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Doruk Hospital
Home › Urology › Enlarged prostate treatment › Laser Prostate (HoLEP · ThuLEP)

Laser Prostate (HoLEP · ThuLEP)

We remove enlarged prostate tissue with a laser, through the urinary channel and without incisions. HoLEP and ThuLEP also suit large prostates.

Laser Prostate (HoLEP · ThuLEP)HighlightsOverviewTreatment methodsTreatment timelineCare processStatsWhy DorukInfo & BlogPhysiciansPricingPrice guaranteePatient storiesTestimonialsFAQ
HIGHLIGHTS

What stands out in this treatment

No incision, even for a large prostate

The laser separates the tissue whole from its shell; a large prostate does not need open surgery.

Low bleeding

The laser seals the cut surface at the same time.

Lasting relief

Because the enlarged tissue is fully removed, the need for repeat treatment is low.

A plan from measurement

Prostate volume, urine flow and residual urine are measured; the method is chosen from them.

International patient support

Visa, transfer, accommodation and medical interpreter support.

Insurance & agreements

Transparent payment with contracted institutions and private insurers, at home and abroad.

Accommodation & rooms

Companion-friendly modern patient rooms and in-city accommodation support.

International patient services

Visa, airport transfer and 24/7 multilingual medical interpreters.

Transparent, guaranteed price

A quote prepared from your medical information; no extra charge for the treatments it covers.
OVERVIEW

Who it's for & conditions treated

Who is it for?
Men whose weak stream, frequent and night-time urination continue despite medication
Men with a medium or large prostate
Men who have had urinary retention or depend on a catheter
Men with bladder stones, recurrent infections or bleeding caused by prostate enlargement
Men on blood thinners for whom bleeding risk matters
Men whose symptoms returned after a previous TURP
Conditions treated
Large-volume prostateMedium-volume prostateUrinary retentionBladder stones from prostate enlargementUse of blood thinnersRegrowth after TURP

Our team includes Prof. Arif Demirbaş, Assoc. Prof. Mehmet Ali Karagöz and Dr. Tuğrul Türker.

TREATMENTS

About the operation

Who this operation is for, and why
In laser prostate surgery, the enlarged tissue that squeezes the urinary channel is separated from the outer shell of the prostate and removed whole. The aim is to open the urinary flow for the long term.
Why a laser is chosen

Surgery is considered when medication no longer controls the symptoms, or when problems such as urinary retention, bladder stones or recurrent infections begin.

Because the laser separates the whole tissue from its shell, even a large prostate does not need open surgery. The laser seals the cut surface at the same time, so bleeding stays low.

Before surgery, prostate cancer is ruled out with PSA and, if needed, MRI. All removed tissue is examined in pathology.

HoLEP, ThuLEP and TURP
All three remove the enlarged tissue through the urinary channel, without incisions. They differ in how the tissue is removed and which sizes they suit.
CriterionHoLEPThuLEPTURP
How tissue is removedHoLEPSeparated whole from its shell with a holmium laser.ThuLEPSeparated whole from its shell with a thulium laser.TURPShaved away piece by piece with an electric loop.
Suitable prostate sizeHoLEPMedium and large; no upper limit.ThuLEPMedium and large; no upper limit.TURPSmall and medium.
BleedingHoLEPLow; the laser seals the cut surface.ThuLEPLow; the laser seals the cut surface.TURPCan be higher than with a laser.
Need for repeat treatmentHoLEPLow; the enlarged tissue is fully removed.ThuLEPLow; the enlarged tissue is fully removed.TURPRemaining tissue can regrow over the years.
For men on blood thinnersHoLEPCan be planned because bleeding is low.ThuLEPCan be planned because bleeding is low.TURPThe medicine is usually paused before surgery.
IncisionHoLEPNone; through the urinary channel.ThuLEPNone; through the urinary channel.TURPNone; through the urinary channel.

The comparison describes general features; your urologist decides the right method from your examination and prostate measurement.

What happens in the operation
The operation is done with a thin camera passed through the urinary channel; there is no cut in the abdomen.

HoLEP (holmium laser)

The holmium laser separates the enlarged prostate tissue from the outer shell of the prostate. The tissue is pushed whole into the bladder. Bleeding points are sealed with the same laser.

ThuLEP (thulium laser)

The same separation is done with a thulium laser. The laser works continuously and cuts the tissue with a smooth surface. Your urologist decides which laser is used.

Removing and examining the tissue

The tissue pushed into the bladder is cut into small pieces and suctioned out with an instrument passed through the same camera. All pieces are sent to pathology, so any hidden cancer is detected.

For men on blood thinners

Because the laser seals the cut surface, surgery can also be planned for men on blood thinners. The urologist and the doctor who prescribed the medicine decide together whether it is paused.

What to expect after surgery

A catheter stays in for a short time after surgery. When it is removed, your urinary flow is measured.

In the first weeks there may be burning, frequent urination and brief leakage; these ease over time.

Semen flowing back into the bladder during ejaculation (retrograde ejaculation) is common. It does not affect erections, but if you plan to have children it should be discussed before surgery.

TREATMENT TIMELINE

From day one to discharge

The timeline below is an average and varies by patient, diagnosis and clinical status. Exact timing and all included services are detailed in your personalized treatment offer.
Assessment
You share your symptoms, PSA result and ultrasound or prostate volume. The urologist makes a first assessment and a quote is prepared.
Examination and tests
Examination, urine flow test, residual urine measurement and, if needed, cystoscopy are done. Any suspicion of cancer is ruled out first.
Surgery
Surgery is done under anaesthesia through the urinary channel. A catheter is placed at the end.
Catheter and discharge
The catheter is removed after a short time and your urine flow is checked. Care instructions are given at discharge.
Follow-up
The pathology result and flow check are shared. After you return home, follow-up continues remotely.
Every treatment offer is presented in full detail — accommodation, transfer, interpreter and follow-up included — clearly stating what is covered.
HOW IT WORKS

A completely carefree treatment journey

1
Online application
Fill the form or message us on WhatsApp; share your file in seconds.
2
Free evaluation
Our specialists review your file and reply within 24 hours.
3
Personalized plan
Treatment steps, timeline and transparent cost are clarified.
4
Welcome & treatment
Airport pickup, accommodation and treatment — coordinated end to end.
BY THE NUMBERS

Our center in numbers

50+
countries of patients served
7/24
medical interpreter support
24 h
file review turnaround
WHY DORUK

What sets us apart here

Method by size
HoLEP, ThuLEP, TURP and Rezum are offered by one team; the method is chosen from your prostate measurement.
Tissue goes to pathology
All removed tissue is examined, so a hidden cancer is not missed.
Remote first assessment
You share your tests; you travel only after you have a plan and a quote.
INFO & BLOG

About diagnosis, treatment and recovery

What is the difference between HoLEP and ThuLEP?
How is laser surgery different from TURP?
My prostate is very large; can a laser still be used?
Is ejaculation affected after surgery?
How long does the catheter stay in?
I take blood thinners; can I have surgery?
Is cancer ruled out before surgery?
Will I have urinary leakage?
When can I return to work and daily life?
I am coming from abroad; how does the process work?
TEAM

Specialist physicians

Your surgeon and team
Urology

Prof. Arif Demirbaş

He has published work on endoscopic and percutaneous surgery of kidney stones, prostate diseases and pediatric urology.

  • Endoscopic and percutaneous stone surgery
  • Prostate diseases
  • Pediatric urology
  • Academic work and education
Urology

Assoc. Prof. Mehmet Ali Karagöz

In urology, he works on urinary system stone disease, endoscopic and laparoscopic interventions, andrology and sexual health.

  • Urinary system stone disease
  • Endoscopic and laparoscopic urology
  • Andrology and sexual health
  • Urodynamics and functional urology
Urology

Dr. Tuğrul Türker

He works on laparoscopic and robotic surgery in urology, prostate surgery with holmium laser and stone treatment with flexible ureterorenoscopy.

  • Laparoscopic and robotic surgery
  • Prostate surgery with HoLEP
  • Stone surgery with flexible ureterorenoscopy
  • Academic publication and thesis work
PRICING

Transparent treatment pricing

Consultation & second opinion
Free first assessment and a personal quote based on your prostate measurement and tests.
Free
HoLEP (holmium laser)
By prostate volume and length of stay
Ask for a quote
Kidney stone surgery (RIRS)
Incision-free, 1-day stay
$2,500 – $4,500
Penile prosthesis surgery
Depending on prosthesis type
$4,785 – $5,800
Robotic radical prostatectomy
2–3 night stay included
$10,000 – $12,000
Indicative price range, given before we have seen you. After medical communication and consultation you receive a net, payment-guaranteed price in writing: unless a medical obstacle arises, only the quoted amount is charged when the procedures are performed, and it covers the procedures listed as included in the quote. Our priority is to do what is medically right; our financial promise is to deliver the promised service at the promised price.
PRICE GUARANTEE

Our quote is a binding commitment

The quote prepared and shared based on the medical information you provide is guaranteed: for every treatment it covers, the hospital charges no extra fees.

Written, binding quote
Your quote is prepared from your medical information and shared in writing.
No surprise charges
For the treatments the quote covers, the hospital requests no extra charge.
All covered treatments included
Every planned treatment is included in the guaranteed price.
PATIENT STORIES

Recovery journeys in their own words

Patient stories

Nerve-sparing technique in prostate surgery

A stone-free day without a stent

Presenting with blood in the urine, diagnosis came early and treatment was planned organ-sparing.

Early diagnosis in bladder cancer

After years on medication, ThuLEP was performed and night-time urination decreased.

ThuLEP for benign enlargement

Kidney-sparing surgery for a renal tumour

All patient stories
PATIENT VOICES

What our patients say

Before surgery it was clearly explained to me what would be done to preserve function.

Mustafa
Türkiye · Urology

It was a consultation I could ask my men’s-health questions in, without being rushed.

Yousef
Kuwait · Urology

I was discharged on the fourth day after surgery and back at work a week later.

Rashad
Azerbaijan · Urology
FAQ

Frequently asked questions

Is the consultation paid?
How do I apply from abroad?
Visa and transfer support?
How is post-care follow-up?

Free evaluation for Laser Prostate (HoLEP · ThuLEP)

Our international team replies within 24 hours. Visa, transfer and accommodation included.

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