2026 жылында Израильде гольмий лазерлі энуклеация простата безіне (HoLEP) бойынша ең жақсы бағалар мен клиникалар туралы біліңіз

Israeli urologists recommend Holmium Laser Enucleation of the Prostate (HoLEP) based on prostate volume, symptom severity, and surgical safety. Doctors prioritize this laser technique for patients with very large prostates or those needing to continue blood-thinning medications during treatment.

• Prostate volume: Specialists use HoLEP for any size, especially exceeding 80cc.
• Medical necessity: Recommendation follows failed medication or acute urinary retention.
• Safety profile: The laser seals vessels, benefiting patients on anticoagulants.
• Diagnostic work-up: Doctors use TRUS imaging and PSA screening to confirm eligibility.

Bookimed Expert Insight: Israeli specialists often provide a high level of surgical versatility by combining local medical technology with international training. For example, Dr. Mario Sofer at Sourasky Medical Center (Ichilov) brings endo-urology expertise from Canada, while Dr. Nir Kleinmann at Sheba Medical Center utilizes unique dual-laser systems. This technical depth allows doctors to manage complex benign enlargement alongside oncological concerns.

Patient Consensus: Patients often mention feeling a sense of relief when they can avoid more invasive open surgery for large prostates. They note that the ability to stop using catheters shortly after the procedure is a major practical benefit. Many describe the recovery as faster than they initially expected.

Israeli HoLEP specialists routinely preserve erectile function by working strictly inside the prostatic capsule to protect nearby nerves. Most patients maintain sexual function because the procedure avoids the external nerve bundles. Specialists like Dr. Hughes Hyun at Sourasky Medical Center even lead dedicated sexual function clinics.

• Nerve preservation: Laser precision keeps the surgical field away from nerves controlling erections.
• Erectile stability: Dysfunction rates remain low with over 99% of patients maintaining their function.
• Modified techniques: Specialists use bladder-neck preservation to maintain normal ejaculation for many patients.
• Enhanced recovery: Patients typically return to normal sexual activities within 3 to 6 months.

Bookimed Expert Insight: Israeli urology departments frequently integrate sexual health specialists directly into surgical teams. Dr. Hughes Hyun, for example, is both a board-certified surgeon and a sexologist. This dual expertise ensures that surgical planning prioritizes nerve-sparing techniques and functional recovery alongside treating the enlarged prostate.

Patient Consensus: Patients note they feel much better after surgery because their urinary symptoms disappear. Many were surprised that they could reach orgasm normally even if their ejaculation changed. They say the relief from nighttime bathroom trips makes them feel more energetic and satisfied overall.

Israeli HoLEP specialists generally advise a hospital stay of 24 hours. Patients typically undergo observation for one night before discharge. Most men return to light daily routines within 5 to 7 days, while full internal healing usually takes approximately one month.

• Inpatient duration: Most patients spend one night at the hospital for monitoring.
• Catheter management: Doctors usually remove the urinary catheter the morning following the surgery.
• Initial recovery: Patients often resume light walking and desk work within one week.
• Physical activity: Specialists recommend avoiding heavy lifting or cycling for 4 to 6 weeks.

Bookimed Expert Insight: Israeli urologists often have extensive international training backgrounds. Specifically, Dr. Mario Sofer at Sourasky Medical Center completed specialized endo-urology training in Canada. This allows local specialists to implement refined laser techniques that prioritize tissue preservation. Choosing doctors with such backgrounds often leads to more precise symptom relief.

Patient Consensus: Patients note that while the hospital stay is short, bleeding may occasionally extend the stay to 3 to 5 days. Many were surprised that urinary urgency and frequency lasted for several weeks after going home. Most emphasize that sexual function recovery often takes closer to 8 weeks rather than the initial estimates.