Holmium Laser Prostate Surgery in Andheri, Mumbai
If your prostate has grown to a size where medications are no longer working and your urinary symptoms are seriously affecting your quality of life, you need a solution that is safe, permanent, and proven. Holmium laser prostate surgery in Andheri, Mumbai — performed by Dr. Ashish Gupta — offers exactly that. Known medically as HoLEP (Holmium Laser Enucleation of the Prostate), this is the most advanced, most complete, and most durable surgical treatment available for benign prostatic hyperplasia (BPH) — and it is available right here in Andheri East.
Meet Experienced Prostate Surgeon in Andheri, Mumbai
Dr. Ashish Gupta
What is Holmium Laser Prostate Surgery (HoLEP)?
Holmium Laser Prostate Surgery — HoLEP — is a minimally invasive, endoscopic procedure that uses a high-powered Holmium:YAG laser to remove the entire obstructing inner tissue of the enlarged prostate (the adenoma) through the natural urinary passage. There are no skin incisions, no external wounds, and no stitches.
Unlike TURP — which shaves away prostate tissue in fragments using electrical energy — HoLEP removes the entire obstructing adenoma in anatomical segments by following the natural surgical plane between the adenoma and the outer prostatic capsule. This is the same completeness of removal achieved in open prostate surgery, but performed entirely through the urethra in a fraction of the time, with a fraction of the recovery.
The removed tissue is then pushed into the bladder and finely fragmented by a morcellator before being washed out and sent for pathological examination.
The result: complete, permanent relief from urinary obstruction — with outcomes that match open surgery and far surpass TURP — through a procedure that is done under anaesthesia, typically completed in 60 to 120 minutes, with most patients going home within 24 to 48 hours.
What is BPH? Understanding Why Your Prostate is Blocking Urine Flow
The prostate gland surrounds the urethra just below the bladder. As men age — almost universally from their 40s and 50s onwards — the inner zone of the prostate enlarges. As it grows, it squeezes the urethra from all sides, progressively restricting urine flow.
Symptoms of an enlarged prostate that indicate it is time to consider holmium laser prostate surgery in Andheri include:
Weak or slow urine stream — needing to strain to push urine out
Difficulty starting urination — standing and waiting at the toilet
Incomplete emptying — the bladder never feels truly empty
Frequent urination day and night — getting up 2, 3, or more times at night (nocturia)
Sudden urgent need to urinate that is difficult to control
Dribbling after urination — urine continues to leak after finishing
Acute urinary retention — complete inability to urinate, requiring catheterisation
How Holmium Laser Prostate Surgery is Performed in Andheri
Step-by-Step: What Happens During Your HoLEP Procedure
Before Surgery — Pre-Operative Assessment
- Uroflowmetry — measuring the speed and pattern of urine flow
- Prostate ultrasound — accurately measuring prostate volume
- Post-void residual urine — how much urine remains after voiding
- PSA blood test — to rule out concurrent prostate cancer
- Flexible cystoscopy — examining the urethra and bladder
- Blood tests and anaesthetic fitness review
Step 1 - Access
A specialised resectoscope connected to the Holmium laser fibre is introduced through the urethra — no skin cuts. The surgeon identifies key anatomical landmarks: the bladder neck, the verumontanum, and the three lobes of the prostate.
Step 2 - Laser Enucleation
The Holmium laser makes precise incisions at the bladder neck and follows the surgical plane between the adenoma and the prostatic capsule — simultaneously cutting and sealing blood vessels as it goes. The three lobes of the obstructing adenoma are systematically mobilised and pushed into the bladder as large intact segments.
Step 3 — Morcellation
A morcellator inserted through the scope breaks the large tissue segments inside the bladder into tiny particles, which are suctioned out and collected for pathological analysis.
Step 4 — Final Check
The prostatic fossa is inspected, any remaining bleeding points coagulated, and the integrity of the sphincter — the structure responsible for continence — confirmed.
Step 5 — Catheter
A urinary catheter is placed. In most patients it is removed the following morning — within 12 to 24 hours.
Frequently Asked Questions | Holmium Laser Prostate Surgery
Holmium laser prostate surgery (HoLEP) uses a precisely tuned Holmium:YAG laser to remove the entire obstructing inner portion of the prostate through the urethra — no skin cuts, no open incisions. Unlike conventional TURP which shaves away tissue piecemeal using electrical energy, HoLEP enucleates — removes the complete obstructing adenoma in one anatomical procedure, like peeling an orange from its rind. The result is more complete tissue removal, less bleeding, faster recovery, and a dramatically lower chance of the problem ever returning.
Yes — and this is one of HoLEP’s greatest advantages. There is no upper size limit for holmium laser prostate surgery. It has been successfully performed on prostates exceeding 300 cc. Men who were previously told their prostate was too large for TURP and that they needed major open surgery can now achieve the same completeness of treatment through a minimally invasive, endoscopic approach — with a hospital stay of just 1 to 2 days instead of 5 to 7 days for open surgery.
Yes — HoLEP is specifically recommended for patients on anticoagulants. The Holmium laser seals blood vessels as it cuts, producing minimal intraoperative bleeding even in patients taking warfarin, rivaroxaban, apixaban, aspirin, or clopidogrel. This makes it far safer than TURP for anticoagulated patients, where bleeding risk is significantly higher. Your cardiologist and anaesthetist will advise on perioperative medication management, but holmium laser prostate surgery is generally considered the preferred surgical option for men on blood thinners.
HoLEP removes the entire obstructing adenoma — not just a portion of it. Because there is no residual inner prostate tissue left behind to regrow, published long-term studies show a recurrence rate of less than 1 to 2% at 10 years. For the vast majority of men, holmium laser prostate surgery in Andheri is a once-in-a-lifetime procedure. This compares very favourably to TURP’s re-treatment rate of up to 15 to 20% over 10 years as residual tissue regrows.
The approximate cost of HoLEP surgery in Mumbai ranges from ₹1,00,000 to ₹1,50,000. The final cost may vary depending on the prostate size, hospital facilities, surgeon’s fees, anaesthesia, diagnostic tests, room category, and duration of hospital stay. (Pristyn Care)
Although HoLEP may have a higher initial cost than conventional TURP, it may offer long-term benefits such as:
Lower chances of requiring repeat prostate surgery
Reduced need for long-term prostate medicines after successful treatment
Shorter hospital stay and faster recovery
Lower risk of bleeding and certain postoperative complications
For an accurate and personalised cost estimate, consult Dr. Ashish Gupta in Andheri, Mumbai. The treatment plan and total charges will be explained clearly after evaluating your condition.
Retrograde ejaculation occurs when the internal bladder neck is altered by the surgery, causing semen to travel back into the bladder during orgasm rather than forward. The orgasm sensation is completely normal, erection is unaffected, and the semen passes harmlessly in the urine afterward. Retrograde ejaculation occurs in approximately 75 to 90% of men after HoLEP — it is the expected trade-off for outstanding urinary results. Men who wish to father children after surgery should consider sperm banking before the procedure.
Most men notice a dramatically stronger and faster urine stream almost immediately after catheter removal — typically within 24 to 48 hours of surgery. The improvement is not gradual — it is immediate and striking. Mild urgency and frequency in the first few weeks are normal as the bladder adjusts, but the fundamental urinary obstruction is resolved from the moment the procedure is complete.
GreenLight laser (photoselective vaporisation — PVP) and HoLEP are both laser-based prostate treatments but work in fundamentally different ways. GreenLight vaporises and destroys prostate tissue layer by layer — similar to TURP but using laser energy. HoLEP enucleates — removes the entire adenoma intact from within the capsule. Because HoLEP removes all the obstructing tissue rather than burning part of it away, it produces more durable results, is effective for any prostate size, and provides tissue for pathological examination — GreenLight does not. HoLEP is considered the superior procedure for large prostates and long-term durability.
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