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Updated: May 3, 2026

Surgical Treatment for Benign Prostatic Hyperplasia: Holmium Laser Enucleation of the Prostate HoLEP.
Published on: March 6, 2018
The holmium laser for the treatment of benign prostatic hyperplasia: a brief review
A Das1, M Fraundorfer, P Gilling
1Department of Urology, Tauranga Hospital, New Zealand, NZ.
Abstract:
At a wavelength of 2140 nm, the holmium:YAG (Ho:YAG) laser can be used for incision, ablation and resection of prostatic tissue. This laser has revolutionised the surgical management of benign prostatic hyperplasia (BPH) in our institution. Five different techniques have been utilised in evolving the current techniques using the Ho:YAG laser either alone or in combination with neodymium:YAG (Nd:YAG laser for the surgical management of BPH. The clinical outcome of 664 patients undergoing these procedures is presented.Enucleation of the prostatic adenoma using the holmium laser energy is the most common procedure presently performed at our institution for the surgical management of BPH. A mechanical tissue morcellator appears to be the most efficient way to remove prostatic tissue, once enucleated, from within the bladder.
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