Holmium Laser at Andrología Barcelona: restoring quality of life when urinating

Urinating should be automatic. However, when the prostate begins to enlarge, many men notice that something changes: the urinary stream loses strength, it becomes difficult to start, there is a feeling of incomplete emptying, or the nights are interrupted several times to go to the bathroom.

In most cases, these symptoms are related to benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate that can progressively obstruct the outflow of urine.

At Andrología Barcelona – Teknon Medical Center, a specialized evaluation is carried out to study each case. When indicated, Dr. Maurizio D’Anna offers Holmium laser treatment, an advanced surgical technique that allows the tissue causing the obstruction to be removed precisely and in a minimally invasive way.

The goal is not only to treat the prostate, but to improve the patient’s quality of life with safety and clarity of information.

What is the Holmium laser?

The Holmium laser (HoLEP) is a modern technique that allows the removal of prostate tissue blocking the urethra through an endoscopic approach, that is, through the urethra and without making external incisions.

It is a technological evolution compared to conventional surgery and is especially indicated for medium or large prostates, or when medication no longer offers sufficient results.

Key features

High surgical precision

Good bleeding control

No external scars

Long-lasting results in many patients

Symptoms that may indicate prostate enlargement

Benign prostatic hyperplasia usually progresses slowly. The most frequent symptoms include:

• Weak or intermittent urinary stream
• Difficulty starting urination
• Feeling of incomplete emptying
• Increased urinary frequency
• Getting up several times at night
• Urinary urgency
• In more advanced stages, repeated urinary infections or urinary retention may appear.
• When these symptoms are present, a complete evaluation is carried out at Andrología Barcelona to confirm the diagnosis and assess the most appropriate options.

How is the diagnosis made at Teknon Barcelona?

The evaluation begins with a detailed consultation in which symptoms, medical history, and the progression of the problem are analyzed. Not all urinary disorders are due exclusively to prostate enlargement, so it is essential to study each case precisely.

Additional tests are usually performed, such as PSA analysis (when indicated), prostate ultrasound, and urinary flow studies. These tests make it possible to confirm whether there is significant obstruction and determine the most appropriate treatment.

The approach at Andrología Barcelona is always individualized: not all patients need surgery, and not all surgeries are the same.

What is Holmium laser surgery like?

The procedure is performed in the operating room under anesthesia. Through an instrument inserted into the urethra, the surgeon visualizes the prostate and applies the laser to carefully separate the tissue that is blocking the passage of urine.

That tissue is then removed, leaving the urinary channel clear. At the end, a temporary catheter is placed to facilitate the initial recovery.

• Minimally invasive
• Without external incisions
• With generally short hospital stay
• With progressive improvement of urinary flow in the weeks afterwards

Does it affect sexual function?

Sexual function is an important concern and should be addressed with complete transparency.

In the case of the Holmium laser, the treatment is aimed at resolving urinary obstruction and does not usually directly affect erections. However, retrograde ejaculation may occur, meaning that semen does not come out externally during orgasm and instead goes into the bladder.

It does not pose a health risk, but it may affect fertility and modify the sexual experience.

In some patients who prioritize preserving ejaculation, alternatives such as Rezum may be considered, a minimally invasive treatment with water vapor that in certain cases has less impact on ejaculation, although it is not suitable for all prostate sizes and may have other limitations.

For this reason, at Andrología Barcelona, the decision is made in a personalized way, clearly explaining the advantages and possible disadvantages of each technique.

Why treat the prostate at Andrología Barcelona – Teknon?

Choosing the right center and specialist is an essential part of the process.

• Specialized evaluation of prostate pathology
• Advanced surgical technology
• Personalized approach
• Structured postoperative follow-up
• Confidentiality and close care
• The goal is for the patient to understand their situation, know their options, and make an informed decision.

Frequently asked questions

• Is it a definitive solution? In many cases it offers long-lasting results, although the progression depends on each patient.
• Is the procedure painful? It is performed under anesthesia and the postoperative period is usually well tolerated.
• When will I notice improvement? Improvement in urinary flow is usually progressive in the first weeks.
• Can the prostate grow again? The prostate can continue to change with age, although the technique removes the existing obstructive tissue.

Request your evaluation at Andrología Barcelona

If you notice changes when urinating or if medical treatment is no longer sufficient, a specialized evaluation can help you regain your well-being.

Request an appointment directly here: https://www.andrologiabarcelona.com/en/request-an-appointment/

Or contact Andrología Barcelona – Teknon Medical Center: 930 329 688 | 622 811 373

A timely evaluation can make an important difference in your quality of life.