Procedure
HoLEP: Laser surgery for prostate enlargement
Holmium Laser Enucleation of the Prostate (HoLEP) is the international gold standard for treating benign prostatic hyperplasia. Led in Costa Rica by Dr. Mario González, with more than 400 procedures performed.
Book a consultationWhat is it?
HoLEP (Holmium Laser Enucleation of the Prostate) is an advanced surgical technique that uses laser energy to remove prostate tissue obstructing urine flow, regardless of prostate size. It is considered the worldwide reference treatment for benign prostatic hyperplasia (BPH).
How it works
An endoscope with a laser fiber is introduced through the urethra, without external incisions. The Holmium laser separates the obstructive prostate tissue from its capsule with millimetric precision. The tissue is removed while the healthy capsule remains intact, restoring a wide and lasting urinary flow.
Who it's for
Men with lower urinary tract symptoms due to prostate enlargement: weak stream, difficulty starting, dribbling, incomplete emptying, urgency, or nocturia. Ideal for medium and large prostates, and suitable even for patients on anticoagulant therapy.
Benefits
- Minimal blood loss
- No external incisions
- Short hospital stay (1 night)
- Long-lasting results
- Suitable for large prostates
- Lower retreatment rate than other techniques
Recovery
One-night hospital stay, catheter removal within 24–48 hours in most cases, and return to daily activities within a few days. Postoperative follow-up is personalized.
Let's talk about your case