Holmium Laser Enucleation of Prostate for Treatment of Enlarged Prostate in New York City
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients.
We offer affordable prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
What is HoLEP (Holmium Laser Enucleation of Prostate)?
Prostate enucleation is an effective treatment option for men with symptoms of an enlarged prostate. When a Holmium laser is used for prostate tissue removal during prostate enucleation procedure, the procedure is called Holmium laser enucleation of the prostate, abbreviated as HoLEP.
Holmium laser enucleation of the prostate is an effective alternative to bipolar TURP and holmium laser ablation of the prostate.
At New York Urology Specialists, we use the most advanced, powerful Holmium laser with Lumenis MOSES technology to achieve the best outcomes for our patients (MoLEP). MOSES Laser Enucleation of the Prostate (MoLEP) has several advantages over traditional prostate enucleation.
Men with symptoms of slowing intermittent urine flow, urinary retention, incomplete bladder emptying, frequent urination, and urge to pee as a result of prostate enlargement typically experience significant improvement in symptoms after the HoLEP procedure.
Prostate enucleation with a holmium laser is done through the urethra. The procedure can be done under general anesthesia or epidural anesthesia.
What are the Advantages of HoLEP?
The advantages of holmium laser enucleation of the prostate over the holmium laser ablation of the prostate are that larger prostates can be effectively treated with HoLEP.
Holmium laser enucleation advantages over bipolar TURP and TURP include less blood loss, less heat damage to surrounding tissues due to the more precise delivery of energy, which may lead to lower chances of sexual side effects associated with monopolar TURP surgery.
Compared to minimally invasive office procedures such as the Urolift procedure and the Rezum procedure for BPH, HoLEP achieves a better speed of urine flow (higher Qmax) and greater improvement in urinary symptoms.
What are the Alternatives to Holmium Laser Enucleation of Prostate (HoLEP), and How do They Compare?
Laser enucleation of the prostate (LEP) can be performed with lasers other than the Holmium laser. Other commonly used lasers for laser enucleation of the prostate include ProTouch laser, Greenlight laser, Revolix Thulium laser, among others. Success rates in improving urinary symptoms are similar among different lasers. While there are some differences among lasers, an experienced urologist can achieve comparable results with different lasers.
For patients with mild to moderate symptoms of an enlarged prostate, medical treatment with medications for BPH may be effective. Minimally invasive procedures such as the Urolift stent for BPH and Rezum procedure may be effective.
The advantage of holmium laser enucleation of the prostate over medical treatment with medication such as Flomax and Proscar as well as over minimally invasive procedures such as Urolift and Rezum is that HoLEP achieves greater improvement in symptoms and effective for men with urinary retention. The trade-off is that recovery is longer after HoLEP than with minimally invasive treatment options, and anejaculation is common after the procedure. Modified HoLEP procedure in an effort to preserve ejaculatory function is possible but may not always be successful. Aquablation of the prostate achieves comparable benefits to prostate enucleation but has a higher rate of bleeding complications.
Where to Get Holmium Laser Enucleation of Prostate (HOLEP) Surgery in NYC?
At New York Urology Specialists, we offer specialized treatment for enlarged prostate for men. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-646-663-4044 or make an appointment online.
We perform a cystoscopy, urodynamic testing, prostate and bladder ultrasound in our office. We offer Urolift procedure, Rezum water-vapor procedure in our office, and laser enucleation of the prostate in a hospital setting. We treat urinary and erection problems. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
Did you know? Dr. Shteynshlyuger has performed over 1,000 surgeries and procedures for enlarged prostate, including Rezum, Urolift, prostate enucleation, laser ablation of the prostate, and TURP. He performs over 100 prostate procedures a year.
Recovery after HoLEP
While patients are able to resume most regular activities within a week after holmium laser enucleation of the prostate, some urinary symptoms improve immediately after surgery, while other symptoms take 2-3 months to improve. In particular, most men experience dramatically improved urine flow immediately after surgery. Symptoms such as urinary urgency and frequent urination typically take a few months to improve.
After HoLEP, I advised men to refrain from sexual activity and ejaculation for 4-6 weeks after the procedure.
What are the Risks of HoLEP?
Risks of HOLEP are similar to risks of other surgical procedures for enlarged prostate such as TURP and Greenlight laser. Common risks include UTI, bleeding, blood clot formations in the bladder, and urinary retention. Less common risks include injury to the urethra, urethral stricture, bladder injury, and injury to adjacent organs. As with any surgery requiring anesthesia, anesthetic risks include pneumonia, DVT, PE, stroke, and heart attacks, which are mostly related to the underlying patient’s health. Modern anesthesia is very good and millions of men, even very elderly and very sick, undergo major surgeries safely throughout the United States.
Cost of Enlarged Prostate Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Rezum procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
At New York Urology Specialists, we offer a flat-fee ‘all-cost-included’ Urolift procedure. The procedure is performed in our office under local anesthesia. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and to provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Read Real Stories of Men who Underwent Treatment of Enlarged Prostate (BPH) at New York Urology Specialists
We offer treatment for prostate problems, including slow urine stream, frequent urination at night, difficulty emptying the bladder, and other problems to patients within driving distance to our offices as well as from other states and countries. Our patients come from New York, New Jersey, Pennsylvania, Connecticut, and over 70 countries worldwide.
- 51-year-old Man with Pain and Slow Stream Treated with Urolift Supplements Did Not Help
- 53-year-old Man with Frequent Urination Treated with Rezum
- 56-year-old Man with Urination at Night and Discomfort Treated with Urolift
- 63-year-old Man with Urinary Problems after Prostate Cancer Radiation Treated With Urolift
- 67-year-old Man with Frequent Urination at Night after Greenlight Laser
- 73-year-old Man Treated with HOLEP (Holmium Laser Enucleation of Prostate)
- 73-year-old Man with Frequent UTI and Pain – Finasteride and Alfusozin Do Not Work
- 73-year-old Man with Incomplete Bladder Emptying and Post-void Urine Dribbling
- 86-year-old man Treated with Prostate Enucleation After Rezum
Why Choose New York Urology Specialists for Treatment of Enlarged Prostate Problems?
- All treatment is performed by a board-certified urologist experienced in treating men with symptoms of frequent urination, urinary urgency, urinary incontinence, and bladder pain using medical therapy, minimally invasive therapies, lasers, and open surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of urinary problems caused by an enlarged prostate in men.
- We offer treatment options for enlarged prostate, overactive bladder, UTI, and urinary incontinence in our office, which avoids the risks, costs, and recovery from general anesthesia.
- Extensive experience: Thousands of men have been treated successfully using medical therapy, surgery, and minimally invasive procedures such as Urolift procedure, Rezum surgery, Botox for overactive bladder, Interstim for frequent urination, and tibial neuromodulation.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking BPH treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Prostate Problems Look Like?
You can find images of uroflow as well as before and after treatment images in our image gallery.
Scheduling Appointments for Enlarged Prostate Treatment at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. We offer weekday, weekend, and evening office hours.
Dr. Alex Shteynshlyuger is a board-certified urologist and specialist in the treatment of urinary problems in men. He is one of the few urologists who offers a full range of treatment options for BPH (enlarged prostate). He specializes in all aspects of care for men with an enlarged prostate and urinary problems, including frequent urination at night, difficulty emptying the bladder, urinary urgency, and incontinence. He has successfully treated thousands of men with urinary problems, including urinary retention, painful urination, and frequent urination.
Urinary Problems Are Treatable in Nearly Every Man and Woman
At New York Urology Specialists, our urologists are specially trained in the evaluation and treatment of urinary problems caused by enlarged prostate and BPH in men. We understand the challenges that urinary problems such as a slow stream, waking up at night, pain in the penis and perineum create for our patients, their relationships, and their self-esteem. We help you find a treatment for your urinary problems that fit your needs, lifestyle, and your preferences.
Urologists are doctors specializing in the treatment of men with symptoms caused by prostate enlargement, including frequent urination, poor urine flow, frequent UTI, blood in urine, urinary incontinence, urinary problems caused by an enlarged prostate, prior surgery, neuropathy, chemotherapy, and radiation. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man and woman who desire an effective treatment for their urinary problems. We offer medical and surgical treatment for men’s prostate problems.
We specialize in minimally invasive, highly effective treatment for symptoms of bladder pain, urethral burning, pelvic discomfort, incomplete bladder emptying, urinary frequency, and urgency.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Penile Pain During Sex
- Impotence in men with diabetes.
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-646-663-4044.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance.
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