Prostate Laser Treatment (HoLEP)

HoLEP (holmium laser enucleation of the prostate) treats benign prostate enlargement. Working through the urethra, the surgeon uses a laser to shell out the overgrown inner part of the gland in one piece, leaving the outer capsule.

It gives strong, lasting relief of a weak stream and incomplete emptying, and suits prostates of any size, including very large ones. Its main trade-off is that nearly all men have dry (retrograde) ejaculation afterwards.

What Prostate Laser Treatment (HoLEP) involves

Under anaesthetic a resectoscope is passed along the urethra. The surgeon uses the holmium laser fibre to find the plane between the enlarged adenoma and the prostate capsule, then peels each lobe away from the capsule, sealing blood vessels as they are met. The freed lobes are pushed into the bladder. A second instrument called a morcellator then cuts the tissue into fragments and suctions them out, and these go to pathology. A catheter with bladder irrigation is left in, usually for 24 to 48 hours. There are no skin incisions.

Who is a good candidate for Prostate Laser Treatment (HoLEP)?

It is for men with bothersome urinary symptoms from benign enlargement when medicines are not enough.

• Moderate to severe symptoms despite alpha blockers or 5-alpha reductase inhibitors
• Urinary retention needing a catheter
• Large prostates over 80 ml that would otherwise need open surgery
• Men on blood thinners, since laser bleeding is low
• Bladder stones, recurrent infections or kidney strain caused by obstruction

It is usually not the right choice if:

• Men for whom preserving ejaculation is a priority, who may prefer other techniques
• Untreated urine infection
• Symptoms caused mainly by an overactive or failing bladder rather than obstruction
• Men with suspected prostate cancer that has not yet been assessed
• Urethral stricture preventing instrument passage until it is treated

الخيارات التقنية

• HoLEP: Complete enucleation with a holmium laser; the longest follow-up evidence.
• ThuLEP: The same operation using a thulium laser.
• TURP: The traditional scraping operation, suited to prostates under about 80 ml.
• Minimally invasive options (Rezum, UroLift): Preserve ejaculation in smaller prostates with less durable relief.

ماذا يحدث خلال علاجك

The operation takes 1 to 2.5 hours depending on gland size, under spinal or general anaesthetic, with 1 to 2 nights in hospital. You wake with a catheter and fluid running through it. There is little pain, mostly catheter discomfort and an urge to pass urine.

الإعداد لرحلتك

Plan for 7 to 10 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

After the catheter comes out, expect burning, urgency and some blood in the urine for 2 to 6 weeks. Temporary stress leakage on coughing is common in the first weeks and improves with pelvic floor exercises, usually by 3 months. Avoid heavy lifting, cycling and straining for 4 weeks. Desk work is possible after about a week.

• Back to everyday activity: 1 to 2 weeks
• When results show: Stream improves as soon as the catheter is out
• How long they last: Durable; re-operation in under 5 in 100 at 10 years

سياسة السلامة والمخاطر والتنقيح

HoLEP is safe in experienced hands, but it has a learning curve, so surgeon experience matters.

• Retrograde ejaculation in most men, which is permanent
• Temporary stress incontinence in 5 to 15 in 100; persistent leakage in about 1 in 100
• Urinary infection
• Bleeding or clot retention needing the catheter replaced
• Urethral stricture or bladder neck narrowing in a few in every 100
• Bladder injury from the morcellator, which is rare
• Unexpected cancer found in the removed tissue

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Prostate Laser Treatment (HoLEP) in Türkiye

Clinic-Y does not publish a single price for Prostate Laser Treatment (HoLEP), because the honest figure depends on your case. What moves it:

• Prostate volume and operating time
• Length of stay and catheter care
• Pre-operative tests such as PSA, ultrasound, flow test and urodynamics
• Surgeon experience with enucleation

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة