Benign Prostatic Hyperplasia (BPH), commonly known as enlarged prostate, is one of the most frequent urological conditions affecting men over the age of 50. Symptoms like frequent urination, poor urine flow, nighttime urination, or a feeling of incomplete bladder emptying can significantly affect daily life.
Modern medical science has introduced several advanced ways to treat BPH, but Holmium Laser Enucleation of the Prostate (HoLEP) is now considered the gold-standard treatment — offering long-lasting relief, minimal bleeding, and the fastest recovery among all prostate surgeries.
If you’re searching for the best HoLEP surgery in Faridabad, Dr. Anup Gulati, one of the region’s leading urologists, provides world-class laser prostate treatment using advanced technology and precision.
What Is HoLEP Surgery?
HoLEP (Holmium Laser Enucleation of the Prostate) is a minimally invasive laser procedure used to remove excess prostate tissue that blocks urine flow. The laser precisely cuts and removes the enlarged part of the prostate, restoring normal urinary function.
Why HoLEP Is Preferred Over Traditional Surgeries:
- No external cuts or stitches
- Very minimal bleeding
- Works for prostates of any size
- Faster recovery compared to TURP or open surgery
- Long-term and permanent results
The technique ensures that the obstructing prostate tissue is completely removed, reducing the chances of recurrence.
Who Needs HoLEP Surgery?
You may be advised HoLEP if you experience:
Common BPH Symptoms
- Weak urine stream
- Frequent urge to urinate
- Difficulty starting or stopping urine
- Nighttime urination (nocturia)
- Burning sensation while urinating
- Feeling of incomplete emptying
Medical Conditions
- Urinary retention
- Recurrent urinary tract infections
- Bladder stones
- Kidney damage due to prolonged blockage
Individuals who want a safer, long-lasting, and minimally invasive treatment often choose HoLEP.
How HoLEP Surgery Works: Step-by-Step
HoLEP is performed using a specialized Holmium:YAG laser and advanced endoscopic equipment. Here’s what happens during the procedure:
1. Anesthesia
The surgery is done under spinal or general anesthesia depending on the patient’s condition.
2. Endoscopic Access
A thin scope is inserted through the urethra — no cuts on the skin.
3. Laser Enucleation
The surgeon uses the laser to remove the enlarged prostate lobes blocking urine flow.
4. Tissue Morcellation
The removed tissue is suctioned out using a device called a morcellator.
5. Catheter Placement
A catheter is placed temporarily to drain urine.
6. Discharge
Most patients go home within 24 hours.
This precision-based approach ensures safety, high efficiency, and minimal blood loss.
Benefits of HoLEP Surgery
HoLEP offers several advantages over open prostatectomy and TURP. Here’s why it is considered the safest and most effective:
1. Suitable for Any Size Prostate
Unlike TURP (best for small to medium prostates), HoLEP works efficiently for even very large prostates (100–200 grams or more).
2. Less Bleeding
Laser technology seals blood vessels during surgery, making it ideal for:
- Older patients
- Patients on blood thinners
- Those with medical comorbidities
3. Minimal Pain & Quick Recovery
- No external cuts
- Less hospital stay
- Faster return to normal life
Most men return to daily routine within 3–5 days.
4. Long-Lasting Results
HoLEP completely removes obstructive prostate tissue, so recurrence is extremely rare.
5. Lower Risk of Complications
Compared to traditional surgeries, HoLEP reduces risks like:
- Blood loss
- Infection
- Retreatment
- Long-term catheter dependency
6. Better Urine Flow Immediately
Most patients experience significant improvement in urinary flow on the very next day.
HoLEP Surgery vs TURP vs Open Prostatectomy
| Feature | HoLEP | TURP | Open Surgery |
| Cutting Type | Laser | Electrical loop | Incision + removal |
| Bleeding | Very low | Moderate | Significant |
| Prostate Size Limit | Any size | Limited | Large prostates only |
| Hospital Stay | 1 day | 2–3 days | 5–7 days |
| Catheter Time | 12–24 hrs | 2–3 days | 5–7 days |
| Recovery Time | 3–5 days | 1–2 weeks | 4–6 weeks |
| Durability | Excellent | Moderate | Excellent |
| Ideal For | All patients | Select cases | Large glands |
HoLEP clearly stands out as the safest and most efficient option.
Recovery After HoLEP Surgery
Day 1
- Catheter removed
- Patient discharged
- Urination improves immediately
First Week
- Mild burning or urgency
- Light activity recommended
- Avoid heavy lifting
2–4 Weeks
- Irritation subsides completely
- Routine lifestyle fully restored
1 Month
- Full healing
- Excellent urinary flow
Most men say HoLEP feels like “getting their life back” because symptoms improve so quickly.
Is HoLEP Safe?
Yes, HoLEP is extremely safe and widely preferred worldwide.
It offers excellent outcomes when performed by an experienced urologist like Dr. Anup Gulati, who has extensive expertise in laser prostate surgeries.
Cost of HoLEP Surgery in Faridabad
The cost of HoLEP surgery in Faridabad depends on:
- Size of the prostate
- Hospital facilities
- Surgeon’s expertise
- Type of anesthesia
- Post-surgery care
Average Cost Range:
₹90,000 – ₹1,70,000
This is significantly more affordable than major metro cities while providing world-class urological care.
Why Choose Dr. Anup Gulati for HoLEP Surgery in Faridabad?
- Highly experienced urologist specializing in laser prostate surgeries
- Trained in advanced holmium laser technology
- High success rate with excellent patient outcomes
- Modern equipment and state-of-the-art facilities
- Patient-first approach with detailed pre- and post-op guidance
Dr. Gulati ensures safe, minimally invasive, and effective treatment tailored to each patient’s needs.
Frequently Asked Questions (FAQs)
1. Does HoLEP affect sexual function?
Most men maintain normal sexual function. In some cases, retrograde ejaculation can occur, but erections are usually unaffected.
2. How long does HoLEP surgery take?
Typically 45–90 minutes depending on prostate size.
3. Is HoLEP better than TURP?
Yes. HoLEP offers less bleeding, shorter recovery, and is suitable for all prostate sizes.
4. Can the prostate grow back after HoLEP?
No, because the removed tissue does not regrow. Long-term results are excellent.
5. When can I resume office work?
Most patients resume work within 3–5 days.
6. Will I need a catheter after surgery?
Yes, but only for 12–24 hours in most cases.
7. Are there any risks?
Risks are minimal and may include temporary burning or increased frequency, which resolves within weeks.
Conclusion
HoLEP is one of the safest, most effective, and most advanced treatments for enlarged prostate. With quick recovery, minimal complications, and long-term benefits, it has become the preferred choice for men seeking permanent relief from BPH symptoms.
If you’re looking for the best laser prostate surgery (HoLEP) in Faridabad, Dr. Anup Gulati offers expert care supported by advanced technology and patient-friendly treatment plans.