Holmium Laser Enucleation of the Prostate (HoLEP)

Consideration may be given when benign prostatic hyperplasia leads to significant difficulty urinating, recurrent urinary retention, recurrent infections or stones, impaired renal function, and poor response to medication. The decision focuses on prostate volume and anatomy, symptom severity, previous treatment response, and anesthesia and bleeding risks, as comprehensively assessed by a urologist.