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Thulium Fiber Laser Prostate Enucleation (ThuLEP)

Modern endoscopic enucleation technique for benign prostatic hyperplasia.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Üroloji department. Book Appointment →

What is Thulium Fiber Laser Prostate Enucleation (ThuLEP)?

Thulium Fiber Laser Prostate Enucleation (ThuLEP) is an endoscopic procedure used in symptomatic benign prostatic hyperplasia. Unlike traditional TURP, the obstructive adenomatous tissue is anatomically separated from the prostate capsule with thulium laser energy and removed entirely with a morcellator.

Compared with TURP and HoLEP it allows precise dissection, lower bleeding risk and faster catheter removal; it is also a safe alternative for patients on anticoagulants and those with very large prostates.

Postoperative urinary continence and sexual function are preserved at high rates; transient urinary urgency, urge incontinence and irritative symptoms may occur in some patients.

Symptoms

Postoperative haematuria
Urinary urgency and frequency
Transient urge incontinence
Burning during urination
Urinary tract infection
Bladder neck contracture (rare)
Retrograde ejaculation

Risk Factors

Symptomatic benign prostatic hyperplasia
Large prostate (>80 mL)
Failure of medical therapy
Recurrent acute urinary retention
Recurrent urinary tract infection due to BPH
Patient on anticoagulant therapy
Bladder stones associated with BPH

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Persistent or worsening haematuria
  • Severe urinary urgency or persistent incontinence
  • Burning during urination and urinary tract infection
  • Difficulty in urination after surgery

Treatment Methods

01
ThuLEP procedure under continuous saline irrigation
02
Anatomical capsule plane enucleation
03
Morcellation and complete tissue removal
04
Bladder catheter for 24-48 hours
05
Antibiotic prophylaxis
06
Postoperative continence-preserving exercises
07
Long-term follow-up of urinary symptoms and continence

Which Department to Visit?

You can visit our Üroloji department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.