Who is a good candidate for HoLEP, and who should avoid it?

Good candidates include men with moderate to severe lower urinary tract symptoms due to benign prostatic hyperplasia (BPH), especially those with large prostates (>80 mL), acute urinary retention, or who are on anticoagulants. Contraindications include active urinary tract infection, known urethral stricture, or bladder cancer. Patients with prior prostate surgery may require individual assessment.