Holmium Laser Enucleation is a treatment for an enlarged and obstructing prostate. Dr Elmes pioneered HoLEP in Qld, performing the first case more than ten years ago. He is the most experienced HoLEP surgeon in QLD. 

 

It is a minimally invasive procedure and follows the exact anatomical planes within a prostate with precision allowing complete resection of all adenoma (obstructing tissue) whilst preserving the outer capsule, erectile nerves and urethral sphincter. Dr Elmes is highly trained and skilled in the HoLEP technique and he continues to mentor and train other Urological Surgeons across Australia to ensure this  procedure is readily available for men.

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Its short and longterm outcomes:

 

• less bleeding

• lower chance of erectile dysfunction 

• similar low incontinence rates

• same maximal flow rate and urinary symptom improvement

• minimal reoperation rate

• Importantly allows sampling of tissue to look for cancer

 

Dr Elmes recommends HoLEP for all his patients with moderately to severely bothersome symptomatic BPH that have:

 

• failed or do not wish to have medical therapy

• are willing to tolerate retrograde ejaculation