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Benign Prostate Hypertrophy

Dr. Amy Krambeck - A leader in Holmium Laser Enucleation of Prostate

HoLEP (Holmium Laser Enucleation of Prostate) is the platinum standard for prostate surgery. It is a unique laser surgery for the prostate that removes the maximum amount of prostate tissue and takes a long time to learn how to do. It has excellent outcomes, short and long term. Patients from all over the world have travelled to have a consultation with Dr. Krambeck. No prostate is too large or too small for Dr. Krambeck to perform HoLEP.

Dr. Krambeck was one of the first surgeons to adopt outpatient HoLEP and same-day catheter removal.  She works closely with Lumenis Ltd., the makers of the MOSES™ Holmium laser.  With state of the art technology, Dr. Krambeck is able to take her expertise to the next level to deliver the best possible outcome for you.  Read Dr. Krambeck's comments on MOSES here.

What are symptoms of BPH?  

  • Straining to empty

  • Feeling of incomplete emptying

  • Weak and slow stream

  • Frequent urination (peeing and then having to pee again 5 minutes later)

  • Severe urge to urinate (may even result in leakage i.e. urgency)

  • Getting up multiples times at night to urinate

Read more about BPH from Lumenis

Frequently Asked Questions:

Q: I've been told my bladder doesn't work anymore, am I still a candidate for HoLEP?

A: Dr. Krambeck has performed thousands of HoLEP surgeries, even for patients who were told they have non-functioning bladders.  In most patients with underactive bladders, HoLEP is able to remove so much tissue, that patients will be able to void using abdominal pressure.

Q: Is my prostate too big? Or too small for HoLEP?

A: HoLEP can be performed for any size prostate and this is supported by the AUA guidelines.  There is no prostate too large or too small for HoLEP performed by Dr. Krambeck

Q:  I am on anticoagulation for a heart condition, can I have HoLEP done?

A: Dr. Krambeck can safely perform your surgery while you are on blood thinners. (e.g. Eliquis, Xarelto, Plavix, Coumadin, Aspirin, Brillinta, ect).  In other words, you do not need to stop your blood thinning medicine.

Q:  I have a bladder stone, should I get this treated first?

A:  Dr. Krambeck can treat your bladder stone at the time of HoLEP.

Q: I live out of state and would like to minimize the number of trips to see Dr. Krambeck.  Is that possible?

A: Yes. Dr. Krambeck's team is accustomed to working with patients from all over the world.  For example, we can schedule your consultation one day before your surgery so you only have to be away from home for 2-3 days.