HoLEP · Holmium Laser Enucleation of Prostate in Bangkok

TURP uses electrical energy to cut prostate tissue from the inside of your urethra and is best for prostates under 80g. HoLEP, however, utilizes a holmium laser to precisely enucleate the entire obstructing tissue from inside your prostate capsule, working effectively on prostates of any size. You'll experience significantly less blood loss, a shorter catheter time typically 24-48 hours, and more durable, long-lasting results with HoLEP. While it requires a more specialized surgeon, the benefits often outweigh this for many patients.

HoLEP has no upper size limit, making it an excellent option for any prostate. It's the preferred choice for prostates over 80g where TURP becomes less effective due to increased operative time and risk. HoLEP also works exceptionally well for medium prostates (40-80g) when you desire the most durable and complete relief from BPH symptoms available. Your surgeon will discuss if HoLEP is the optimal treatment for your specific prostate size and symptoms.

Retrograde ejaculation, where semen flows into your bladder instead of out, occurs in 70-80% of HoLEP patients. This is a common and expected side effect, but it's not harmful to your health and your ability to achieve an erection is fully preserved. However, it does affect fertility. If preserving forward ejaculation is a high priority for you, alternative treatments like Rezum or UroLift may be better options, particularly for smaller prostates.

Most patients typically stay one night in hospital and are discharged the morning after surgery. Your urinary catheter will remain in place for a relatively short period, usually 24-48 hours. You can resume light activities within a few days, and most patients comfortably return to work and their normal routines within 7-10 days. We prioritize your comfort and a swift recovery.

The cost of your HoLEP procedure in Bangkok will vary based on several factors. These include your chosen anesthesia type (Spinal or General), the length of your hospital admission, and any additional procedures, such as a biopsy of removed tissue if prostate cancer is suspected. For a personalized quote tailored to your specific prostate size, overall health, and treatment plan, we recommend booking a consultation with our specialist.

HoLEP boasts excellent long-term success rates, with over 90% of patients experiencing significant and lasting improvement in their urinary symptoms. Studies show a re-treatment rate of less than 5% over 10 years, making it one of the most durable BPH treatments available. You can expect a dramatic reduction in symptoms like frequent urination, urgency, and weak stream, leading to a significantly improved quality of life for many years.

For your HoLEP procedure, you'll typically have two main anesthesia options: Spinal Anesthesia or General Anesthesia. Spinal anesthesia numbs the lower half of your body while you remain awake but sedated, offering a quicker recovery for some. General anesthesia puts you completely to sleep during the procedure. Your anesthesiologist will discuss both options with you, considering your medical history and preferences, to determine the safest and most comfortable choice for your surgery.

During your consultation, you'll meet with our experienced urologist to discuss your symptoms and medical history. We'll perform a physical examination, including a DRE, and likely order tests such as a PSA blood test, urine flow study, and a prostate ultrasound to assess your prostate size and health. This comprehensive evaluation allows us to determine if HoLEP is the best treatment for you and to create a personalized treatment plan. You'll have ample opportunity to ask questions.

We recommend arriving in Bangkok at least 1-2 days before your consultation for initial assessments. After your procedure and hospital discharge, you should plan to stay in Bangkok for approximately 7-10 days for your initial recovery and follow-up appointment. We offer virtual follow-ups via WhatsApp for your convenience once you return home. You can typically fly home safely within 10-14 days post-surgery, depending on your recovery progress.