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Urology • Andrology • ReSurgeClinic
HoLEP and Benign Prostate Enlargement
Frequent urination, waking at night, weak urinary stream and the feeling of incomplete emptying are common in many men with age. At ReSurgeClinic in Kyrenia / Cyprus, benign prostate enlargement is evaluated together with prostate volume, PSA, urinary flow, residual urine, quality of life and patient expectations. In suitable patients, HoLEP may be considered as a minimally invasive endoscopic treatment option even for large prostates.
The main complaint, duration of symptoms, previous treatments, accompanying diseases, medications, expectations and relevant examination findings are evaluated together.
Clinical focus
The aim is not to apply the same treatment to every patient, but to understand the underlying mechanism and choose the safest suitable step.
Treatment logic
Follow-up, medical treatment, minimally invasive procedures or surgery are discussed step by step according to the patient’s condition.
What is benign prostate enlargement?
Benign prostate enlargement means growth of the inner part of the prostate that can compress the urinary channel and cause obstruction. It is not the same as prostate cancer, but it can significantly affect quality of life.
Symptoms may include frequent urination, waking at night, weak stream, straining, intermittency and the feeling of incomplete emptying.
The decision is made by evaluating symptoms, prostate size, PSA, urinary flow and residual urine together.
Which tests may be performed?
Depending on the patient, PSA, urinalysis, kidney function tests, ultrasound, uroflowmetry and residual urine measurement may be planned.
The aim is to understand whether the complaint is due to prostate obstruction, bladder dysfunction or another urinary problem.
HoLEP endoscopic treatment for prostate enlargement
HoLEP is an endoscopic laser surgery aiming to remove the enlarged inner prostate tissue in suitable patients. It may be considered especially when the prostate is large or symptoms are significant.
Not every patient is automatically advised surgery; medication, follow-up or intervention are chosen according to the clinical situation.
How are treatment options ordered?
Lifestyle changes, monitoring, medications and surgical options are discussed step by step.
The correct choice depends on symptoms, prostate size, bladder effect, age, accompanying diseases and patient expectations.
Follow-up and lifestyle
Fluid timing, caffeine, night-time urination and bladder habits are reviewed as part of the plan.
Medical treatment
Medication may be sufficient in selected patients, but response and side effects should be monitored.
HoLEP
A closed laser prostate surgery option in suitable patients, including large prostates.
Individualized surgical decision
Surgery is planned according to obstruction, prostate size, residual urine, general health and expectations.
Frequently asked questions
Does BPH mean prostate cancer?
No. Benign prostate enlargement is not cancer, but PSA and risk factors should still be evaluated.
Is HoLEP performed for every patient with BPH?
No. HoLEP is a strong option in suitable patients; the decision depends on symptoms, urinary flow, residual urine, prostate size and general health.
Which tests may be needed?
Depending on the complaint, PSA, urinalysis, ultrasound, uroflowmetry and residual urine measurement may be required.
