{"id":3534,"date":"2021-08-13T08:00:00","date_gmt":"2021-08-13T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3534"},"modified":"2026-05-18T09:55:59","modified_gmt":"2026-05-18T02:55:59","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\" 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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 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To understand its advantages, we first need to understand the conventional operation it replaced \u2014 TUR-P (Transurethral Resection of the Prostate).<\/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 size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"600\" data-attachment-id=\"3468\" data-permalink=\"https:\/\/drsoaraweeurology.com\/it\/?attachment_id=3468\" 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=\"Holmium laser HoLEP prostate 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\">Modern 60W Holmium laser technology maximizes prostate and kidney stone surgery outcomes.<\/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 superior surgical outcome compared to piecemeal TUR-P resection.<\/p>\n\n\n\n<figure class=\"wp-block-image 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=\"HoLEP prostate enucleation laser\" 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\u2019s Pros<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Less bleeding \u2013 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 only 1.4% of patients need retreatment at 7 years after HoLEP, compared to 17.7% after conventional TUR-P<\/li>\n\n\n<li>Better sexual function outcomes \u2013 60.6% of patients report improved sexual functioning after HoLEP, better than other laser methods (PVP and laser ablation). Conventional TUR-P carries a 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 vs. 4.4% after conventional TUR-P<\/li>\n\n\n<li>Shorter hospitalization \u2013 2 days for HoLEP vs. 3 days for conventional TUR-P<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image 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=\"HoLEP BPH surgery Bangkok Hospital\" 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\">Dr. Soarawee Weerasopone performs Holmium laser prostate surgery at Bangkok Hospital Headquarters.<\/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\u2019s Cons<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Steep learning curve \u2013 at least 25 cases required for proficiency<\/li>\n\n\n<li>Specialized equipment required \u2013 Holmium laser systems add to procedure cost compared to conventional TUR-P<\/li>\n\n\n<li>Longer operative time \u2013 the morcellator required for tissue removal adds to operating room time<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image 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=\"Urologist consultation BPH\" 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 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 requires a well-trained urologist with dedicated laser equipment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can visit my homepage <a href=\"https:\/\/drsoaraweeurology.com\/\">here<\/a>.<\/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 superior bleeding control, lower retreatment rates, and the unique ability to provide tissue 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 multiple clinically proven advantages: it handles any prostate size (including glands over 80 grams where TUR-P fails), has a retreatment rate of only 1.4% vs. 17.7% at 7 years, causes less bleeding, has a lower urethral stricture rate (2.6% vs. 4.4%), produces better sexual function outcomes (60.6% improvement vs. 13% erectile dysfunction risk with TUR-P), allows incidental prostate cancer detection in up to 13% of specimens, and results in shorter hospitalization (2 vs. 3 days).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Is HoLEP available at Bangkok Hospital?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Yes. HoLEP is performed at Bangkok Hospital Headquarters by Dr. Soarawee Weerasopone, a urologist with specialized training in Holmium laser and minimally invasive urological surgery. The procedure requires dedicated Holmium laser equipment and a surgeon with a sufficient learning curve of at least 25 cases \u2014 both of which are established at the center. For men with symptomatic BPH, especially those with large prostates or who have failed medical therapy, HoLEP offers a durable surgical solution.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you are experiencing urinary symptoms from BPH and would like to discuss surgical options including HoLEP, 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>.<\/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. 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  \"@type\": \"FAQPage\",\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 electrical knife to scoop tissue in multiple fragments. HoLEP provides superior bleeding control, lower retreatment rates, and allows pathological tissue 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\": \"HoLEP handles any prostate size including >80g, retreatment rate 1.4% vs 17.7% at 7 years, less bleeding, urethral stricture 2.6% vs 4.4%, 60.6% sexual function improvement vs 13% ED risk with TUR-P, detects incidental prostate cancer in 13%, and shorter hospitalization (2 vs 3 days).\"\n      }\n    },\n    {\n      \"@type\": \"Question\",\n      \"name\": \"Is HoLEP available at Bangkok Hospital?\",\n      \"acceptedAnswer\": {\n        \"@type\": \"Answer\",\n        \"text\": \"Yes. HoLEP is performed at Bangkok Hospital Headquarters by Dr. Soarawee Weerasopone, a urologist trained in Holmium laser minimally invasive urological surgery. The procedure is available for men with symptomatic BPH, especially large prostates or those who have failed medical therapy.\"\n      }\n    }\n  ]\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>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 replaced \u2014 TUR-P (Transurethral Resection of the Prostate). Conventional TUR-P uses an electrical surgical knife passed through the urethra to scoop prostatic tissue piece [&hellip;]<\/p>\n","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 Prostate) vs TUR-P: pros, cons, and clinical outcomes for BPH surgery. Available at Bangkok Hospital by Dr. Soarawee.","jetpack_seo_html_title":"HoLEP: Holmium Laser Enucleation of the Prostate | Dr. Soarawee Bangkok","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":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_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/HoLEP-Surgery.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-V0","_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":26,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3534\/revisions"}],"predecessor-version":[{"id":9717,"href":"https:\/\/drsoaraweeurology.com\/it\/wp-json\/wp\/v2\/posts\/3534\/revisions\/9717"}],"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}]}}