HoLEP — Holmium Laser Enucleation of the Prostate — is recognised internationally as the most advanced and most durable surgical treatment available for Benign Prostatic Hyperplasia (BPH). Unlike conventional TURP or even other laser techniques, HoLEP removes the entire obstructing prostate adenoma completely and cleanly — regardless of prostate size — with virtually zero blood loss and the lowest retreatment rates of any prostate surgical procedure available today.
At Zydus Hospitals, Ahmedabad, Dr. Prarthan Joshi — a distinguished Urologist and Genitourinary Surgeon — offers expert HoLEP Surgery in Ahmedabad for men with enlarged prostate of all sizes — including very large prostates where conventional TURP would be inadequate. His extensive experience in laser urological surgery and the advanced Holmium laser platform at Zydus Hospitals ensures world-class outcomes with the highest standards of patient safety and surgical precision.
HoLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive endoscopic procedure performed entirely through the urethra — no external skin incisions at any stage. A Holmium laser fibre is passed through a resectoscope introduced into the bladder, and the laser energy is used to precisely separate the obstructing prostate adenoma (the inner gland) from its surrounding capsule — removing it whole, in large lobes, rather than in small chips as in conventional TURP.
The enucleated prostate lobes are pushed into the bladder and then morcellated (finely chopped) by a specialised instrument and irrigated out. This approach removes virtually all obstructing tissue — regardless of gland size — with the laser simultaneously sealing blood vessels throughout, making the procedure virtually bloodless. As a leading HoLEP surgeon in Ahmedabad, Dr. Prarthan Joshi performs this technically advanced procedure with the precision and expertise that consistently delivers excellent outcomes for patients with all prostate sizes at Zydus Hospitals.
A thorough evaluation by HoLEP surgeon Dr. Prarthan Joshi in Ahmedabad confirms suitability and ensures every patient receives the most appropriate surgical approach for their individual anatomy and clinical needs.
HoLEP removes the entire obstructing adenoma — not just chips or partial vaporisation — achieving the most complete tissue removal of any minimally invasive BPH procedure.
No prostate is too large for HoLEP — it can safely and completely treat even 200mL+ glands where conventional TURP would require multiple sessions or be unsafe.
The Holmium laser continuously seals blood vessels throughout — making HoLEP virtually bloodless and eliminating the transfusion risk associated with conventional TURP.
International data consistently shows HoLEP has the lowest retreatment rates of any BPH surgical procedure — most patients need no further prostate surgery for life.
Unlike vaporisation techniques, HoLEP produces tissue specimens sent for pathological analysis — detecting incidental prostate cancer in the adenoma in a proportion of patients.
For men seeking the most complete, most durable, and safest prostate surgery available — HoLEP Surgery in Ahmedabad by Dr. Prarthan Joshi at Zydus Hospitals is the definitive answer.
HoLEP Surgery in Ahmedabad at Zydus Hospitals is performed under spinal or general anaesthesia and typically takes 60-120 minutes depending on prostate size. No external skin incisions are made at any point during the procedure.
Every patient is individually assessed to confirm HoLEP is the most appropriate surgical option for their specific prostate anatomy and health profile.
- The entire obstructing prostate adenoma is removed whole — not in chips — delivering the most complete BPH surgical result available and the lowest long-term retreatment rate of any technique.
- No prostate is too large for HoLEP — glands of 80mL, 150mL, and beyond are all treated with the same complete enucleation approach, making it the only truly size-independent BPH surgery available.
- The Holmium laser seals blood vessels continuously throughout — making HoLEP the safest prostate surgery option for patients on anticoagulants and those with cardiovascular risk factors.
- Unlike vaporisation procedures, HoLEP produces tissue for pathological analysis — incidental prostate cancer is identified in a proportion of adenoma specimens, which cannot happen with GreenLight vaporisation.
- Most HoLEP patients have their urinary catheter removed within 24 hours of surgery — significantly earlier than conventional TURP — with dramatic urine flow improvement noticed immediately after removal.
TURP has a practical size limitation — very large prostates (over 80-100mL) cannot be safely resected in a single TURP session. HoLEP has no size limitation — it removes the entire adenoma regardless of gland volume, making it uniquely suited to large prostate treatment in Ahmedabad. Additionally, HoLEP complete tissue removal results in significantly lower retreatment rates compared to TURP at long-term follow-up.
Yes — HoLEP virtually bloodless nature and elimination of TURP Syndrome risk make it an excellent option for elderly patients, those with cardiovascular conditions, and those on anticoagulant medications. Dr. Prarthan Joshi carefully evaluates each patient fitness for surgery and coordinates with anaesthesia colleagues at Zydus Hospitals to ensure maximum safety for every HoLEP procedure in Ahmedabad.
Most men notice dramatic improvement in urine flow immediately after the catheter is removed — within 24 hours of HoLEP Surgery in Ahmedabad. Temporary mild urgency and frequency may occur for 4-6 weeks as the bladder adjusts. Sustained, excellent urinary function is maintained long-term in the vast majority of patients with no ongoing medication required.
Temporary mild urinary urgency or stress leakage is common in the first 4-8 weeks after HoLEP — and resolves in the majority of patients as the urethral sphincter recovers. Permanent incontinence after HoLEP performed by an experienced surgeon is rare. Pelvic floor exercises started after catheter removal significantly speed sphincter recovery. Dr. Prarthan Joshi discusses this in detail during pre-operative counselling for every HoLEP patient in Ahmedabad.