HoLAP or Holmium laser ablation of the prostate is a new, minimally invasive surgical technique for treating the enlarged prostate. The procedure uses a high energy Holmium laser delivered by the Versa Pulse Power Suite Laser unit manufactured by Lumenis Corporation.
A side-firing laser fiber is inserted through a cystoscope introduced in the urethra. The pulsatile laser energy creates a vapor bubble at the tip of the laser fiber that in turn heats the adjoining prostatic tissue causing it to vaporize without any significant tissue damage and excellent hemostasis. This process leads to the removal of the obstruction caused by the enlarged prostate. The Holmium laser penetrates less than 0.5 mm in the tissues, resulting in immediate tissue vaporization before heat can be conducted deeper into the tissues.
The HoLAP procedure is safe and effective and compares favorably with others more invasive procedures to treat an enlarged prostate. It is performed as an inpatient or outpatient procedure and usually takes less than one hour to complete. Recovery is fast and uncomplicated. Adverse post-operative complications such as dysuria urinary retention, delayed sloughing of tissue and bleeding occur rarely, contrary to more invasive treatments such as open Prostatectomy and Trans-Urethral- Prostatectomy (T.U.R.P).
Mr.A. Economides M.D., F.R.C.S
Member of European Association of Urology