Laser enucleation of the prostate (DiLEP/HoLEP)

Laser enucleation of the prostate (HoLEP/DiLEP) is a state-of-the-art, minimally invasive treatment for benign prostatic hyperplasia (BPH). During the procedure, the surgeon uses a holmium or diode laser to carefully remove the overgrown prostate tissue that obstructs urine flow. The tissue is separated from the prostate capsule and moved into the bladder, where it is broken down and removed. This laser technique allows for precise cutting and simultaneous coagulation, which minimizes bleeding and makes the procedure safe even for patients taking blood-thinning medications. The result is long-lasting relief of urinary symptoms, a short hospital stay, and a quicker return to everyday activities compared with traditional surgical methods.

Before undergoing laser enucleation of the prostate, patients are scheduled for a detailed consultation with a urologist and standard preoperative tests, including blood work, urine analysis, and imaging studies such as ultrasound. Depending on overall health, additional evaluations may be required to ensure safe anesthesia. Patients taking blood-thinning medications should discuss this with their doctor, as adjustments to treatment may be necessary prior to surgery. On the day of the procedure, patients are typically asked to remain fasting for several hours, and standard anesthetic preparation is carried out before the operation begins.

Recovery after laser enucleation of the prostate is usually smooth and shorter compared to traditional surgery. Most patients stay in the hospital for one to two days, and the urinary catheter is typically removed the day after the procedure. Mild burning during urination or traces of blood in the urine may occur for a short period but generally resolve quickly. Patients are advised to avoid heavy physical exertion for a few weeks, but they can usually return to normal daily activities soon after leaving the hospital. Urinary symptoms such as frequent urination, urgency, or weak stream improve gradually, with full relief and comfort typically achieved within a few weeks.

Although laser enucleation of the prostate is considered a safe and effective procedure, certain precautions are important to ensure the best outcome. Patients should inform their doctor about all current medications, particularly blood thinners, as adjustments may be required before surgery. After the procedure, temporary symptoms such as mild burning on urination, small amounts of blood in the urine, or increased frequency may occur and are usually self-limiting. To support healing, patients are advised to avoid strenuous exercise, heavy lifting, and sexual activity for several weeks. Any signs of persistent bleeding, fever, or difficulty urinating should be reported promptly to the treating physician.