Benign prostatic hyperplasia (BPH) is a condition that affects more than five hundred million men over the age of 50 worldwide.

Prostate enlargement impairs quality of life with symptoms leading to depression, loss of sleep, social isolation, impaired sexual function, and ultimately bladder and kidney damage. Until now, the treatment with transurethral resection of the prostate has now reached the limits of its possibilities and limitations, so a new groundbreaking technique, having marked a brilliant course in Canada, the United States and the European Union, comes to be added to the quiver of options of Greek Urologists, constituting already abroad the new golden rule of prostate treatment.

OR HoLEPthe enucleation of the prostate with the help of the Holmium Laser, a minimally invasive high-tech technique, has already been adopted for four years now in our country, at the MITERA Hospital, providing treatment to over a thousand of our fellow citizens.

Its main advantage is that it gently and non-traumatically pushes away the tissue without leaving any residue, adapting to the anatomy of each man individually, radically and regardless of the size of the prostate, thus zeroing out the chances of re-intervention in the future.

The operation, due to the friendliness of the Laser to human tissue, does not create post-operative symptoms of burning and frequent urination in the patients, often allowing them to return to their activities even in the afternoon of the same day. And due to the excellent hemostatic capacity of the Laser and the minimum anesthesia, elderly patients with underlying cardiac diseases benefit, among others, without having to stop their anticoagulant treatment.

In addition, thermal damage to adjacent tissues is avoided, such as the nerves that support the man’s erectile function and the sphincter muscle responsible for urinary continence, problems that were taboo for men in the past to visit their doctor. The PSA is almost zero after surgery and the tissue is sent for histological examination.

The rise of the HoLEP method prompted medical research to push its boundaries even further in the direction of minimal intervention by discovering ¨pulse modulation¨ in Lasers, otherwise known as Moses technology.

Since the intervention is carried out in a water environment, the laser beam passing through the water was subject to absorption and refraction of part of its energy. Pulse shaping creates an airtight pocket through which the beam passes so that it is optimally delivered to the target without loss.
Now operating in a vacuum, the intervention is launched to other levels of speed, precision, safety and efficiency, being completely bloodless and painless.

OR MoLEP therefore, Laser enucleation of the prostate, with the help of Moses technology, according to multicenter studies that converge from all over the world and converge on its indisputable superiority, is the evolution of endoscopic enucleation and is the operation of choice for benign prostatic hyperplasia internationally , as long as the appropriate criteria for its action are met.

The method should be practiced in Hospitals that have state-of-the-art medical equipment and the corresponding experience, as it requires a long learning curve in specialized centers abroad, where training is obtained in the absolutely specific technique that should be followed according to the American Urological Association. The enucleation is done en bloc (that is, in one piece), the correct anatomical shots of the capsule surrounding the adenoma are identified, which is detached entirely internally and completely hemostatically, applying the strategy of securing the sphincter with its timely release. The new endoscopic tools, also significantly reduced by 30% in diameter, are friendly to the sensitive urethra to avoid trauma and future unpleasant strictures (miniMoLEP).

The new face of Endocrinology is now successfully extended to the Greek patient as well, being a boon for the man and a great satisfaction of the Medical community which duly keeps pace with the developments happening abroad.