Holmium Laser Enucleation of the Prostate (HoLEP) Doctors in Jordan

Benign prostatic enlargement is common with age: the gland grows and compresses the urinary channel, producing storage and voiding symptoms — hesitancy and a weak stream, intermittency, a sense of incomplete emptying, and frequent night-time voiding. HoLEP (holmium laser enucleation of the prostate) passes an endoscope through the urinary channel — with no external incisions — and uses the holmium laser to enucleate the enlarged tissue off the gland capsule, after which it is morcellated and suctioned out. What distinguishes it is near-complete removal of the obstructing tissue regardless of gland size, making it a strong option for large prostates that were traditionally treated by open surgery, and it reduces bleeding compared with conventional electro-resection because the laser seals vessels as it works — which makes it feasible for men on blood thinners after careful assessment. A further advantage is that the removed tissue is sent for histological examination. The correct pathway does not begin with surgery: behavioural measures and medication are tried first for an adequate period, and surgery is considered when these fail or when complications exist such as recurrent urinary retention, recurrent urinary infections, bladder stones, impaired kidney function or recurrent bleeding. It is only fair to state what a patient should know before consenting: many men notice **retrograde ejaculation** afterwards (semen passing into the bladder rather than outward). This does not affect sensation or erection but does affect natural fertility. Urinary urgency and burning may also persist for weeks before symptoms settle.