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.

Although similar to open prostate surgery, HoLEP requires no incisions. HoLEP removes the entire portion of the prostate that can block urine flow. It can be an option to treat a severely enlarged prostate.

The treatment provides a lasting solution for an enlarged prostate — a condition known as benign prostatic hyperplasia (BPH). HoLEP also preserves removed tissue so that it can be examined in the laboratory for other conditions, including prostate cancer.

As with other types of prostate laser surgery, HoLEP can offer faster recovery and symptom relief compared with traditional prostate surgery. Rarely, re-treatment with HoLEP may be needed for urinary symptoms.

Like urolift, this procedure is performed from within the urethra. A laser is used to remove the area of prostate that is causing the problem.