HoLAP for BPH

Posted , 11 users are following.

For two years I have researched the many different treatments for BPH. I went to the Mayo Clinic to schedule a HoLEP (Holmium Laser Enucliation of the Prostate). I was told my prostate was a little small, and the HoLEP expert recommended a HoLAP (Holmium Laser Ablation of the Prostate) instead. As I understand it, in HoLAP a laser wire through a cystoscope is used to ablate all the prostate tissue. My HoLAP is scheduled for July. A few questions: is this essentially the same procedure as the green light laser, (though a different type of laser is used)? Has anyone had any experience with HoLAP or the Mayo Clinic for prostate treatment? Any knowledge of whether or not Medicare will cover this treatment? Thank you all for your response.

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20 Replies

  • Posted

    What size is your prostate? My Uro wanted to do a Holep on my 28g prostate but I went for urolift instead. Urolift has not been entirely successful so if he comes back with wanting to do the Holep, it would be good to know what size prostate the Mayo Clinic thinks is too small. Thanks.

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  • Posted

    Jerry,

    You need to ask the folks at Mayo Clinic those questions, especially whether Medicare will cover the procedure. Since you've been there already, I would hope (but wouldn't be certain) that they would have told you if they proposed a procedure that your insurance (Medicare) wouldn't cover. Regarding questions about the proposed procedure, make a list of all your questions and send it to the Urologist.

    The big one I would ask is this: To the doctor who will do the procedure, how many of that particular procedure have you done, and how many have you done in the last year? Then ask, what has been his experience with adverse outcomes such as serious and enduring incontinence. (Retro ejaculation is fairly common, and would be lower on my list of concerns.)

    Glenn

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  • Posted

    No surgery is ever guaranteed and the patient has to sign a statement that he is undergoing voluntary surgery at his own risk. As for coverage call your insurer directly. Asking anyone else may get you a surprise bill.

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  • Posted

    How large is your prostate ? Mine is 60g. I also did my research and hoLEP is my only choice.

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  • Posted

    How large is your prostate ? Mine is 60g. I also did my research and hoLEP is my only choice.

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  • Posted

    Interesting that they noted your prostate was too small for holep. mine was 37g and I had holep done at the mayo in AZ last month. very happy with the results. in my case, they only took out the median lobe

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    • Posted

      dr Humphreys did mine. I was pretty much back to normal and exercising regularly after a couple weeks. had the procedure on a Friday and was back to work on monday. my flow was a dribble before and now it's like a race horse. best of all, no RE. guess I may have been one of the lucky ones

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    • Posted

      yeah, dr Humphreys at the mayo in az. he never brought up a holap to me only holep and glad he only did the median lobe. I had a failed PAE in december and was cic 5 times a day before the holep. had all kinds of tests in the last year, 2 MRI's (pre and post pae), many cystocopies, and a urodynamics test. my primary issue was the median lobe, which had made it nearly impossible to pee on my own and made my bladder wall quite thick. very very happy with the outcome!

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