Laser surgery

Do your homework if you are thinking of using either of these for solving your urine flow, have you found out exactly what parts they cut away regardless of which technique they use to do the same basic job eg green light or holep or traditional hot wire turp, once those parts are gone they are gone!

Very little difference between the two other than with HoLEP less post op bleeding and discharged from hospital usually within 6 hours post op and no catheter.  Recovery time for both is about the same.

One thing that the HoLEP procedure does allow is that viable tissue is recovered during the procedure which allows for histology of that tissue to be carried out and if cancer is found it can be graded and follow up treatment started.  With Green Light Laser all the tissue is vapourised, so no tissue recovered for histology purposes.

You don't say how bad your BPH symptoms are but if they were as bad as mine got over a six year period, the relief of getting your life back is well worth the the loss of a normal ejaculation.

Others will come on here and offer advice on the merits of other methods of reducing prostate size and thus hopefully removing any symptoms and you would do well to research them all and make a choice based on all the info you receive but in my case the HoLEP gave me instant relief from the misery of infections, formation of bladder stones, urine retention, difficulty in voiding, many nights of disturbed sleep.

Good luck with the future.

I did the greenlight many years ago.  It is more for enlarged prostates, but not really huge ones.  From what I understand the holep is for really big prostates!

A pity you are not self funding as a HoLEP carried out over here at Addenbrookes Hospital costs far less that in the States and from what I learnt from another resident of the US who came over here for the procedure (he was also having difficulties finding a facility that would carry out a HoLEP in his region of the US), he saved thousands of dollars when compared to the cost of the same procedure in the US, including his air fare.  If I recall correctly he was over in this country having the procedure within 4 weeks of making the arrangements and flew back 3 days later.

Yes Green light opens up passage and Holep removes entire inside core of prostate like hallowing out orange.

Holep uses a holium laser which is different freauquency.

I went to Mayo to get Holep 2 month ago. Holep is a Dunn deal and should be permanent and green light may grow back.Holep is for larger prostates so they did a Holap on me because I didn't have a larger prostate so they did A Holap on me .similarly to green light

I got HoLEP done in Mexico, Uromin clinic. Lot cheaper than in the States.

I didn't have to wait, they took me in right away.

?I had a small prostate, 39 ml, but couldn't pee. What got cut out,

?was send to the lab, where Gleason 7 cancer was discovered.

Since then I had a 3T MRI, which shows that I am cancer free.

?I was lucky, and it looks like all the cancer was cut out during the HoLEP.

?I had an easy recovery. Have retro ejaculation, which doesn't bother me a bit.

?I chose Holep, because other than complete removal, it removes most of the prostate, and there is a sample for lab. HoLep has very low chance of incontinence or impotence.

?My uro at home wanted to do TURP, and after the cancer find he recommended

RP. If I would follow my uro's advice, I would be now waiting to get RP, and

likely become incontinent and impotent.