HoLEP (Holmium Laser Enucleation of Prostate) involves enucleation of prostate rather than resection to achieve a near total removal of prostate gland. The procedure can be compared to peeling off orange from its capsule.


This procedure achieves  maximum prostate gland removal through endoscopic route with least complications .

Advantages of this procedure compared to traditional TURP

  • Least incidence of bleeding and blood loss (use of aspirin not a contraindication)
  • No risk of TURP syndrome
  • Maximum gland removal
  • Least reccurence risk
  • Better Urinary flow
  • Less hospital stay
  • Cardiac  safety

Dr Sandeep Prabhakar
MS (PGI), MCh Urol (SGPGI)

Dr Sandeep is an energetic and dynamic Urologist, who is currently leading department of Urology, Renai Medicity Kochi. After graduating from Government Medical College, Thrissur, he pursued his post graduation in General surgery from prestigious PGI Chandigarh. He continued his quest to learn, to get a masters degree in Urology and Renal transplantation from another reputed institute of this country (SGPGI, Lucknow). Dr Sandeep is the first Urologist to do Holmium Laser Enucleation of the Prostate (HoLEP) procedure in Kerala and he is expert in Key Hole surgeries. His fields of interest are Laparoscopic Urology & Pediatric laparoscopic Urology, Endo-Urology, Andrology and Renal Transplantation.: