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uncommon.","revision_rate_pct":{"min":1,"max":4,"unit":"percent","qualifier":"Reoperation for stricture, bladder neck contracture or residual adenoma regrowth within about 5 years."},"scars":"No external incisions or scars; the procedure is performed transurethrally.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operative session for standard HoLEP."},"stages":[{"code":"enucleation_morcellation","label":"Laser enucleation of adenoma, then morcellation and catheter placement in one operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed during the same operative session."}}],"qualifier":"One-stage transurethral procedure."},"success":{"metric":"Postoperative average maximum urinary flow rate (Qmax)","value":20,"unit":"mL/s","horizon":"12 months","population":"Adult men with symptomatic BPH and bladder outlet obstruction","evidence_status":"limited"},"techniques":[{"name":"Standard three-lobe HoLEP with 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pre-flight check."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team treating you","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check the facilities and standards at the clinic or hospital where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check that you understand the possible complications and side effects of the treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Get a second opinion from a doctor on the treatment and whether it is necessary","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"A doctor can give you a valuable second opinion as well as advice about treatment options and whether it's necessary.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A hard sell when offered treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"Pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"No discussion of possible complications before booking treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell a lack of information pressure to make a quick decision no discussion of possible complications no mention of aftercare","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-13","next_check_at":"2027-02-11"},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lab report on removed prostate tissue, checked for cancer","document":"pathology report","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"The removed tissue will be sent to the laboratory for analysis to check for any signs of prostate cancer.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Gives the planned catheter removal timing for home follow-up","document":"catheter removal plan","source":{"url":"https://www.uhsussex.nhs.uk/resources/holmium-laser-enucleation-of-the-prostate-holep/","host":"uhsussex.nhs.uk","quote":"This is typically on day 3 after surgery, based on the best chance of successful removal.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T6","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want an outpatient procedure for enlarged-prostate urinary symptoms","name":"Prostatic urethral lift","source":{"url":"https://my.clevelandclinic.org/health/procedures/prostatic-urethral-lift","host":"my.clevelandclinic.org","quote":"A prostatic urethral lift is an outpatient medical procedure that relieves the symptoms of an enlarged prostate, including issues with peeing.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"technique_details":{"status":"ok","items":[{"id":"standard-three-lobe-holep","name":"Standard three-lobe HoLEP with morcellation","how_it_works":{"text":"The prostate tissue is removed in three lobes","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"The prostate tissue is removed in three lobes.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"en-bloc-holep","name":"En bloc HoLEP (EBEP)","how_it_works":{"text":"En bloc enucleation removes the prostate adenoma as a single piece","source":{"url":"https://pubmed.ncbi.nlm.nih.gov/23294874/","host":"pubmed.ncbi.nlm.nih.gov","quote":"En bloc enucleation removes the prostate adenoma as a single piece.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":429}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=bolgariya/city=sofiya/procedure=golmievaa-lazernaa-enukleacia-predstatelnoj-zelezy-holep/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"illnessesByOperation":[{"id":108,"alias":"bph","name":"Benigne Prostatahyperplasie (BPH)"}],"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}