Last updated: 24 June 2026
Treatment of Benign Prostatic Enlargement Using the ThuLEP Method
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Treatment of Benign Prostatic Enlargement Using the ThuLEP Method

ThuLEP, or Thulium Laser Enucleation of the Prostate, is a modern surgical method used for the treatment of benign prostatic enlargement.

In this procedure, enlarged prostate tissue that obstructs normal urine flow is removed using a thulium laser. The operation is performed through the urethra, the natural urinary passage, without making an external skin incision.

The part of the prostate that obstructs urine flow is separated in a controlled manner, pushed into the bladder, and then morcellated, meaning cut into small pieces, using a special medical instrument and removed from the body.

For Which Patients Is ThuLEP Suitable?

The ThuLEP method may be considered as an option for:

  • patients with a large prostate volume;
  • patients whose symptoms do not improve sufficiently with medication;
  • patients with frequent urination, difficulty urinating, or a weak urinary stream;
  • patients who wake up frequently at night to urinate;
  • patients with a sensation of incomplete bladder emptying;
  • patients for whom surgical treatment of the prostate has been recommended.

The appropriate treatment method is determined individually by a urologist after a medical examination and the necessary diagnostic tests.

What Are the Potential Advantages of ThuLEP?

  • The procedure is performed without open surgery.
  • No external skin incision is made.
  • The laser may help control bleeding during the operation.
  • It can also be used in patients with large prostates.
  • The hospital stay is usually short.
  • It may improve urinary flow and bladder emptying.
  • It may provide long-lasting improvement in symptoms.
  • The likelihood of requiring repeat surgical intervention may be low.

For patients taking blood-thinning medication, the method may be considered as one of the available options. The decision to stop, continue, or change the medication is made individually by the treating specialists.

What Is the Recovery Period Like After ThuLEP?

After ThuLEP, many patients experience:

  • easier urination;
  • improved urinary flow;
  • better bladder emptying;
  • reduced symptoms associated with an enlarged prostate.

During the first few days after the operation, a temporary burning sensation during urination, increased urinary frequency or urgency, or a small amount of blood in the urine may occur. These complaints usually decrease gradually.

Follow-up examinations, medications, and the recommendations of the treating physician are important parts of the recovery process.

Why Is ThuLEP Performed?

ThuLEP is one of the modern endoscopic options for the surgical treatment of benign prostatic enlargement. The method can also be used in patients with large prostates and may help improve urination and quality of life.

The choice of ThuLEP or another surgical method is made individually according to prostate size, symptom severity, accompanying diseases, and the patient's general health condition.

 

The information on this page is for general informational purposes only and does not replace a medical examination, diagnosis, or an individual treatment plan. The appropriate treatment method is determined by a urologist after evaluating the patient's health condition.