expected outcome after enucleation rather than an uncommon complication, because the operation opens the bladder neck. Erections and the sensation of orgasm are generally preserved, which is what the reported sexual-function figures describe, but natural fertility is affected. Any man for whom future fertility matters should raise it before deciding on the operation.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Will I be incontinent after the operation?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"Urgency and some leakage are common in the first weeks after a large adenoma is removed, because the bladder needs time to adapt. Most men settle within weeks to a few months, and pelvic floor exercises help. Persistent long-term incontinence is uncommon but not impossible, and it is worth asking your surgeon for their own figures.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"name\": \"Is HoLEP available at Bangkok Hospital Headquarters?\",\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. HoLEP is not among the procedures performed at Bangkok Hospital Headquarters, as it requires a dedicated holmium laser platform and morcellator that are not part of the unit's current equipment. BPH treatments available at BHQ include medical therapy, Rezum water-vapour therapy and TUR-P. If assessment shows HoLEP is the best option, a referral to a centre that performs it can be arranged.\"\n          }\n        }\n      ]\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>HoLEP removes the whole prostatic adenoma in one piece with a holmium laser, and outperforms conventional TUR-P on almost every measure. Dr. Soarawee Weerasopone explains how it works, where it genuinely wins \u2014 and is candid about the fact that it is not among the procedures performed at Bangkok Hospital Headquarters.<\/p>","protected":false},"author":185281453,"featured_media":10054,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"HoLEP (Holmium laser Enucleation of the Prostate) vs TUR-P for BPH: how enucleation works, reported outcomes, and the trade-offs. An educational guide by Dr. Soarawee Weerasopone, urologist.","jetpack_seo_html_title":"HoLEP vs TUR-P for BPH Explained | Dr. Soarawee Weerasopone","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1363],"tags":[1544,1543],"class_list":["post-3534","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-mens-health","tag-endoscopic-prostate-surgery","tag-holmium-laser-prostate-surgery"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-V0","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/HoLEP-Surgery.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3534","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/comments?post=3534"}],"version-history":[{"count":28,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3534\/revisions"}],"predecessor-version":[{"id":11439,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3534\/revisions\/11439"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media\/10054"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/media?parent=3534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/categories?post=3534"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/tags?post=3534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}