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.
