However, data regarding the long-term outcomes of this laser therapy are limited. Greenlight laser prostatectomy is a new era for the surgical remedy of bph. Although both HoLEP and the green light laser go through the urethra, the latter only ablates the tissue, and there is no tissue available for pathology exam. Surgical trifecta (complete enuclueation combined with morcellation within 90min without conversion to TURP) and pen-tafecta (trifecta without stress incontinence or post- Peyronnet et al. Currently, the gold standard MIS procedure for treatment of BPH is holmium laser enucleation of the prostate (HoLEP). • HoLEP has proven to be effective in treating large prostates with minimal morbidity, better hemostasis, less blood loss, and better voiding pattern than TURP after a 12-month follow-up. Greenlight Laser Therapy Urologists Fort Lauderdale Fl. A laser is used to core out the obstructing adenoma of the prostate leaving the outer zone of the prostate behind (much like coring out the flesh of … The study reported similar EjD rates for both technics with now significant difference: 67.1 versus 65.1% for PVP and TURP, respectively." Holmium Laser Enucleation of the Prostate (HoLEP) is a minimally invasive procedure. It is done to treat an enlarged prostate. This gives an open channel for urination. Holmium Laser Enucleation of Prostate (HOLEP) vs Greenlight (XPS) Laser Photoselective Vapo-Enucleation of Prostate (PVEP) Condition (s): Benign Prostate Hyperplasia Last Updated: August 26, 2014 Completed. This prospective randomized study enrolled consecutive patients with BPH, who were assigned to undergo either HoLEP … PD26-05 A RANDOMIZED TRIAL COMPARING GREENLIGHT (XPS) LASER PHOTOSELECTIVE VAPO-ENUCLEATION OF THE PROSTATE (PVEP) VERSUS HOLMIUM LASER ENUCLEATION OF THE PROSTATE (HOLEP) FOR TREATMENT OF BENIGN PROSTATE HYPERPLASIA (BPH) The Journal of Urology, 2014. In this study the investigators planned to test the Greenlight (532-nm) laser Photoselective Vapo-Enucleation of the Prostate (PVEP) using (XPS) 180W system compared to bipolar transurethral resection of the prostate (TURis) and Holmium Laser Enucleation of the Prostate (HOLEP) in reduction of lower urinary tract symptoms (LUTS) secondary to BPH in a prospective randomized trial. The greenlight laser affords many benefits. There is a low risk of significant bleeding during and after HoLEP. This compares to 70% with green light laser and TURP surgery. Both suffer a drawback compared to TURP: a long learning curve for HoLEP laser surgeons and longer operation times for GreenLight. Holmium Laser treatment is a minimally invasive alternative to TURP (transurethral resection of the prostate). The difference between HOLAP and HoLEP is that with HoLEP, the tissue is ‘enucleated,” and with HoLAP, the tissue is ablated (evaporated). This surgery is done under general anesthesia, using a laser to remove excess prostate tissue, which is compressing the urethra. HoLEP is a suitable prostate-size independent option, and is standard of care for patients with a high risk of bleeding. We are highly experienced in this minimally invasive procedure, having now completed more than 800 operations and were the first in the West Midlands to introduce GreenLight laser prostate surgery in 2007. Mohamed Elkoushy. A laser is used to melt away (vaporize) excess prostate tissue and enlarge the urinary channel. In most instances the GreenLight HPS laser procedure was begun using a power of only 80 W. When medication and other nonsurgical treatments aren't able to effectively reduce the symptoms of BPH, Rezum can make a significant difference in a patient's quality of life, Dr. Goldberg says. MP25-19: Greenlight 532nm laser vs. Thulium laser enucleation of the prostate for treatment of large sized benign prostatic hyperplasia; results of randomized controlled trial Mahmoud Laymon 7:00 AM – 9:00 AM Recent studies have shown that HoLEP is extremely effective at treating men in urinary retention. Nevertheless, Vapo-enucleation with XPS/180 W was not inferior to HoLEP in improving patients’ symptoms (11), despite the finding that two patients (3.7%) in the XPS arm needed redo HoLEP within 12 months postoperatively Bph Greenlight Pvp Enlarged Prostate Treatment Florida. Green Light Laser Surgery for Prostate is an effective procedure for treating this condition. Holmium laser enucleation of the prostate (HoLEP). The operation relieves pressure on the urethra, the tube through which urine drains. However, data regarding the long-term outcomes of this laser therapy are limited. Prostate enlargement blocks the urethra and causes urinary complications. Another problem is the high retreatment rate with the green light in the rate of at least 15% in larger prostates. Among these, PVP and HoLEP have been recognized for their efficacy and safety. Conclusions Both HoLEP and PVP are effective at improving urinary parameters in men with CUR. Green Light Laser Prostatectomy. Laser Ablation - PVP (Greenlight™) - HoLAP. Patients presented for BPH surgery at our out patient clinic will be assessed for abnormal bleeding profile. Photoselective vaporization of the prostate (PVP) using GreenLight and Holmium laser enucleation of the prostate (HoLEP) is an important surgical technique for management of benign prostate hyperplasia (BPH). TUEVP - Button. PURPOSE: To assess the degree of postoperative storage symptoms after GreenLight™ laser photoselective vaporization of the prostate (PVP) and Holmium laser enucleation of the prostate (HoLEP) for management of benign prostatic hyperplasia (BPH) and its predictors. The obstructing prostate tissue is destroyed or removed at the time of the procedure. When it comes to treatment selection between Greenlight, any other laser or TURP I would suggest going with the surgeon’s recommendation. In the last 10 years, a number of new technologies for treating BPH have been developed and applied clinically, including PVP, holmium laser enucleation of the prostate (HoLEP), GreenLight laser enucleation of the prostate, UroLift ®, and prostatic artery embolization. The surgery will improve the flow of urine through the urethra, the tube that carries urine from the bladder outside of … The person who has undergone this surgery can be back to his normal activities within a very short time period that can be 2 to 3 weeks time. It has shorter recovery time and comparatively less side effects. The person may require just one night to stay at the hospital after the day of surgery. Both HOLEP and greenLight (XPS) laser vaporization of the prostate begins with the insertion of a resectoscope transurethrally. reduction was significantly higher after HoLEP, but patients in both arms had a comparable rate of reinterventions. This study aims to compare the efficacy and safety of holmium laser technologies (HoL-Ts) and photoselective greenlight vaporization (PVP) for the treatment of benign prostatic hyperplasia (BPH), and to perform a meta-analysis according to the Preferred Reporting Items of Systematic Reviews and Meta-Analyses guidelines on PubMed, EMBASE, ClinicalTrial.gov, and the Cochrane Central … GreenLight laser therapy is considered a viable alternative to the invasive transurethral resection of the prostate (TURP). Holmium Laser Enucleation of the Prostate (HoLEP) BPH is a benign condition in which the prostate grows and causes urinary outlet obstruction. Objective To assess the efficacy and safety of green-light laser photoselective vaporisation of the prostate (PVP) compared with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). Posted on February 18, 2017 February 18, 2017 by John McHugh. The surgeon uses a laser to cut out and remove excess tissue from the prostate gland. I’m wondering if anyone is happy 2 years post treatment. A new and promising laser procedure, GreenLight Laser PVP (photoselective vaporization of the prostates) has been demonstrated to remove prostate gland overgrowths using pulses of light with nearly no bleeding, less catheterization, and a greatly reduced recovery time. A laser is used to cut and remove the excess tissue that is blocking the urethra. Both suffer a drawback compared to TURP: a long learning curve for HoLEP laser surgeons and longer operation times for GreenLight. Birmingham Prostate Clinic specialises in GreenLight laser prostate surgery for benign prostatic hyperplasia BPH (enlarged prostate). (B) Greenlight XPS Laser PVP vs TURP (XPS means the laser output is 180W) "The GOLIATH study compared TURP and PVP [20]. The GreenLight laser operates at a shorter wavelength (532 nm) compared with other laser systems used to treat BPH; for example holmium and thulium operate over … The green light laser beam is used to vaporize the obstructing inner part of the prostate gland itself that is causing the urinary symptoms that are reducing the quality of life of the patient. Green Light Laser/ Green Light Procedure Another minimally invasive surgical option used with great success by Dr. Bellman to treat BPH, or enlarged prostate is the Green Light Laser Procedure. We aimed to compare the effectiveness and safety of PVP using a 120 W GreenLight laser with HoLEP in a small prostate volume. Greenlight laser prostatectomy greenlight hps 120 w laser vaporization prostate laser surgery in india greenlight laser xps pvep vs holep a. Ahmed Elshal. Also, can you tell me the difference between the Green Light laser surgey and the HoLep surgery> Thank you.Pete H. Jeff. Prospective data also supports the feasibility and safety of HoLEP as a day-case procedure. 98% of men with catheters before surgery are freed from their catheter dependence after HoLEP. HoLEP is the only endoscopic procedure that is recommended in men with prostates more than 100cc. Holep - Green Light (PVP) - TURP (button) - At this time I would appreciate your valued thoughts, experiences, and rationale opinions on which procedure you believe has the Best Overall results. With HoLEP, the need for retreatment is much less of a problem than it is for patients who have had certain other noninvasive treatments. The requirements to achieve GreenLight Center of Excellence designation are as follows and must be met on an annual basis … To compare clinical intra and early postoperative outcomes between conventional Holmium laser enucleation of the prostate (HoLEP) and Holmium laser enucleation of the prostate using the Virtual Basket tool (VB-HoLEP) to treat benign prostatic hyperplasia (BPH). Your surgeons will remove the obstruction while preserving healthy prostate tissue. GreenLight Laser vs. Rezum. Interestingly in one study, when compared objectively using a match pair analysis for the amount of tissue resected in TURP, open prostatectomy and HoLEP, it was found that the resection speed was statistically significantly faster for HoLEP than TURP (0.61 vs. 0.51 g/min and 62 vs. 73 min, P < 0.01). I've read that "greenlight" is not very effective on large prostates and that HoLEP is the best. the GreenLight system requires training and a mentorship scheme is in place within the NHS. Green light laser surgery for prostate is one of the newest, minimally invasive treatment options for benign prostatic hyperplasia. PVP was non-inferior to TURP for IPSS improvement, Qmax, and complications. • Comaprison of HoLEP with Transurethral Resection in Saline (TURis) and Greenlight Laser Vapo-Enucleation of the Prostate (GL-PVEP) for treating large Green Light Laser Prostate Surgery Recovery The procedure itself lasts for around 60 to 90 minutes . Most of the patients undergo the procedure in outpatient clinics; though some may have to be confined in a hospital. Often, there would be no need for a catheter. Within a few days, the patient would feel the positive effects of the surgery. It is performed with a scope through the urethra. Our technique is similar to thulium laser vapo-enucleation of the prostate14 I’m just starting to research treatment options and I’ve noticed that there aren’t happy postings. HoLEP provides excellent and durable clinical outcomes with reoperation rate of only 0.7% at 10-Year follow-up. The GreenLight procedure is a type of laser surgery that may offer a less invasive alternative to TURP. The green light laser is a surgical prostate removal tool used by […] Mostafa Elhilali. The HoLEP, using the Holmium:YAG laser, has been shown to have clinical results similar to TURP and is suitable for patients on anti-coagulation as well as those with large prostates. (C) HoLEP HoLEP is a minimally invasive surgical procedure where obstructive prostatic gland tissue is removed by enucleation with a laser. Feel free to include negative aspects of each, but please limit them to personal experiences, not third/fourth hand stories. To compare transurethral resection in saline (TURIS), Greenlight laser vapo-enucleation of the prostate (GL.PVEP), and holmium laser enucleation of the prostate (HoLEP), for controlling lower urinary tract symptoms secondary to large benign prostatic hyperplasia (BPH) and to assess non-inferiority of 3-year re-treatment rates. This is because the holmium laser is very good at sealing blood vessels off during the procedure itself. A separate instrument is then used to cut the prostate tissue into easily removable fragments. En-Bloc MoLEP (Moses Laser Enucleation of Prostate) vs. En-Bloc HoLEP: Comparing intra and post-operative outcomes for En-Bloc enucleation technique with early apical release, to treat patients affected by Benign Prostatic Enlargement (BPE) Laser prostate surgery. 1, 4 and 12 month QOL … In comparison, the retreatment rate with TURP is between 6 and 18%. A randomized clinical trial compared the GreenLight laser system with TURP 12-months after surgery. Mr Aucott from Leicestershire explains why age must be no barrier to high quality treatment; Derek Aucott had GreenLight laser surgery for BPH at the age of 86. March 20, 2016. Currently, the most widely used and well-established laser techniques are the HoLEP and GreenLight methods. Photoselective vaporization of the prostate (PVP) using GreenLight and Holmium laser enucleation of the prostate (HoLEP) is an important surgical technique for management of benign prostate hyperplasia (BPH). Lift (UroLift ®) Convective Water. Holmium laser enucleation of the prostate (HoLEP) is a type of laser surgery used to treat obstruction (blockage) of urine flow as a result of benign prostatic hyperplasia (BPH). Similarly, other lasers can be used to ablate or enucleate prostate tissue, for example, Greenlight laser, ProTouch Laser, Thulium laser, and Evolve laser. They tried PVP "greenlight" laser and had to stop prematurely because of his amount of bleeding. The Nd-YAG laser has also been plagued with associations to persistent dysuria and is now considered redundant. Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Also called holmium laser enucleation of the prostate ( HoLEP ), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. A separate instrument is then used to cut the prostate tissue into easily removable fragments. monopolar TURP compared to Holmium laser enucleation of the prostate (HoLEP) (22% vs. 0%, P=0.001) (17). Green light laser surgery also called prostate laser surgery, is used to vaporize prostate tissue that blocks urine from exiting the bladder. Holmium laser prostate surgery is a minimally invasive treatment for an enlarged prostate. Recently, as alternatives for TURP, laser surgeries such as photoselective vaporization of the prostate (PVP) and holmium laser enucleation of the prostate (HoLEP… Thirty one randomized trials have assessed HoLEP over the 20+ years of its availability. This is useful for treating large-sized prostate that are unsuitable for treatment with Greenlight Laser Prostatectomy. Prostate enlargement, technically called benign prostatic hyperplasia (BPH) or benign prostatic hypertrophy, is the main cause of frequent urination in men. With laser prostate surgery, your surgeon will follow the same steps as TURP, but instead of using a resectoscope with an electrically-heated wire to cut away your prostate, they’ll use a scope which has a special laser (eg a HoLEP Holmium laser or GreenLight laser). Also called holmium laser enucleation of the prostate (HoLEP), the procedure uses a laser to remove tissue that is blocking urine flow through the prostate. “The retreatment rate for HoLEP is typically less than 1-2%,” she notes. compared the learning curves and outcomes of GreenLEP vs. HoLEP. For HoLEP, enucleation of the adenoma followed by intravesical morcellation was performed as previously described.13 For PVEP the GreenLight 532 nm XPS-180 W with MoXy fiber was used. This procedure is similar to PVP but uses a different type of laser. Prostatic urethral. Objective: To compare transurethral resection in saline (TURIS), Greenlight laser vapo-enucleation of the prostate (GL.PVEP), and holmium laser enucleation of the prostate (HoLEP), for controlling lower urinary tract symptoms secondary to large benign prostatic hyperplasia (BPH) and to assess non-inferiority of 3-year re-treatment rates. Examination of the lower urinary tract is performed and holmium laser fiber is used to enucleate (HOLEP) or to vaporize [greenLight (XPS)] the obstructing prostatic tissue using the Moxy fibre until the surgical capsule is reached. Methods: Data from the first 100 consecutive cases treated by GreenLEP and HoLEP by two surgeons were prospectively collected from dedicated databases and analysed retrospectively. 4. As the surgeon directs the laser at the prostate, the intense pulses of light emitted from the fiber are absorbed by the blood. Within moments, the temperature of the blood becomes so great it causes the nearby cells to vaporize. Purpose: To compare the learning curves, perioperative and early functional outcomes after HoLEP and GreenLEP. Simple Prostatectomy - Open - Robotic. Holmium laser ablation of the prostate (HoLAP). Currently, the most widely used and well-established laser techniques are the HoLEP and GreenLight methods. He experienced no pain and had a 100 per cent improvement. Urologists included in the GreenLight Center of Excellence program have achieved a high degree of experience with GreenLight Laser Therapy. Nevertheless, Vapo-enucleation with XPS/180 W was not inferior to HoLEP in … With this procedure, high-intensity pulses of light are passed through a fiber inserted into the urethra to vaporize enlarged prostate tissue. This can lead to significant urinary symptoms including urinary frequency, urinary urgency, feelings of incomplete emptying, having to get up to urinate at night, a hard time starting a urinary stream, or a weak stream that starts and stops. It uses laser energy to relieve enlarged prostate symptoms and is designed to reduce traditional complications associated with TURP. Laser settings for HoLEP ranged from 80 to 100 W. PVP was performed using the GreenLight HPS laser system and a side firing ADDStat™ laser fiber with a 600 mm core diameter. Office based - TUNA - TUMT. HoLEP stands for Holmium laser enucleation of the prostate. Greenlight laser prostatectomy. PVP Greenlight Laser is an alternative method of reducing the bladder outflow obstruction suffered by men with an enlarged prostate. GreenLight technology involves using high-powered laser light to vaporize excess prostate cells. The authors found a significant improvement of voiding symptoms … Patients with bleeding tendency will be offered either HoLEP or Greenlight laser PVP based on prostate size cut off point of 80ml Larger prostates will be treated with HoLEP Smaller prostates will be treated with greenlight PVP. Objective To assess the efficacy and safety of green-light laser photoselective vaporisation of the prostate (PVP) compared with transurethral resection of the prostate (TURP) for lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH). The Nd-YAG laser has also been plagued with associations to persistent dysuria and is now considered redundant. Objective. The investigators are now proposing to compare two laser techniques for treating Benign prostate hyperplasia (BPH); In this study the investigators planned to test the Greenlight (532-nm) laser Photoselective Vapo-Enucleation of the Prostate (PVEP) using (XPS) 180W system compared to bipolar transurethral resection of the prostate (TURis) and Holmium Laser Enucleation of the Prostate (HOLEP) in reduction of lower urinary tract symptoms (LUTS) secondary to BPH in a prospective randomized trial. Laser Photoselective Vaporization of the Prostate also called GreenLight therapy, is a new minimally invasive surgery to treat benign prostatic hyperplasia (BPH). Thank you all in advance. Greenlight Laser vs TURP. However, the training for HoLEP is extensive and that there are not very many urologists up to speed on the technology yet. In men with BPH, the prostate gland is not cancerous but has become enlarged. GREENLIGHT LASER ENUCLEATION OF THE PROSTATE VS. HOLMIUM LASER ENUCLEATION OF THE PROSTATE Peyronnet et al. HoLEP has been safely and effectively used for men with prostates over 600cc. Objectives: The purpose of this study was to compare transurethral resection of the prostate (TURP) versus holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic hyperplasia (BPH) focusing on perioperative thrombin generation and fibrinolysis.. Methods: Sixty-five BPH patients were prospectively randomly assigned to undergo TURP (n = 32) or HoLEP (n = 33). The aim of either treatment is to free up the passage for the flow of urine from the bladder. En-bloc GreenLEP and two-lobar HoLEP enucleations were conducted using the GreenLight HPS™ 2090 laser and Lumenis™ holmium laser. Of the voiding patients, postoperative AUASI (3 vs 4, P = 0.06), maximum urinary flow rate (23 vs 18 mL/s, P = 0.28) and PVR (56.5 vs 54 mL, P = 1.0) were improved in both groups. The main competing techniques are currently the HoLEP and the 80-W 532-nm laser prostatectomy. With this procedure, high-intensity pulses of light are passed through a fiber inserted into the urethra to vaporize enlarged prostate tissue. ... (HoLEP) (22% vs. 0%, P=0.001) . Laser Enucleation - HoLEP - ThuLEP. He experienced no pain and had a 100 per cent improvement. Prostate resection - minimally invasive. Before this time, enlargement of the prostate was treated either with medication or for the more serious cases transurethral resection of prostate. The cut tissue is then pushed into the bladder and sucked out using a morcellation device following grinding. When medication and other nonsurgical treatments aren't able to effectively reduce the symptoms of BPH, Rezum can make a significant difference in a patient's quality of life, Dr. Goldberg says. The cost issue of GreenLight PVP-XPS is still a critical concern compared to HoLEP. BPH LUTS Transurethral Prostatectomy Laser Aquablation Retrograde Ejaculation Vapor Ablation Thermotherapy Electrovaporization TURP Open prostatectomy Prostatic Stents Stents Benign Prostatic Hyperplasia Lower Urinary Tract Symptoms Robotic Prostatectomy The author(s) declared that no grants were involved in supporting this work. While Transurethral Resection of the Prostate (TURP) is still regarded as the gold standard surgical treatment for BPH, the prospect of a less invasive treatment is attractive. Benign prostatic hypertrophy (bph) remedies. [5] compared the learning curves and outcomes of GreenLEP vs. HoLEP. You suffer from BPH, or enlarged prostate, and you're at a point where you need to do something about it. Holmium Laser Enucleation of Prostate (HoLEP) is a safe, modern and definitive surgical treatment for benign prostatic hypertrophy (BPH). However, the benefits of green light laser surgery are the recovery period is quick, there are few side effects. Although as with any surgery there may be some side effects such as erectile dysfunction, or urinary incontinence in some patients. The GreenLight procedure is a type of laser surgery that may offer a less invasive alternative to TURP. We aimed to compare the effectiveness and safety of PVP using a 120 W GreenLight laser with HoLEP in a small prostate volume. This is an alternative to the traditional TURP surgery. 1, 4 and 12 month I-PSS mean difference: Comparable between both groups. Button TURP vs. Green Light Laser for Benign Prostatic Hyperplasia – Dr. David Samadi Explains The Differences Share on: Even though BPH is not cancer, if left untreated, it has the potential of leading to issues of urinary tract infections, bladder or kidney stones, blood in the urine or kidney damage.’ The authors concluded that, compared with HoLEP, GreenLight PVP appears to be noninferior with regard to intraoperative safety and postoperative … GREENLIGHT LASER ENUCLEATION OF THE PROSTATE VS. HOLMIUM LASER ENUCLEATION OF THE PROSTATE. Background Discussion FOLLOW-UP: 12 month I-PSS mean difference: Comparable between both groups (HoLEP 80.8% vs PVEP 76.9%, p=0,41). Furthermore, efficacy, invasiveness, cost, and physician skill set should factor into decision-making. The GreenLight uses laser energy to vaporize prostate tissue. GreenLight is being used as an alternative to a TURP and has been shown to be its equal in terms of effectiveness in. The Greenlight laser is a continuous wave laser which initially used a potassium titanyl phosphate (KTP) crystal to produce a light beam at a wavelength of 532 nm. Elshal AM, Elkoushy MA, El-Nahas AR, et alJ Urol 2015;193:927–34Experts’ summary:This prospective randomized study compared GreenLight laser (XPS) photoselective vapo-enucleation of the prostate (PVP) and holmium laser enucleation of the prostate (HoLEP) for the treatment of symptomatic prostate enlargement. In the hands of a high volume surgeon, GreenLight laser PVEP using the XPS-180 W is a safe and effective modality in treating patients with LUTS secondary to BPH. Vapor Energy Ablation (RezÅ«m ®) PAE. While holmium laser enucleation of the prostate (HoLEP) has historically raised concerns regarding incontinence, large series data of this procedure has shown a long-term stress and urge incontinence rate of 1.4%. Minimally invasive prostate resection is surgery to remove part of the prostate gland. In terms of symptom control, it was not inferior to HoLEP at 1 year. Aquablation Derek Aucott had GreenLight laser surgery for BPH at the age of 86. In most instances the GreenLight HPS laser procedure was begun using a power of only 80 W. urinary bladder stone, holmium laser cystolithotripsy was done first. Laser settings for HoLEP ranged from 80 to 100 W. PVP was performed using the GreenLight HPS laser system and a side firing ADDStat™ laser fiber with a 600 mm core diameter. Holmium laser is used for both procedures. GreenLight Therapy vs. TURP. To compare transurethral resection in saline (TURIS), Greenlight laser vapo-enucleation of the prostate (GL.PVEP), and holmium laser enucleation of the prostate (HoLEP), for controlling lower urinary tract symptoms secondary to large benign prostatic hyperplasia (BPH) and to assess non-inferiority of 3-year re-treatment rates. Holmium Laser Enucleation of the Prostate (HoLEP) Surgery in India HoLEP is an innovative and highly advanced minimally invasive surgical procedure for BPH. HoLEP is performed under a general anaesthetic, through a telescope introduced into your bladder through your urethra. Studies have shown that Greenlight laser is equivalent to TURP with slightly less blood loss after the procedure. Also been plagued with associations to persistent dysuria and is designed to reduce traditional complications associated with TURP,. 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