ThuLEP Holmium Laser

Home ThuLEP Holmium Laser

Removing large adenomas without open surgery

The Holmium Laser is revolutionizing medical treatments. Explore its applications and benefits for patients and professionals.

Benefits

A modern solution for treating large prostatic adenomas

Excellent efficacy even on large prostates
Less bleeding than traditional surgery
Rapid recovery with a short hospital stay
Marked improvement in urinary stream and reduction of symptoms
Very low re-intervention rate
Technique recommended in international guidelines
Visible results within the first few weeks after catheter removal

Procedure

How the procedure works

1. General or spinal anesthesia
2. Insertion of an endoscope via the natural route (urethra)
3. Identification of the adenomatous lobes
4. Laser enucleation of the internal lobes (ThuLEP)
5. Fragmentation and evacuation of tissues (morcellator)
6. Placement of a urinary catheter (generally for 24 hours) Duration: approximately 60 minutes Hospitalization: 1 day (sometimes outpatient depending on the context)

Expertise in Laser Enucleation

Expertise Énucléation au laserDr Olivier Dumonceau

Laser Enucleation (H.O.L.E.P.)

Dr. Dumonceau presents the laser enucleation technique (HOLEP), a modern and effective method for treating benign prostatic hyperplasia (BPH). This minimally invasive approach allows for precise removal of prostate tissue with faster recovery and fewer post-operative risks.

Expertise

Prostate adenoma treated with laser: is further monitoring necessary after the operation?

Adénome de la prostate au laser : faut-il encore surveiller après l’opération ?Dr Olivier Dumonceau

Indications for Holmium laser treatment

Presenting with a large prostatic adenoma (greater than 80–100 cm³)
Seeking a lasting solution to urinary problems
Intolerant or resistant to medications
Failure or relapse after previous treatment
Under anticoagulants (after anesthetic validation)

Experience

Laser prostate treatment: what are the advantages?

Traitement de la prostate au laser : quels avantages ? Réponse du Dr Olivier Dumonceau, urologueDr Olivier Dumonceau

Specialist in urology and innovative treatments

Personalized care based on prostate volume
Access to the Turin Clinic, equipped for laser enucleation
Rigorous postoperative monitoring with urodynamic control

Holmium Laser / ThuLEP

Holmium laser treatment, or ThuLEP, allows for precise and safe removal of prostate adenomas. I will explain how this technique improves postoperative comfort and patient recovery.

Are your urinary symptoms worsening?

Don’t wait for the situation to worsen. Holmium laser treatment is an effective, modern, and long-lasting option for large adenomas.

FAQ – Frequently Asked Questions

What does laser treatment for adenoma (ThuLEP/HoLEP) consist of?

Laser enucleation involves detaching the adenoma from its capsule through natural openings using a Thulium or Holmium laser, then extracting it by fragmentation. It treats the obstruction as completely as open surgery, without incisions.

What are the advantages compared to traditional surgery?

The laser significantly reduces bleeding, the duration of catheterization (24 to 48 hours), and hospitalization (1 to 2 days). It can be performed even on patients taking anticoagulants, and the long-term risk of recurrence is very low.

Is laser treatment suitable for large prostates?

Yes, that is even its preferred indication: laser enucleation treats adenomas of any size, including those larger than 100 ml, where other minimally invasive techniques are no longer suitable.

What are the consequences of the intervention?

Burning during urination and discolored urine are common for 1 to 2 weeks. Retrograde ejaculation is frequent, as after any complete obstruction surgery. Urinary comfort improves rapidly within the first month.

Dr Olivier Dumonceau's expertise

Chirurgien Urologue à Paris

Solutions exist: let's talk.

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