ASSOC. PROF. DR.ARİF DEMİRBAŞUrologistMENUTESTIMONIALS+90 532 485 0016Contact Information

Laser Prostate Surgery Turkey

What is laser prostate surgery?

It is a type of endoscopic prostate surgery used in the treatment of prostate enlargement using new generation laser devices (holmium laser, thulium laser, thulium fiber laser).

Laser Prostate Surgery Turkey

Since the holmium laser was first developed, these surgeries are generally called HOLEP surgery among the people. THULEP and THUFLEP are new generation laser systems developed after holmium laser and they work with the same basic logic in prostate surgery.

How is laser prostate surgery performed? Enuclation of prostate

It is the process of separating the prostate tissue, which makes urine flow difficult by means of laser energy with the help of optical magnifiers and camera, by entering from the tip of the penis, from its capsule as if opening a tunnel.

This procedure is also called prostate enucleation. Then, this large prostate piece or pieces sent into the bladder are separated into small tissues with the help of a device called a morcellator and taken out with a special vacuum system and directed for pathological examination.

What is the best laser surgery for prostate?

With the new generation laser devices in benign prostate enlargement surgeries, both rapid recovery, better urinary flow and less side effects are aimed.

Since the holmium laser device was first used for the prostate enucleation method with this laser, 'holmium laser enucleation prostatectomy' was named HOLEP. Later, thulium and thulium fiber lasers were also developed and the same surgical model gave very successful results with these latest technology laser devices. These are also abbreviated as THULEP and THUFLEP.

Scientific studies show that these three laser systems do not have obvious advantages over each other. However, since the thulium fiber laser (THUFLEP) device is known to damage tissue at a maximum depth of 0.2 mm during surgery, it is thought to have fewer sexual side effects and less urinary burning side effects after surgery. This distance is 0.4 mm for the holmium laser.

What is the new technology for prostate surgery?

Laser devices are the new generation in the treatment of benign prostate hypertrophy, as well as the latest technology THULIUM FIBER LASER (THUFLEP) and REZUM devices.

Is laser prostate surgery risky?

The most important reasons why laser prostate surgeries are more preferred today are; better results and less risk.

How long does laser prostate surgery take?

Like Thuflep and Holep, the most important determinant of the duration of laser surgery of the prostate is the prostate volume. These surgeries are usually performed between 15 minutes and 2 hours.

Hospital stay after THUFLEP and HOLEP prostate surgery?

After laser prostate surgery, our patients can be discharged within 1-2 days.

When is the catheter removed after THUFLEP and HOLEP prostatectomy?

After these operations, the probe is usually removed between 1 and 3 days, depending on the size of the prostate. Therefore, the time to return to normal life is very short.

Will the prostate grow back after laser surgery?

In benign prostate surgeries performed with holmium and thulium fiber laser systems, more tissue can be removed by separating from the capsule with the same anatomical logic as in open prostate surgery.

For this reason, laser prostate surgeries are the endoscopic prostate enlargement surgeries with the lowest probability of recurrence.

HOLEP surgery side effects

Side effects in prostate enlargement surgeries performed with laser are less common than classical TUR and open prostate surgeries. Bleeding, especially after surgery, is less in Thuflep and Holep surgeries.

Does laser prostate surgery affect sexuality?

Contrary to what is thought, the probability of prostatic enlargement surgeries to impair erection is low (1-2%). Especially in surgeries performed with thulium fiber laser, this rate is close to zero. It is also known that sexual performance will increase after prostate enlargement surgeries, if prostate enlargement has greatly affected the quality of life.

The side effect of erectile dysfunction occurs mostly after prostate cancer surgery. After laser prostate surgeries, some semen may be ejaculated backwards tı the bladder (retrograde ejaculation).

Urinary incontinence after HOLEP surgery

Permanent urinary incontinence is less than 1% after surgeries performed with both holmium, thulium and thulium fiber lasers. However, post-operative temporary and minor urinary incontinence may last from a few days to a few weeks and usually resolves with exercise and medication.

Laser Prostate Surgery Turkey

What happens if prostate surgery is delayed?

It tries to overcome the resistance in front of the bladder due to prostate enlargement. The bladder loses its ability to contract after a while, and even if the resistance in front of it is removed (in the case of delayed prostate surgery),it cannot provide sufficient urinary excretion, and as a result, urinary tract stones, recurrent complicated urinary tract infections and kidney failure may occur.

Sexual intercourse after laser prostatectomy

After about 3-4 weeks after laser prostate surgery, it is okay to have sexual intercourse.

Hospitals that perform Thulep, Thuflep or Holep prostate surgery in Turkey?

Thulium fiber laser prostate surgery (THUFLEP),one of the latest technology laser systems in prostate surgery, is performed by Associate Professor Arif Demirbaş at Bursa Doruk Nilüfer Hospital which is one of the comfortable and high quality hospital.

Comments of patients who have had laser prostate surgery

One of the most important questions in the minds of patients who are candidates for prostate surgery is the comments of those who have had this surgery before. For the comments of some patients who have had prostate surgery with Thulium laser in Turkish; Testimonials

Laser prostate surgery cost in Turkey Europe

Laser prostate surgeries applied in the treatment of benign prostate enlargement vary according to the device used, the infrastructure of the hospital, the factors of the surgeon and the patient, and most importantly, the prostate volume. Laser prostatectomy costs range 3000 to 6000 USD

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Update Date: 03.04.2023
Assoc. Prof. Dr. Arif Demirbaş
Doç. Dr. Arif Demirbaş
Üroloji Uzmanı
The content of this page is for informational purposes only.
Please consult your physician for diagnosis and treatment.
Assoc. Prof. Dr. Arif Demirbas
Urology Specialist
Dr. Arif Demirbaş was born in 1985 in Turkey. He graduated from Uludag University Faculty of Medicine in 2010. He completed his urology residency training at Ankara Training and Research Hospital between 2011-2016. As a result of intensive academic studies after his specialization, he received the title of Associate Professor in March 2021.

Although he has experience with each of urological diseases, he has a special interest in the diagnosis, medical treatment and surgical treatment of urological cancers (prostate cancer, kidney cancer, bladder cancer and testicular cancer),kidney stone diseases, benign prostate enlargement, adrenal gland diseases (surrenal gland) and pediatric urology diseases (ureteropelvic stenosis, vesicoureteral reflux, undescended testicles). If possible, the surgeries are planned laparoscopically and endoscopically in a way that creates the least discomfort for the patient as required by the era.
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